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Permethrin Topical 

What is Permethrin Topical ?

Permethrin is a medication that fights parasites. Permethrin Topical  (for your skin) helps treat head lice and scabies. Permethrin Topical  may also be used for different uses that are not covered in this guideline.

Side effects of Permethrin

See a doctor immediately. Get medical attention immediately if you notice symptoms that indicate an allergic reaction, such as symptoms of hives, difficulty breathing, or swelling of your lips, face, and throat.

Contact your physician immediately if you are experiencing extreme burning, stinging, swelling, or redness after applying Permethrin Topical .

Common adverse side effects of Permethrin Topical  could include:

  • Minor burning, stinging, the sensation of itching, or a mild itching, burning, or mild
  • Numbness or tingling wherever the medicine was injected
  • Headache, dizziness;
  • Fever or
  • Stomach pain, nausea, vomiting, and diarrhea.

This is not a comprehensive list of all side effects. Other side effects could be present. Contact your doctor for advice regarding medical effects. You can report any adverse reactions to the FDA at 1-800-FDA-1088.

Similar/related drugs

Ivermectin topical, sodium chloride topical, Elimite, lindane topical, topical acetic acid, Nix Lice Control, and Natroba


Follow all the instructions on the label of your medication and on the label of your package. Inform your health professionals about your allergies, medical conditions, and any other medications you take.

Before you start taking this medicine

Avoid using the topical medication permethrin if you are sensitive to it or the chrysanthemums. Speak with a physician or pharmacist to determine if it is safe to take this medication in the event of any other medical ailments. Permethrin topical cream is not believed to cause harm to unborn babies. Consult your doctor if you are expecting. It isn't known if permethrin is absorbed into breast milk or if it is harmful to nursing infants. Do not breastfeed when using this medication. Permethrin Topical  should not be used on children less than 2 months old.

How to take Permethrin Topical?

Follow the directions on the label or as directed by your physician. Avoid using in larger than smaller quantities or for a longer period than is recommended. There could be a temporary increase in swelling, itching, or redness of the treated skin at the time you begin using the topical. Do not chew the pills. This medication is intended for use exclusively on your skin. Avoid applying the medicine to wounds or open cuts. If the medication is absorbed into your mouth or eyes, then rinse it out by rinsing with clean water. Use the surface spray only on surfaces that are used for household use and not on your skin. It may be necessary to shake the medicine prior to every use. Follow the instructions on the label of the medicine.

To treat scabies:

  • Cleanse and dry the skin. Apply a thin layer of this treatment to every body part, from the neck all the way to the soles of your feet. Massage it thoroughly. Apply the cream to your skin for anywhere from 8 to 14 hours. Then cleanse it completely.
  • When applying Permethrin Topical  to an infant, apply the cream to the temples, scalp, and forehead. Do not apply near the nose, eyes, mouth, or genitals.
  • If the condition doesn't improve after 14 days of treatment, try applying the topical treatment again.

For treating lice on the head:

  • Shampoo your hair exclusively (no conditioners or two-in-one shampoos). Rinse thoroughly, then towel dry your hair. Leave it damp.
  • Keep your eyes protected by an eye-protection towel or washcloth. Apply the treatment to thoroughly cover all hair, then let it sit for 10 minutes. Rinse by using hot water.
  • It is also possible to employ a nit comb in order to get rid of lice eggs from your hair. Your hair should be damp before using a conditioner. Only work on one piece of hair at a time by combing through 1- to 2-inch-long hair strands from the scalp up to the ends.
  • Rinse the nit-comb regularly when using it. Remove the nits in a plastic bag, then throw it in the trash.
  • Make sure to check the scalp every day to ensure that all hair nits have been eliminated.
  • If you notice lice after 7 days of the first treatment, you can apply for another application.

