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Crema de permetrina

Lyclear

Use two applications of permethrin cream, seven days apart.

Your whole body must be treated with the cream.

Leave each application on for 8-12 hours, then wash the cream off with soap and water.

De un vistazo

  • Permethrin cream is an insecticide that treats scabies and crab lice.

  • You need two applications of permethrin cream, one week apart, covering your whole body each time.

  • For scabies, all household members and close contacts should also be treated on the same day.

  • Common side-effects include skin irritation, burning, stinging, redness, and rash.

  • If itching from scabies lasts longer than 2-3 weeks after treatment, see a doctor.

About permethrin cream

Tipo de medicamento

An insecticide

Usado para

Treatment of scabies in adults and children; treatment of crab lice in adults

También llamado

Lyclear® Dermal Cream

Disponible como

Crema

Permethrin cream contains an insecticide. It kills insects (parasites) that live on humans, such as the scabies mite y crab (pubic) lice. Two applications of treatment with permethrin cream are needed, one week apart. Your whole body should be treated both times.

Scabies is an itchy skin disorder that leads to a rash. It is caused by an infestation with a parasite - the scabies mite. The mite lives on the skin and burrows into it. Scabies is contagious and spreads to others through close skin-to-skin contact. The hand is the most common site to be first affected, probably from prolonged hand-holding with an infected person. Close skin-to-skin contact when having sex is another common way of catching scabies.

Crab lice are tiny insects that live on humans, usually in the pubic hair. They are passed on through close body contact, such as when having sex. Infestation with pubic lice can cause itching but not everyone affected has symptoms. Crab lice are grey or brown in colour. They get their name because some of their legs have crab-like claws.

Permethrin cream is available on prescription, or you can buy it without a prescription at a pharmacy. It is easy to apply and normally works well if used properly.

Before using permethrin cream

To make sure this is the right treatment for you, before you start using permethrin cream it is important that your doctor or pharmacist knows:

  • Si estás embarazada o amamantando. Esto se debe a que, mientras esperas o alimentas a un bebé, solo debes usar medicamentos bajo la recomendación de un médico.

  • If it is for a child or a teenager under 18 years if age. In children under 2 years of age, permethrin cream should only be used for scabies on the advice of a doctor. It can be used for crab lice, only in adults.

  • If you have ever had an allergic reaction to a cream or ointment, or if you know you are allergic to chrysanthemums or flowering plants known as Compositae.

How to use permethrin cream

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about applying permethrin cream and will provide you with a full list of the side-effects which you could experience from using it.

  • Two applications of treatment are needed, one week apart. Apply a thin layer of the cream over your whole body including your face, neck, scalp and ears, but try to take care not to get any into your eyes. Remember to include awkward places such as your back, the soles of your feet, between your fingers and toes, under your fingernails, and your genitals. The cream should be applied when your skin is cool and dry, so if you have just had a bath or shower, wait for a little while to let your skin cool before you apply the cream.

  • If you have scabies, pay special attention to the areas where mite burrows can commonly occur - the front of your wrists and elbows, beneath your breasts, your armpits, and around the nipples in women.

  • Leave the cream on for 8-12 hours for scabies, or 12 hours (overnight) for crab lice. After this time, you should remove the treatment from your skin by having a bath or a shower. If you need to wash your hands during the treatment time, remember to re-apply some cream to your hands afterwards. You will need to use the cream a second time, seven days after the first treatment. Apply the cream in the same way as the first time. Using two treatments, a week apart like this, helps to ensure that all the mites/lice are killed.

  • For the two applications, an adult is likely to need 60 g of cream (two tubes - one tube for each application), older children will require 30 g cream in total (½ tube for each application) and younger children will require 15 g cream in total (¼ tube for each application).

  • Please note - if you are breastfeeding a child, you should wash off the cream from your nipples before you breastfeed, and then re-apply the cream afterwards.

Obteniendo el máximo de tu tratamiento

  • Si tienes sarna, all your household members, close contacts, and sleeping/sexual partners should also be treated - even if they have no symptoms. This is because it can take up to six weeks to develop symptoms after you become infected. Close family and partners may be infected but have no symptoms, and may pass on the mite. Everyone who is treated, should be treated on the same day.

  • Si tienes crab lice, your recent close contacts and sexual partners should also be treated if they are infected. It is important to remember that lice may be present even without other symptoms such as itching. If you have caught crab lice from a sexual partner, you should also be tested for other sexually transmitted infections.

If you have scabies, the following also applies:

  • If you are applying permethrin cream to an infant or young child, put mittens on your child to stop them licking the cream off their hands. Don't apply the cream to areas around their mouth where it could be licked off.

  • Children should stay off school until the first application of treatment for scabies has been completed.

  • Clothes, towels and bed linen should be machine-washed at 50°C or above after the first application of treatment. This kills the scabies mites. Keep any items of clothing that cannot be washed, in plastic bags for at least 72 hours to contain the mites until they die. Alternative options to kill any mites on clothes and linen are ironing the item with a hot iron, dry cleaning or putting items in a dryer on the hot cycle for 10-30 minutes. It is not necessary to fumigate living areas or furniture or to treat pets.

  • You will still be itchy for a while after successful treatment. If the itching becomes troublesome to you, your doctor or pharmacist will be able to advise you regarding suitable products to ease this. Moisturising creams can provide temporary relief from itching.

