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Topical antiparasitic (scabicide / pediculicide)

Permethrin: uses, side effects & precautions

Also known as Lyclear, Nix, Elimite, Acticin.

Ces informations sont fournies à titre indicatif uniquement et ne constituent pas un avis médical. Consultez toujours un professionnel de santé qualifié pour toute préoccupation médicale personnelle. En cas d'urgence, appelez votre numéro d'urgence local.

What it is used for

  • Scabies
  • Head lice
  • Pubic lice

How it works

Permethrin paralyses and kills mites and lice and their eggs, clearing the infestation from the skin and hair.

How it is taken

Comes as a skin cream for scabies and a creme rinse or lotion for lice. Apply over the body or to the hair exactly as the label or your clinician directs, leave it on for the stated time, then wash it off. A second application after a number of days is often needed; close contacts and bedding/clothing usually need treating too.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Mild burning, stinging or tingling of the skin
  • Itching or redness, which can continue for a while after the mites are gone
  • Temporary numbness or rash at the site

Serious effects — get help

  • Severe skin irritation, swelling or blistering
  • Signs of an allergic reaction such as facial swelling, widespread rash or difficulty breathing

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other lotions or creams applied at the same time may reduce its effect

Who should take care

  • Tell your clinician if you are pregnant or breastfeeding, and before using on young children
  • Itching can persist for a couple of weeks after successful treatment and does not always mean it failed
  • Treat household and sexual contacts and wash bedding and clothing as advised to prevent reinfestation
  • Avoid the eyes and inside the nose and mouth

Frequently asked questions

Why am I still itchy after treatment?
Itching can continue for up to a few weeks after the mites are killed, as the skin recovers. Ongoing or worsening itch beyond that should be checked.
Do I need to treat my family?
Yes, for scabies, close contacts usually need treating at the same time even without symptoms, to stop it being passed back. Follow your clinician's advice.
How many applications do I need?
A second application after a set number of days is often recommended to catch newly hatched mites or lice. Follow the label.
What about bedding and clothes?
Washing and hot-drying or isolating bedding, towels and recently worn clothing helps prevent reinfestation. Your clinician can advise on the details.
Is Permethrin safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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