|
HEAD Lice (Pediculus humanus capitis)
|
||
|
Permethrin (OTC) (Nix Cream Rinse® 1%) Pregnancy: B; Lactation: Topical Okay
Cream Rinse 1% Cream 5% (Rx Only): For scabies only. |
Children >2 months: Rinse: Wash hair, towel dry, saturate hair with Nix, and rinse after 10 minutes. Remove remaining nits with nit comb. One treatment eliminates infestations. Repeat only if live lice are seen after 7 days. Wash bedding and all clothing in hot water. Vacuum furniture and dispose of bag.
|
Important side effects: Mild temporary itching or erythema. Avoid contact with mucous membranes. Contraindicated if allergic to chrysanthemum flower. |
|
Pyrethrins/piperonyl butoxide (OTC) (RID®, A-200®, Pronto®, Rid®) Other products available Pregnancy: C; Lactation: Unk
Bottles: 60 mL, 120 mL, 240 mL
|
Children and Adult: Apply to dry hair. After 10 minutes, wash hair, rinse thoroughly. Comb out hair with nit comb. Repeat in 7-10 days. Wash bedding and all clothing in hot water. Vacuum furniture and dispose of bag. |
Important side effects: Burning, pruritus. Contraindicated if allergic to ragweed or chrysanthemum flower. |
|
|
|
|
|
Benzyl alcohol lotion 5% (Ulesfia 5% Lotion)
|
Child > 6 mo old / Adult:
Apply to dry hair and saturate the scalp. Leave on for 10 min and rinse. Repeat in 7 days.
|
Side effects: Contact dermatitis. Avoid Eyes |
|
Ivermectin Lotion 0.5% (Sklice)
|
Child >6 months old / Adult:
Apply to dry scalp. Wash off after 10 min. Single use.
|
|
|
Malathion Lotion 0.5% (Ovide)
|
Child 2-5 yr old: Only for failed therapy.
Moisten hair, leave on for 8-12 hours. (Some data shows 20 min was effective)
Child >6 yrs old: Moisten hair, leave on for 8-12 hours. (Some data shows 20 min was effective). May repeat in 7-9 days
|
|
|
Spinosad 0.9% Topical Suspention (Natroba)
|
Child > 6 months / Adult:
Apply to dry hair and rinse after 10 min.
|
|
|
|
Second – Line Treatment |
|
|
Lindane 1% Shampoo |
|
|
|
|
|
|