PERMETHRIN 5%, cream



Therapeutic action

– Scabicide (pyrethroid insecticide)

Indications

– Scabies

Forms and strengths

– 5% cream

Use

– Child 2 months and over and adult: apply the cream 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 at least 8 hours (e.g. overnight) then rinse thoroughly with water.
– In child under 2 years: wrap hands to avoid accidental ingestion and contact with eyes.
– Repeat the application after 7 days.

Contra-indications, adverse effects, precautions

– Do not use in children under 2 months.
– Do not apply to the face and mucous membranes, nor on broken skin.
– May cause: paraesthesia, pruritus, redness, burning sensation, skin dryness; rarely: oedema, 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 there have symptoms or not. Decontaminate, after each treatment, clothes and bed linen of patients and close contacts: wash ≥ 60 °C and dry in the sun, or expose to 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.
– 1% permethrin lotion is used for the treatment of head lice in children 2 months and over and adults.
Storage: below 25 °C -