- Lindane has been discontinued from the Canadian market (Feb 2012) as it is a persistent organic pollutant.
- Wash clothes and bedding in hot water/hot dryer or place in plastic bags for 3-7 days. Vacuum mattresses.
- Treat all household contacts and sexual partners within last month.
- Pruritus may persist for several weeks. Retreat after 1 week if no clinical improvement.
|Permethrin 5% cream (Nix®)||Apply from neck down, wash off after 8-14 hours||May be repeated in 7 days|
|Sulphur 5% in petroleum||Apply hs for 3 nights, wash off 24 hours after last application||3 doses|
Resistant/failure of above
|Ivermectin||200mcg/kg PO||1 dose. Repeat in 2 weeks.|
|Ivermectin 1% cream||Apply to all areas of the body from the neck down, wash off after 8–14 hours||1 dose. Repeat treatment in 1 week if symptoms persist.|