Permethrin (RX: Elimite, OTC: Nix)


  • Miscellaneous


  • Pediculicide, scabicide


  • Single application treatment of infestation with Pediculus humanus capitis (head lice) and its nits, or Sarcoptes scabiei (scabies)


  • Pregnancy category B

  • Children <2 months

Adverse Reactions (Side Effects):

  • SKIN: edema, numbness, pruritus (difficult to distinguish from infestation itself), rash, tingling, transient burning and stinging, transient erythema


Administered topically

  • Adult and Child:  Head lice (1%): TOP apply after hair has been shampooed, rinsed, and towel dried; apply sufficient volume of liquid to saturate hair and scalp; leave on hair for 10 minutes before rinsing with water; remove remaining nits; may repeat in 1 week if necessary (1 application generally sufficient)

  • Scabies (0.5%): TOP apply cream from head to toe; leave on for 8-14 hours before washing off with water; may repeat in 1 week if live mites reappear

Special considerations:

  • For external use only; shake well

  • Avoid contact with eyes, mucous membranes

  • Do not repeat administration sooner than 1 week

  • Itching from allergic reaction caused by mite may persist for several weeks even though infestation is cured

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