Antimicrobial prescribing: NHS Forth Valley
Treat whole body from ear/chin downwards and under nails. If under 2/elderly, also face/scalp.
All members of their household, any sexual partners within the past month, and any other close personal contacts (even if asymptomatic) should also be treated at same time.
Bedding, clothing, and towels (and those of all potentially infested contacts) should be decontaminated by washing at a high temperature (at least 60°C) and drying in a hot dryer, or dry-cleaning, or by sealing in a plastic bag for at least 72 hours.
Drug details
Permethrin 5% cream
2 applications 1 week apart
Wash off after 8-12 hours application (reapply to hands if washed with soap within 8hr)
Permethrin cream should be applied all over the whole body (incl neck, face, ears, and scalp in <2yr old)
Particular attention should be paid to the areas between fingers and toes, under nails, wrists, armpits, external genitalia, breasts, and buttocks.
If allergy: malathion
0.5% aqueous liquid
2 applications 1 week apart