  • It is normal for it to take up to 2-3 weeks (and sometimes up to six weeks) for the itch to go completely after scabies mites have been killed. You should, however, see a doctor if the itch persists longer than 2-3 weeks after treatment. This is because sometimes the first insecticide does not work and you may need to use a different one.

  • Some people may develop a secondary skin infection which may need antibiotic treatment. If you suspect this is the case for you, you should make an appointment to see your doctor.

Can permethrin cream cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with permethrin. You will find a full list in the manufacturer's information leaflet supplied with the cream. The unwanted effects often improve as your body adjusts to the new medicine but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common permethrin cream side-effects (these affect fewer than 1 in 10 people)

¿Qué puedo hacer si experimento esto?

Skin irritation, burning, stinging, redness, rash

These are usually mild and soon pass. If any continues or becomes troublesome, speak with your doctor or pharmacist for advice

Importante: there is a risk of fire when creams and ointments are absorbed by fabrics (such as clothing or bedsheets), making them flammable. A spark or flame can easily ignite the fabric. The risk is highest when large amounts of paraffin-based products are applied and absorb into fabrics. However there is also a risk when non-paraffin products are used. Be aware of this fire hazard when repeatedly using large amounts of any skin product. Do not smoke or go near naked flames.

Si experimenta otros síntomas que cree que pueden deberse a la crema, por favor hable con su médico o farmacéutico para obtener más consejos.

How to store permethrin cream

  • Mantenga todos los medicamentos fuera del alcance y la vista de los niños.

  • Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.

Información importante sobre todos los medicamentos

Información importante sobre todos los medicamentos

Make sure that the person supplying this medicine knows about any other medicines that you are taking or using. This includes any prescribed medicines, and any medicines you buy such as herbal and homeopathic medicines.

Si va a someterse a una operación o tratamiento dental, por favor informe a la persona que realiza el tratamiento qué medicamentos está tomando o usando.

Esta preparación es solo para uso en la piel. Si alguien ingiere algo de esto por accidente, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.

No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.

If you have any questions about this medicine, please ask your pharmacist.

Informar efectos secundarios de un medicamento o vacuna

Si experimenta efectos secundarios, puede reportarlos en línea a través de Sitio web de Yellow Card.

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¿Inseguro sobre mezclar medicamentos?

Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.

Preguntas frecuentes

Can permethrin cream be used for conditions other than scabies or crab lice?

Permethrin cream is an insecticide specifically indicated for the treatment of scabies in adults and children, and for crab lice in adults. It works by killing these specific parasites that live on humans.

Is permethrin cream safe for use during pregnancy or while breastfeeding?

If you are pregnant or breastfeeding, you should only use permethrin cream on the recommendation of a doctor. It's important to discuss this with your healthcare provider to ensure it's the right choice for you and your baby.

Are there any age restrictions for using permethrin cream in children?

Permethrin cream should only be used in children under 2 years of age for scabies on the advice of a doctor. For crab lice, it should only be used in adults. For children or teenagers under 18 years, a doctor or pharmacist should be aware before treatment starts.

What should I do if I accidentally get permethrin cream in my eyes?

While applying permethrin cream, you should try to take care not to get any into your eyes. The article does not specify what to do if this happens, suggesting it's best to consult a healthcare professional in such a situation.

How soon after treatment will the itching from scabies stop completely?

It is normal for the itching to take up to 2-3 weeks (and sometimes up to six weeks) to go completely after scabies mites have been killed. You should see a doctor if the itch persists longer than 2-3 weeks after treatment, as this could indicate the first treatment didn't work.

What should I do if I suspect a skin infection after using permethrin cream?

Some people may develop a secondary skin infection which might require antibiotic treatment. If you suspect this is the case, you should make an appointment to see your doctor.

Does permethrin cream pose any fire risk?

Yes, there is a fire risk when creams and ointments, including non-paraffin products like permethrin, are absorbed by fabrics (such as clothing or bedsheets), making them flammable. A spark or flame can easily ignite the fabric. You should not smoke or go near naked flames while using such products.

Lecturas adicionales y referencias

Sobre el autorVer biografía completa

Imagen del autor

Michael Stewart, MRPharmS

Gerente de Revisión de Folletos de Medicamentos – Contratista, Farmacéutico

BPharm (Hons), MRPharmS

Michael es un farmacéutico comunitario que ejerce en Midlands y South Yorkshire con más de 20 años de experiencia asesorando sobre medicamentos y condiciones médicas. Tiene una sólida formación en capacitación en atención médica, habiendo producido e impartido cursos de formación para equipos de farmacia y personal de entornos de atención residencial, incluidas enfermeras. También ha contribuido a juntas asesoras de farmacia para la gestión de condiciones de baja gravedad en la comunidad.

Acerca del revisor

Imagen del autor

Sid Dajani

Sultan Dajani se graduó en la Escuela de Farmacia de Londres en 1994 y se convirtió en el miembro más joven elegido para el consejo de la Sociedad Real de Farmacia desde su fundación en 1842.

Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • Próxima revisión: 12 de septiembre de 2027
  • 14 Sept 2024 | Última versión

    Última actualización por

    Michael Stewart, MRPharmS

    Revisado por pares por

    Sid Dajani
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