Evidence Rating: [A]
- Permethrin lotion 1%, topical,
Adult
Apply to whole body and wash off after 8-12 hours
Repeat after 7 days
Children
Apply to whole body and wash off after 8-12 hours
Repeat after 7 days
< 2 months; not recommended
Note: Avoid contact with the mouth. Refer patient to the clinical pharmacist for counselling on the use of permethrin lotion in children and for breastfeeding mothers.
Evidence Rating: [C]
- Benzyl benzoate 25% lotion, topical,
Adults
Apply over the whole body after a bath at night (except the face and head) for 3 nights [and wash off the next morning]
Children (> 2 years) (25% - half strength dilution)
Apply over the whole body after a bath at night (except the face and head) for 3 nights [and wash off the next morning]
Note: Treat all contact cases in same manner simultaneously. Consult the clinical pharmacist for appropriate dilution and counselling on the use of benzylbenzoate in children.
Or
- Malathion 0.5%, topical,
Adults
Apply to whole body. Leave on for 24 hours and wash off. Repeat application after 7 days
Children
Apply to whole body. Leave on for 24 hours and wash off. Repeat application after 7 days
< 6 months; not recommended
Note: Clothing and bed linen must be changed and washed daily with a strong disinfectant and should be well dried and ironed or dry-cleaned. Sexual and household contacts should also be treated.