Template:Lice treatment: Difference between revisions
No edit summary |
ClaireLewis (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
===Over the Counter (OTC)=== | ===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> | *[[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 with non-conditioned shampoo | **Wash hair with non-conditioned shampoo | ||
**Apply Permethrin for 10 min and rinse | **Apply Permethrin for 10 min and rinse | ||
| Line 9: | Line 9: | ||
===Prescription=== | ===Prescription=== | ||
''Reserved for failed OTC treatment'' | ''Reserved for failed OTC treatment'' | ||
*Spinosad 0.9% topical suspension (if >6 months old) | *[[Spinosad]] 0.9% topical suspension (if >6 months old) | ||
**Apply to scalp and air and wash off after 10 min. | **Apply to scalp and air and wash off after 10 min. | ||
**Repeat in 10 days | **Repeat in 10 days | ||
*Malathion 0.5% lotion (if >6 years old) | *[[Malathion]] 0.5% lotion (if >6 years old) | ||
**Applied to affected areas and wash after 8 hrs | **Applied to affected areas and wash after 8 hrs | ||
**Repeat in 7 days | **Repeat in 7 days | ||
| Line 21: | Line 21: | ||
**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 | ||
**Avoid in children <50 kg due to seizure association | **Avoid in children <50 kg due to seizure association | ||
Revision as of 22:12, 15 September 2019
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
- Avoid in children <50 kg due to seizure association
Eyelash Infestation
- Apply ophthalmic petroleum jelly q12hrs x 10 days
Pediatrics <2yo
- Wet combing is an alternative to medical therapy
- ↑ Devore CD and Schutze G. Head Lice. Pediatrics. 2015; 135(5) e1355-e1365.