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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

Follow your doctor's orders or the directions on the label. The following information includes only the average dose of permethrin. If your dose is different, do 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:

• 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.

If you are using this medicine without a prescription, carefully read any precautions on the label. For topical permethrin, the following should be considered:

Allergies Tell your doctor if you have ever had any unusual or allergic reaction to permethrin; to other synthetic pyrethroids, such as those found in household insecticides; to pyrethrins or chrysanthemums; or to veterinary insecticides containing permethrin. Also tell your health care professional if you are allergic to any other substances, such as preservatives or dyes.

Pregnancy Permethrin has not been studied in pregnant women. However, this medication has not been shown to cause birth defects or other problems in animal studies.

Breast-feeding It is not known whether 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 done only in adult patients, and there is no specific information comparing use of topical permethrin in children with use in other age groups.

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

Other medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. 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.

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