Dimeticone 4% lotion
Dose: Head lice, rub into dry hair
and scalp, allow to dry naturally, shampoo after a minimum of 8 hours (or
overnight); repeat application after 7 days.
Malathion
0.5% in aqueous basis
Dose: Head lice, rub into dry hair and scalp, allow to dry
naturally, remove by washing after 12 hours and repeat treatment after 7
days. Crab/pubic lice, apply aqueous preparation to all
parts of the body (not merely the groin and axillae) for 12 hours, or
overnight; a second treatment needed after 7 days to kill lice emerging
from surviving eggs.
Several
products are available which require the use of a fine tooth plastic
detection comb and hair conditioner; a head lice device (Bug Buster®
Kit) is prescribable on the NHS. The methods typically involve meticulous
combing with the detection comb over the whole scalp at 4 day intervals
for at least 2 weeks.
Permethrin cream 5%
Dose: Scabies: apply over whole body including face, neck and ears
and wash off after 8 to 12 hours. Those with sparse hair should also apply
the cream to their scalp. If hands are washed with soap and water within
8 hours of application, cream should be re-applied. Repeat treatment
after 7 days. All members of household/close contacts should be treated
once only.
Refer to notes on “treatment of scabies”
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