Template:Lice treatment: Difference between revisions

(Created page with "===Over the Counter (OTC)=== *Permethrin 1% lotion shampoo (if >2 months old)<ref>Devore CD and Schutze G. Head Lice. Pediatrics. 2015; 135(5) e1355-e1365.</ref> **Wash hair w...")
 
Line 18: Line 18:
**Apply to dry hair and wash off after 10 min
**Apply to dry hair and wash off after 10 min
**Repeat in 7 days  
**Repeat in 7 days  
*Ivermectin 400mcg/kg PO
*[[Ivermectin]] 400mcg/kg PO
**Once on day 1 THEN once in 7 days
**Once on day 1 THEN once in 7 days
**Reserved for patients failing topical treatment
**Reserved for patients failing topical treatment
*Lindane therapy
*Lindane therapy
**Only consider if patient has failed two prior prescription treatments
**Only consider if patient has failed two prior prescription treatments
===Eyelash Infestation===
===Eyelash Infestation===
*Apply ophthalmic petroleum jelly q12hrs x 10 days
*Apply ophthalmic petroleum jelly q12hrs x 10 days
===Pediatrics <2yo===
===Pediatrics <2yo===
*Wet combing is an alternative to medical therapy
*Wet combing is an alternative to medical therapy

Revision as of 12:34, 26 August 2015

Over the Counter (OTC)

  • Permethrin 1% lotion shampoo (if >2 months old)[1]
    • Wash hair with non-conditioned shampoo
    • Apply Permethrin for 10 min and rinse
    • Repeat on day 9
  • Pyrethrin lotion
    • Apply to affected areas and wash off after 10 min
    • Repeat in 7 days

Prescription

Reserved for failed OTC treatment

  • Spinosad 0.9% topical suspension (if >6 months old)
    • Apply to scalp and air and wash off after 10 min.
    • Repeat in 10 days
  • Malathion 0.5% lotion (if >6 years old)
    • Applied to affected areas and wash after 8 hrs
    • Repeat in 7 days
  • Benzyl Alcohol 5% lotion (> 6 months old)
    • Apply to dry hair and wash off after 10 min
    • Repeat in 7 days
  • Ivermectin 400mcg/kg PO
    • Once on day 1 THEN once in 7 days
    • Reserved for patients failing topical treatment
  • Lindane therapy
    • Only consider if patient has failed two prior prescription treatments

Eyelash Infestation

  • Apply ophthalmic petroleum jelly q12hrs x 10 days

Pediatrics <2yo

  • Wet combing is an alternative to medical therapy
  1. Devore CD and Schutze G. Head Lice. Pediatrics. 2015; 135(5) e1355-e1365.