Directions & Dosage

Adults & children (≥2 months):

• Apply a thin layer to clean, cool, dry skin over the entire body from the neck down. In infants/elderly or when directed, include scalp, hairline, temples, forehead, neck, and ears (avoid eyes/mouth).
• Pay special attention to between fingers/toes, under nails (use a soft brush), wrists, armpits, umbilicus, buttocks, groin and external genitalia. Avoid mucous membranes and broken skin.
• Leave on for 8–12 hours (usually overnight), then wash off thoroughly with soap and water.
• Repeat the entire application once after 7 days.
• If hands are washed within 8 hours of application, reapply to hands and wrists.
• Typical quantity: an adult generally requires about 30 g (one tube) per full-body application.

Crusted scabies: requires specialist regimens (multiple applications and often an oral agent). Use only under medical guidance.

All close contacts should be assessed/treated as directed. Itching may persist for up to 2–4 weeks after successful treatment.

Important Warnings & Precautions

• For external use only. Do not swallow. Avoid eyes, mouth, inside the nose, and genital mucosa. If contact occurs, rinse well with water.
• Allergies: Do not use if you are allergic to permethrin, other pyrethroids/pyrethrins (e.g., chrysanthemums), or any listed excipients.
• Pregnancy & breastfeeding: Generally considered compatible when clinically needed. If breastfeeding, avoid application to the nipple/areola before feeds. Seek advice from a healthcare professional.
• Skin conditions: May cause temporary burning, stinging, tingling, redness, or itching. Eczema may flare; discuss with a clinician.
• Fire safety: Clothing, bedding, and dressings in contact with creams/ointments can become a fire hazard. Keep away from naked flames and do not smoke; change/wash fabrics regularly.
• Infants <2 months: use only on medical advice.
• If symptoms persist beyond 4–6 weeks after the final application, or new burrows/mites appear, seek medical advice.

Possible side effects

• Temporary burning/stinging/tingling
• Redness or itching
• Rarely: allergic skin reactions — stop use and seek medical advice

When to seek help

• Severe rash, swelling, or signs of allergy
• Worsening symptoms or new burrows after treatment
• Use in pregnancy/breastfeeding or for infants — confirm with a clinician

Ingredients (excipients vary by brand)

May include: glycerol, isopropyl myristate, liquid paraffin/lanolin alcohols, macrogol cetostearyl ether, glyceryl monostearate, carbomer, sodium hydroxide, preservatives (e.g., parabens), purified water. Always check the leaflet for your specific brand.

Storage

• Store at room temperature (typically ≤25 °C). Do not freeze.
• Keep the tube tightly closed. Keep out of sight and reach of children.