Elimite Cream Topical Drug Information

Breast-feeding—It is not known if permethrin passes into the breast milk. However, animal studies have shown that permethrin can cause tumors. Be sure you have discussed the risks and benefits of the medicine with your doctor.

Children—Studies on this medicine have been conducted in adult patients only, and there is no specific data on comparing the use of topical permethrin in children with the use in other age groups.

Older adults—There are many medicines that have not been studied specifically in older people. Consequently, it may not be known if they work exactly the same way they do in younger adults or if they cause other side effects or problems in elderly people. There is no specific information comparing use of topical permethrin in the elderly with use in other age groups.

Other medicines—Although some medicines should not be used together at all, there are cases when 2 different medicines maybe used together even if an interaction might occur. In such cases, your doctor may advise you to change the dose, or other precautions may be required. Tell your health care professional if you are using any other prescription or nonprescription (over-the-counter [OTC]) medicine that is to be applied to the hair, scalp, or skin.

Other medical problems—The existence of other medical problems may influence the use of /topical permethrin. Make sure you tell your doctor if you have other medical problems, especially:

• Severe inflammation of the scalp—Use of permethrin may make the condition worse

Proper Use of This Medicine

Keep this medicine away from the eyes . If you accidentally get some in your eyes, flush them thoroughly with water at once.

Permethrin lotion which is used to treat lice, comes in a container that holds only one treatment. Use as much of the medicine as you need and discard any remaining lotion properly.

For the treatment of head lice (1% lotion):

• Shampoo the hair and scalp using regular shampoo.
• Thoroughly rinse and towel dry the hair and scalp.
• Allow hair to air dry for a few minutes.
• Shake the permethrin lotion well before applying.
• Thoroughly wet the hair and scalp with the permethrin lotion. Be sure to cover the areas behind the ears and on the back of the neck also. Allow the lotion to remain in place for 10 minutes.
• Then, rinse the hair and scalp thoroughly and dry with a clean towel.
• When the hair is dry, you may want to comb the hair with a fine-toothed comb to remove any remaining nits (eggs) or nit shells.

Head lice can be easily transferred from one person to another by direct contact with clothing, hats, scarves, bedding, towels, washcloths, hairbrushes and combs, or hairs from infected persons. Therefore, all members of your household should be examined for head lice and should receive treatment if they are found to be infected . If you have any questions about this, check with your doctor.

For the treatment of scabies (5% cream):

• Read package directions carefully before using.
• Thoroughly wash and dry skin.
• Massage the cream into the skin from the head to the soles of the feet, paying special attention to creases in the skin, hands, feet, between fingers and toes, underarms, and groin.
• Scabies rarely infests the scalp of adults, although the hairline, neck, side of the head, and forehead may be infested in older people and in infants. Infants should be treated on the scalp, side of the head, and forehead.
• Leave the permethrin cream on the skin for 8 to 14 hours.
• Wash off by taking a shower or bath.
• Change into clean clothes.
• After treatment, itching may continue for up to 4 weeks.

Dosing—Adhere to the orders of your doctor or the instructions on the label . The information below includes only the average dose of permethrin. If your dose differs, you should not change it unless your doctor tells you to do so.

• For topical dosage forms (cream and lotion):
  • For head lice:
    • Adults and children 2 years of age and older—Apply to the hair and scalp one time.
    • Children up to 2 years of age—Use and dose must be determined by your doctor.
  • For scabies:
    • Adults and children 2 months of age and older—Apply to the skin one time.
    • Children up to 2 months of age—Use and dose must be determined by your doctor.

Storage—To store this medicine properly, follow the instructions below:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep this medicine from freezing. Do not refrigerate.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

To prevent reinfection or spreading of the infection to other people, good health habits are required. These include the following:

• Machine wash all clothing (including hats, scarves, and coats), bedding, towels, and washcloths in very hot water and dry them by using the hot cycle of a dryer for at least 20 minutes. Clothing or bedding that cannot be washed should be dry cleaned or sealed in an airtight plastic bag for 2 weeks.
• Shampoo all wigs and hairpieces.
• Wash all hairbrushes and combs in very hot soapy water (above 130 °F) for 5 to 10 minutes and do not share them with other people.
• Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors.
• Wash all toys in very hot soapy water (above 130 °F) for 5 to 10 minutes or seal in an airtight plastic bag for 2 weeks. This is especially important for stuffed toys used on the bed.

Side Effects of This Medicine

Alongside with its expected effects, any medicine may be the cause of some unwanted effects. Although not all of these side effects may happen, if they do happen they may require medical attention.

Check with your doctor if any of the following side effects continue or are bothersome:

Less common or rare

Other side effects not mentioned above may also happen in some patients. If you notice any other effects, tell your doctor about it.