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Template:Lice treatment
From WikEM
Over the Counter (OTC)
- Permethrin 1% lotion shampoo (if >2 months old)[1]
- Wash hair with non-conditioned shampoo
- Apply Permethrin for 10 min and rinse
- Repeat on day 9
- Pyrethrin lotion
- Apply to affected areas and wash off after 10 min
- Repeat in 7 days
Prescription
Reserved for failed OTC treatment
- Spinosad 0.9% topical suspension (if >6 months old)
- Apply to scalp and air and wash off after 10 min.
- Repeat in 10 days
- Malathion 0.5% lotion (if >6 years old)
- Applied to affected areas and wash after 8 hrs
- Repeat in 7 days
- Benzyl Alcohol 5% lotion (> 6 months old)
- Apply to dry hair and wash off after 10 min
- Repeat in 7 days
- Ivermectin 400mcg/kg PO
- Once on day 1 THEN once in 7 days
- Reserved for patients failing topical treatment
- Lindane therapy
- Only consider if patient has failed two prior prescription treatments
- Avoid in children <50 kg due to seizure association
Eyelash Infestation
- Apply ophthalmic petroleum jelly q12hrs x 10 days
Pediatrics <2yo
- Wet combing is an alternative to medical therapy
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