I'm so sorry to hear of your discomfort.
Since it has been 5 days since you began the permethrin without any results, I'm thinking at this point that you might be suffering from something besides scabies - perhaps atopic dermatitis (eczema). This can cause swelling, redness, and intense itching on the face that can lead to crusting and other skin changes. Hydrocortisone, however, will also often help eczema, and the fact that things aren't getting any better might suggest that something else is responsible.
At this point, you need to be seen by a physician. I understand that not having health insurance can make this very tough (I've been there before myself), but your symptoms aren't getting any better and require a physician to see you, examine you, and run the appropriate tests. Then, you will have a much better chance of getting the treatment that you require. You might require the input of a specialist (dermatologist).
If necessary, you can go to the emergency room in your local area. Many ERs have funds available to provide treatment to people without the means to pay or insurance. So your bills could be forgiven. But you should not continue to suffer without treatment.
I hope this helps. Please let me know if you have any further questions - I'm more than happy to help.
Take care - Doctor Fay
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