PEDICULISIDES (Topical)

Brand & Generic Names

A-200 Gel	Nix Creme Rinse
A-200 Shampoo	Ovide
Barc	PMS Lindane
Bio-Well	PREMETHRIN
Blue	Prioderm
Derbac	Pronto Lice Killing
Elimite Cream	Shampoo Kit
GBH	PYRETHRINS AND
G-well	PIPERONYL BUTOXIDE
Kwell	Pyrinyl
Kwellada	R&C
Kwildane	RID
Lice-Enz Foam and Comb	Scabene
Lice Killing Shampoo Kit	Thionex
Licetrol	TISIT
LINDANE	TISIT BLue
MALATHION	Triple X

Basic Information

• Habit forming? No
• Prescription needed? Yes
• Available as generic? Yes, some
• Drug class: Pediculiside, scabicide

Uses

• Treats scabies and lice infections of skin or scalp.
• Cream and lotion treats scabies.
• Shampoo treats lice infections.
• Carefully read patient instructions contained in package.

Dosage & Usage Information

How to use:
Follow package directions.
Wear plastic gloves when you apply.
Bathe before applying.
Use in well-ventilated room.
Use care not to apply more than directed.

When to use:
As directed on package.

If you forget a dose:
Use as soon as you remember.

What drug does:
Becomes absorbed into bodies of lice and scabies organisms, stimulates their central nervous system causing convulsions and death. Does not affect humans in this way.

Time lapse before drug works:
Cream or lotion requires 8 to 12 hours contact with skin.

Don't use with:
Other medicines for scabies or lice.

Overdose

SYMPTOMS:
Rarely (toxic effects from too much absorbed through skin)--Vomiting, muscle cramps, dizziness, seizure, rapid heartbeat.

WHAT TO DO:

• Not for internal use. If child accidentally swallows, call poison-control center.
• Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
• See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

None expected.

Common:

None expected.

Infrequent:

None expected.

Rare:

Skin irritation or rash.

Warnings & Precautions

Don't use if:
You are allergic to any medicine with lindane, pyrethrins or piperonyl butoxide.

Before you start, consult your doctor:

• If you are allergic to anything that touches your skin.
• If you are using any other medicines, creams, lotions or oils.

Over age 60:
Adverse reactions and side effects may be more frequent and severe than in younger persons. Ask doctor about smaller doses.

Pregnancy:
Avoid. May be absorbed through skin and harm baby. Consult doctor.

Breast-feeding:
Drug filters into milk. May harm child. Avoid if possible. Consult doctor.

Infants & children:
More likely to be toxic. Use only under close medical supervision.

Prolonged use:
Not recommended. Avoid.

Skin & sunlight:
No problems expected, but check with doctor.

Driving, piloting or hazardous work:
No problems expected, but check with doctor.

Discontinuing:
No problems expected, but check with doctor.

Others:

• Don't use on open sores or wounds.
• Put on freshly dry cleaned or washed clothing after treatment.
• After treatment, boil all bed sheets, covers and towels before using.
• Store items that can't be washed or cleaned in plastic bags for 2 weeks.
• Avoid inhaling or swallowing drug.
• Thoroughly clean house.
• Wash combs and hairbrushes in hot soapy water. Don't share with others.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Antimyasthenics*	Excessive absorption and chance of
	toxicity (with malathion only).
Cholinesterase inhibitors*	Excessive absorption and chance of
	toxicity (with malathion only).

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	None expected.
Beverages:	None expected.
Cocaine:	None expected.
Foods:	None expected.
Marijuana:	None expected.
Tobacco:	None expected.