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A-200® Lice Killing Shampoo (Generic Pyrethrin and Piperonyl Butoxide Topical)

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Why is this medication prescribed?

Pyrethrin and piperonyl butoxide shampoo is used to treat lice (small insects that attach themselves to the skin on the head, body, or pubic area [‘crabs’]) in adults and children 2 years of age and older. Pyrethrin and piperonyl butoxide is in a class of medications called pediculicides. It works by killing lice.

How should this medicine be used?

Pyrethrin and piperonyl butoxide comes as a shampoo to apply to the skin and hair. It is usually applied to the skin and hair in two or three treatments. The second treatment must be applied 7-10 days after the first one. Sometimes a third treatment may be necessary, as recommended by your doctor. Follow the directions on your prescription label or the package label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use pyrethrin and piperonyl butoxide shampoo exactly as directed. Do not use more or less of it or use it more often than directed on the package label or prescribed by your doctor.

The package label gives you an estimate of how much shampoo you will need based on your hair length. Be sure to use enough shampoo to cover all of your scalp area and hair.

Pyrethrin and piperonyl butoxide shampoo should only be used on the skin or hair and scalp. Avoid getting pyrethrin and piperonyl butoxide shampoo in your eyes, nose, mouth, or vagina. Do not use it on your eyebrows or eyelashes.

If pyrethrin and piperonyl butoxide shampoo gets in your eyes, flush them with water right away. If your eyes are still irritated after flushing with water, call your doctor or get medical help right away.

To use the shampoo, follow these steps:

      1. Shake the shampoo well right before use to mix the medication evenly.
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