Why is this medication prescribed?

Permethrin topical is prescribed for the treatment of scabies, a highly contagious skin condition caused by tiny mites called Sarcoptes scabiei. It is also used to treat head lice and pubic lice infestations.

Permethrin is a synthetic chemical that belongs to a class of medications known as pyrethroids. It works by paralyzing and killing the mites or lice, thereby eliminating the infestation.

How should this medicine be used?

When using permethrin topical, it is important to follow the instructions provided by your healthcare provider or the directions on the product label. Here are some general guidelines:

• Before applying the medication, make sure your skin is clean, dry, and free from cuts, wounds, or open sores.
• Shake the permethrin lotion or cream well before use.
• Apply a thin layer of the medication to all areas of your body from the neck down, including the soles of your feet. Be sure to apply it to areas such as folds of the skin, between the fingers and toes, under the nails, and in the genital area.
• Leave the medication on for the recommended duration, which is usually 8 to 14 hours. Avoid washing or getting the treated areas wet during this time.
• After the recommended period has elapsed, rinse the medication off thoroughly with warm water. Use a mild soap if desired.
• Wash all clothing, bedding, and towels that have come into contact with the infested person’s skin in hot water and dry them on high heat. This helps to kill any remaining mites or lice.
• It may be necessary to repeat the treatment after a week or as directed by your healthcare provider to ensure complete eradication of the infestation.

It’s important to note that permethrin topical is for external use only. Avoid getting the medication in your eyes, nose, mouth, or on mucous membranes. If accidental contact occurs, rinse thoroughly with water.

If you have any concerns or questions about the use of permethrin topical, it is best to consult with your healthcare provider or pharmacist for specific instructions based on your condition.

Other uses for this medicine

Permethrin topical is primarily used for the treatment of scabies, head lice, and pubic lice. However, it may also have other off-label uses as determined by a healthcare professional. Some potential off-label uses include the treatment of other types of mite infestations or insect bites.

What special precautions should I follow?

When using permethrin topical, it is important to take certain precautions to ensure safe and effective use. Here are some key considerations:

• Allergies: Inform your healthcare provider if you have any known allergies to permethrin or any other medications. Allergic reactions to permethrin are rare but can occur, leading to symptoms such as rash, itching, swelling, or difficulty breathing.
• Medical conditions: Discuss your medical history with your healthcare provider, especially if you have any skin conditions or sensitivities. They can determine whether permethrin topical is appropriate for you or if any additional precautions are necessary.
• Pregnancy and breastfeeding: If you are pregnant or breastfeeding, consult your healthcare provider before using permethrin topical. While there is limited information available regarding its safety during pregnancy and breastfeeding, it is generally considered safe to use.
• Application instructions: Follow the application instructions provided by your healthcare provider or as indicated on the product label. Avoid applying permethrin topical to broken or irritated skin, as this may increase the absorption of the medication and potentially lead to adverse effects.
• Avoid contact with eyes and mucous membranes: Take care to avoid contact with the eyes, nose, mouth, or any other mucous membranes. If accidental contact occurs, rinse thoroughly with water.
• Potential side effects: Permethrin topical is usually well-tolerated, but some individuals may experience mild side effects such as itching, redness, or mild burning at the application site. If these side effects persist or worsen, contact your healthcare provider.
• Drug interactions: Inform your healthcare provider about all the medications, supplements, or other topical products you are using, as there is a potential for drug interactions. This includes prescription and over-the-counter medications.

It is important to note that these precautions are general guidelines, and individual circumstances may vary. Always consult with your healthcare provider or pharmacist for specific instructions and guidance based on your condition and medical history.

What special dietary instructions should I follow?

Permethrin topical is an external medication applied to the skin, and it does not require any specific dietary instructions. You can continue your regular diet while using permethrin topical.

What should I do if I forget a dose?

If you forget to apply a dose of permethrin topical, it is generally recommended to apply it as soon as you remember. However, if it is close to the time for your next scheduled application, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for the missed one.

What side effects can this medication cause?

Permethrin topical is generally well-tolerated when used as directed. However, like any medication, it can potentially cause side effects in some individuals. Common side effects associated with the use of permethrin topical may include:

• Mild skin irritation: Itching, redness, or mild burning at the application site may occur. These symptoms are usually temporary and should subside after a short time.
• Allergic reactions: While rare, some individuals may experience an allergic reaction to permethrin. Signs of an allergic reaction can include rash, hives, itching, swelling, dizziness, or difficulty breathing. Seek medical attention immediately if you experience any of these symptoms.

It’s important to note that this list of side effects is not exhaustive, and other side effects may occur. If you experience any unusual or persistent side effects while using permethrin topical, it is advisable to contact your healthcare provider for further evaluation and guidance.

Additionally, it’s worth mentioning that serious side effects from permethrin topical are rare. However, if you believe you are experiencing a severe or concerning reaction, such as severe skin irritation, blistering, or intense itching, seek medical attention promptly.

Always follow the instructions provided by your healthcare provider or the product label, and report any unexpected or bothersome side effects during the course of treatment.

What should I know about storage and disposal of this medication?

• Storage: Store permethrin topical at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.
• Disposal: Do not flush permethrin topical down the toilet or pour it into drains unless instructed to do so. Properly discard any unused or expired medication. Consult your local waste disposal guidelines or ask your pharmacist for information on the proper disposal methods.

In case of emergency/overdose

In case of emergency or overdose, contact your local emergency services or your regional poison control center immediately. It’s also important to inform them of the specific details, including the name of the medication (permethrin topical), the strength or concentration of the product, and the amount that was used or ingested.

What other information should I know?

• Effectiveness: Permethrin topical is generally effective against scabies, head lice, and pubic lice. However, it may require multiple applications or additional treatments to completely eliminate the infestation. Follow the prescribed treatment regimen and consult your healthcare provider if symptoms persist.
• Contagiousness: Scabies and lice infestations are highly contagious. It is important to take precautions to prevent the spread of the infestation to others. Wash clothing, bedding, and towels in hot water, vacuum the environment, and avoid close contact until the infestation is resolved.
• Follow-up: After completing the treatment, your healthcare provider may recommend follow-up examinations or testing to ensure the infestation has been fully eradicated.
• Avoid contact with eyes: Permethrin topical should not come into contact with the eyes. If accidental contact occurs, rinse thoroughly with water.

As always, it’s essential to consult your healthcare provider or pharmacist for specific instructions, advice, and any additional information related to your particular circumstances and the use of permethrin topical.