Lice and Scabies Treatments

LICE AND SCABIES TREATMENTS
All products should be applied and removed exactly as directed. A nit comb must be used to physically remove head lice and nits after treatment.
Generic	Brand		Form	Notes
PEDICULICIDES AND LICE REMOVAL PRODUCTS
benzyl alcohol 5%	Ulesfia	Rx	lotion	Treatment of head lice. Avoid contact with eyes. <6mos: Not recommended. ≥6mos: Apply sufficient amount to dry hair to completely saturate scalp and hair. After 10min, thoroughly rinse off with water. Repeat after 7 days. Wash hands after application.
ivermectin 0.5%	Sklice	Rx	lotion	Treatment of head lice. Avoid contact with eyes. <6mos: Not recommended. ≥6mos: Apply sufficient amount (up to 1 tube) to thoroughly coat the hair and scalp. After 10min, thoroughly rinse off with water.
lindane 1%	—	Rx	shampoo	Treatment of resistant head and pubic lice; not for prophylactic use or Norwegian (crusted) scabies. <110lbs: Not recommended. ≥110lbs: For single application only; do not reapply. Average hair length: 30mL; max 60mL. Apply to clean dry hair; lather and leave on for 4mins only, then rinse. Wear gloves when applying; avoid other unnecessary exposure. Potential toxicities: seizures, aplastic anemia, renal disorders.
malathion 0.5%	Ovide	Rx	lotion	Treatment of head lice. For use on scalp only. <6yrs: Not established. ≥6yrs: Apply to dry hair and scalp until thoroughly wet. Let hair dry naturally. Shampoo and rinse after 8–12hrs; remove dead lice and eggs with nit comb. May repeat once after 7–9 days.
permethrin 1%	Nix	OTC	cream rinse	Treatment of head lice. <2mos: Not recommended. ≥2mos: Apply and saturate on washed and towel-dried hair and scalp. Leave on for 10mins, then rinse. Remove nits with provided comb. Repeat after 7 days if live lice are evident. Caution: Ragweed allergy.
piperonyl butoxide/pyrethrum extract	RID Lice Killing Shampoo	OTC	shampoo	Treatment of head, body and pubic lice. Not for lice in eyebrows or eyelashes. Avoid contact with eyes, mucous membranes. <2yrs: Consult physician. ≥2yrs: Apply thoroughly to dry hair or other affected area. After 10min, add water to form lather then rinse thoroughly; towel dry. Pubic lice: treat consorts also. Must repeat in 7–10 days.
spinosad 0.9%	Natroba	Rx	topical susp	Treatment of head lice. Avoid contact with eyes. <6mos: Not recommended. ≥6mos: Apply to dry scalp and hair until adequately covered; use up to 120mL (one bottle). Leave on for 10 mins, then rinse off thoroughly with warm water. May repeat after 7 days if needed. Wash hands after application.
PEDICULICIDES, LICE, AND NIT REMOVAL PRODUCTS
dimethi– cone	LiceMD	OTC	gel	To eliminate lice, eggs and nits from head and body hair. Dye- and pesticide-free. Use provided comb to remove lice, eggs and nits. Shampoo with warm water. Inspect hair for 10 days. Repeat as needed.
SCABICIDES
crotamiton 10%	Eurax	Rx	cream or emollient-base lotion	Reapply after 24hrs.
permethrin 5%	—	Rx	cream	One application is usually effective; may repeat in 14 days if living mites are still present. Caution: pyrethrins, pyrethroids, or chrysanthemum allergy.
NOTES
Not an inclusive list of medications and/or official indications. Please see drug monograph at www.eMPR.com and/or contact company for full drug labeling. (Rev. 11/2019)

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