Lice and Scabies Treatments
Pediculicides and scabicides: comparison of preparations and regimens
| Lice and Scabies Treatments | |||||
|---|---|---|---|---|---|
| Generic | Brand | Formulation | Cautions | Application Site and Treatment Duration | Re-Treatment |
| Head Lice Treatments | |||||
| Dimeticone | Hedrin | Lotion 4% | Children <6 months |
Apply to dry hair. Shampoo out after min 8 hrs. | Repeat after 7 days. |
| Linicin Lotion 15 min | Lotion >95% | Children <6 months |
Apply to dry hair. Shampoo out after min 15 min. | Repeat after 9 –10 days. | |
| NYDA | Spray 92% | Children <2 years |
Apply to dry hair. Shampoo out after min 8 hrs. | Repeat after 8 –10 days. | |
| Malathion | Derbac-M | Aqu. liq 0.5% | Children <6 months |
Apply to dry hair. Shampoo out after min 12 hrs and comb hair while wet. Repeat after 7 days. |
Do not use more than once a week or for more than 3 weeks at a time. |
| Generic prep | Alc. lotion 0.5% | Asthma, eczema, children <6 months |
Rub into scalp. Shampoo out after 10–12 hrs and comb hair while wet. |
||
| Permethrin | Lyclear | Creme rinse 1% |
Children <6 months |
Wash and towel dry hair. Apply enough to saturate hair and scalp, rinse after 10 min. | |
| Pubic Lice Treatments | |||||
| Malathion | Derbac-M | Aqu. liq 0.5% | Children <6 months |
Apply to entire skin surface, especially hairy areas incl beard and moustache. Avoid other areas above the neck. Wash off after min 1 hr, preferably 12 hrs. Repeat after 7 days. |
Do not use more than once a week for 3 consecutive weeks. |
| Permethrin | Generic prep | Cream 5% | Elderly | Apply to pubic area and surrounding regions, wash off after 24 hrs. Apply to facial hair if evidence of live lice or eggs. Children <18 years: not recommended. |
|
| Lyclear Dermal | Cream 5% | Elderly | |||
| Scabies Treatments | |||||
| Benzyl benzoate | Generic prep | Emulsion 25% | Lactation: suspend feeding until product washed off | Apply on consecutive days with no bath in between. Wash off 24 hrs after second application. Children: Not recommended. | Third application may be required. |
| Crotamiton | Eurax | Cream 10% Lotion 10% |
Acute exudative dermatitis | Rub into whole body excl face and scalp after warm bath. Repeat daily in evening for 3–5 days. | |
| Malathion | Derbac-M | Aqu. liq 0.5% | Children <6 months |
Adults: Apply to entire skin surface, wash off after 24 hrs. Only apply above neck if necessary. Repeat after 7 days. Children <2 years: as for adults plus thin film on scalp, face and ears. |
Do not use more than once a week or for more than 3 weeks at a time. |
| Permethrin | Generic prep | Cream 5% | Children 2 months to 2 years | Apply up to 60g to whole body, excl head. Wash off after 8–12 hrs. Children <2 months: not recommended; 2 months–1 year, apply up to 4g over whole body incl face, neck, scalp and ears; 1–5 years, up to 7.5g; 6–12 years, up to 15g. |
Repeat once after 7 days if required. |
| Lyclear Dermal | Cream 5% | Children 2 months to 2 years | |||
