Pediculosis Pubis (Pubic Lice)

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Patient with pediculosis pubis and their sexual partners should be treated as follows: 

 

Medicine

Adult dose

Frequency

Duration

 

permethrin 5% cream

apply to infested and adjacent hairy areas. Wash off after 10 minutes. Reapply after 7 days if necessary.

or

benzyl benzoate 25% emulsion* [irritant]

apply to infested and adjacent hairy areas once a night, wash off next morning. Repeat treatment after no more than 10 days.

*Dilute with one part water (1:1) for children.

*Dilute with three parts water (1:3) for infants

Note: apply to hairy areas, do not shave

Second line therapy:

Medicine

Adult dose

Frequency

Duration

gamma benzene hexachloride 1% lotion

wash off after 24 hours

reapply 7 to 10 days later to kill hatched lice

Caution: Do not use G.B.H in pregnancy and lactation – refer mothers to district level for benzyl benzoate.