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In addition permethrin provides more rapid symptomatic relief than ivermectin. [19] When a second dose of ivermectin is days later, the efficacy between permethrin and ivermectin approach parity. [20] For treatment of head lice: Apply to hair, scalp, and neck after shampooing. Leave in for 10 minutes and rinse. Avoid contact with eyes. [21]
At first, treatment is usually with topical permethrin 1% cream, which can be bought over the counter without a prescription. It is applied to the areas affected by pubic lice and washed off after 10 minutes. [6] Brands of permethrin include 'Lyclear', available in the UK as a creme rinse or dermal cream at 5% strengths.
Phenothrin, also called sumithrin and d-phenothrin, [2] is a synthetic pyrethroid that kills adult fleas and ticks.It has also been used to kill head lice in humans. d-Phenothrin is used as a component of aerosol insecticides for domestic use.
Benzyl benzoate is an organic compound which is used as a medication and insect repellent. [1] As a medication it is used to treat scabies and lice. [2] For scabies either permethrin or malathion is typically preferred. [3] It is applied to the skin as a lotion. [2] Typically two to three applications are needed. [2]
Head lice and body lice. Malathion is approved by the US Food and Drug Administration for treatment of pediculosis. [11] [12] It is claimed to effectively kill both the eggs and the adult lice, but in fact has been shown in UK studies to be only 36% effective on head lice, and less so on their eggs. [13]
Where this is not practical or possible, powder dusting with 10% DDT, 1% malathion or 1% permethrin is also effective. [5] Oral ivermectin at a dose of 12 mg on days 0, 7 and 14 has been used in a small trial of 33 people in Marseilles , but did not result in complete eradication, although there was a significant fall in the number of parasites ...
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