BENZYL BENZOATE, lotion

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    Therapeutic action

    • Scabicide

    Indications

    • Scabies (preferably use 5% permethrin cream for this indication)

    Forms and strengths

    • 25% lotion

    Preparation and use

    • Shake the bottle before application or dilution.
    • Dilute the lotion, as required, according to age. Use drinking or boiled water.
    • Apply the lotion to the whole body, including scalp, postauricular areas, palms of the hands and soles of the feet, paying particular attention to skin creases and interdigital web spaces. Leave on for recommended contact time, then rinse thoroughly with water. 
    • In children under 2 years: wrap hands to avoid accidental ingestion and contact with eyes.

     

     

    Child

    < 2 years

    Child

    2 to 12 years

    Child > 12 years

    and adult

    Pregnant woman

    Preparation

    1 part of

    25% lotion
    + 3 parts of water

    1 part of

    25% lotion
    + 1 part of water

    Undiluted 25%

    lotion

    Undiluted 25%

    lotion

    Contact time

    12 hours
    (6 hours in children < 6 months)

    24 hours

    24 hours

    12 hours

    Number of applications

    One application only

    Two applications (e.g. 24 hours apart, with a rinse between the two applications; or two successive applications 10 minutes apart, when the first application has dried, then rinse after 24 hours)

    One application only

     

    Contra-indications, adverse effects, precautions

    • Do not apply to broken skin (risk of systemic absorption), the face or mucous membranes.
    • May cause: burning sensation; contact dermatitis in case of repeated applications; seizures in the event of marked transcutaneous absorption; rarely: hypersensitivity reactions.
    • Avoid contact with eyes. In case of accidental contact, flush immediately with plenty of water.
    • Pregnancy: no contra-indication
    • Breast-feeding: no contra-indication. Do not apply to the breasts.

    Remarks

    • Close contacts should be treated at the same time regardless of whether they have symptoms or not. Decontaminate, after each treatment, the clothes and bed linen of patients and close contacts: wash ≥ 60 °C and dry in the sun, or leave in direct sunlight or seal in a plastic bag for 72 hours.
    • Itching may persist for up to 4 weeks after the end of treatment (allergic reaction to dead parasites). Do not re-treat during this period. The treatment may be repeated if specific scabies lesions (scabious burrows) are still present after this period.
    • Prepare dilution in a glass container. The lotion may damage certain plastics.

    Storage

     
    –  Below 25 °C