permethrin (Elimite, Nix)

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Introduction

Tradenames: Elimite, Nix.

Indications

Contraindications

  • hypersensitivity to pyrethyroid or crysanthemums
  • Do not use in children < 2 months old.

pregnancy category = b

safety in lactation = ?

Dosage

Scabies:

  • apply 5% cream (Elimite) from head to soles of feet
  • avoid mouth, nose, eyes
  • wash after 8-14 hours (overnight)
  • 30 grams (1 oz) is a typical adult dose
  • repeat in 7-10 days[5]

Lice:

  • saturate hair & scalp with 1% rinse (Nix)
  • wash after 10 minutes
  • up to 2 additional treatments spaced 9 days apart may be needed to kill newly laid eggs[4]

Nix (1% rinse): 60 mL with comb.

Elimite (5% cream): 60 g

Adverse effects

More general terms

References

  1. The Pharmacological Basis of Therapeutics, 9th ed. Gilman et al, eds. Permagon Press/McGraw Hill, 1996.
  2. Drug Information & Medication Formulary, Veterans Affairs, Central California Health Care System, 1st ed., Ravnan et al eds, 1998
  3. Kaiser Permanente Northern California Regional Drug Formulary, 1998
  4. Jump up to: 4.0 4.1 Prescriber's Letter 17(9): 2010 COMMENTARY: Treatment of Head Lice - An Update PATIENT HANDOUT: Treating Head Lice PATIENT HANDOUT SPANISH VERSION: El Tratamiento de Piojos de la Cabeza GUIDELINES: Head Lice Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=260911&pb=PRL (subscription needed) http://www.prescribersletter.com
  5. Jump up to: 5.0 5.1 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015

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