Treatment of the symptoms of pubic lice (crabs):

  • Sexual partners of all kinds should be treated with respect.
  • Clean and dry the area of treatment. Apply the topical application of permethrin to all pubic hairs as well as any hairs that surround it on the anus and thighs (avoid areas in the vagina or rectum).
  • Allow the cream to sit for 10 minutes. After that, work it into a lather, and then rinse using warm water.
  • You can also employ a nit comb in order to eliminate lice eggs from the pubic hair (the hair should be damp).

To avoid reinfection To avoid reinfection, clean all hats and clothing. To prevent reinfection, wash all bed linens, clothes, and towels with hot water. Then dry with high temperatures. Dry-clean any clothing that isn't washable. Soak the hair brushes, combs, or hair tools in boiling water for a minimum of 10 minutes.

Use a surface spray of permethrin to disinfect items that are not washable, like:

  • Furniture;
  • Pillows and mattresses;
  • Toys with stuffed toys;
  • Accessories, such as gloves, hats, and scarves;
  • Headbands or headphones
  • The insides of a bicycle helmet the insides of a bicycle helmet
  • Carpets and seats inside the car

Pillows and toys that are not washable must be kept in airtight plastic bags for four weeks. Once you have removed the bag, vigorously shake the item outside. Vacuum all carpets and rugs, as well as the car seat. After that, throw the bag of vacuum cleaner. To ensure that you receive the best treatment for scabies and lice, it is essential to take care of your surroundings (clothing, bedding, etc.) in the same way you take care of your body and hair. Keep the topical stored at room temperature, away from heat and humidity.

Details on dosage

Usual Adult Dose for Scabies:

Permethrin topical cream 5:
Apply a gentle massage to the skin, from the neck down to the soles of the feet. The cream must be washed away with water (in a shower or bathtub) within 8 to 14 hours.

Usual Adult Dose for Lice:

Permethrin topical kit 1:
Apply creme or lotion rinse to hair that has been washed and towel dried until the scalp and hair are completely saturated (especially between the ears and around the nape of the neck). Let the hair sit for 10 minutes, then rinse with water. Use the comb or gloves supplied to get rid of any remaining nits.

Permethrin topical solution 1:
Apply the treatment to towel-dried and shampooed hair until the scalp and hair are completely saturated (especially between the ears and at the nape of the neck). Allow the hair to dry for 10 minutes, then rinse with water.

Usual Pediatric Dose for Scabies:

Permethrin topical cream, 5%
Babies: Apply a thorough massage to the hairline, neck, temples, and forehead. The cream must be removed by washing the area after 8–14 hours.

Usual Pediatric Dose for Lice:

Permethrin topical kit 1:
2 months and older: Apply creme or lotion to towel-dried and shampooed hair until scalp and hair are completely saturated (especially between the ears and at the nape of your neck). Allow the hair to dry for 10 minutes before washing with water. Make use of combs and gloves to eliminate any remaining tiny nits.

Do I be concerned if I miss a dose?

Because Permethrin Topical  is typically required just once, you're unlikely to be on an in-between dosing schedule. It is recommended to wait at least 7 days between applying for a second application.

What will happen if I take excessively?

You should seek medical attention in an emergency or contact the Poison Help Line at 1-800-222-1222 if you believe you've consumed too much of the medication or if you suspect someone else has taken the medicine.

What should be avoided?

Rinse your eyes with water in case the eye drops get into your eyes.

Scabies and lice infections are extremely infectious. Avoid contact with anyone until your lice infection is gone. Do not share your hairbrushes, combs, accessories, hats, clothes, bedding, or other objects that are used for personal purposes.

Beware of other medications that can be applied to the areas that you treat with Permethrin Topical , unless your physician tells you to.

Interaction with other drugs

It's unlikely that other drugs you consume in the form of injectables or oral medications will affect the topically applied application of permethrin. However, many medications can interfere with each other. Be sure to inform your health professionals about the medicines you take, which include prescription and non-prescription drugs, vitamins, and herbal remedies.