Infants ≥2 months, Children, and Adolescents:
Topical Permethrin 5% cream: Apply and massage in cream from head to toe (average adult requires 30 g); leave on for 8 to 14 hours before washing off with water; for infants, also apply on the hairline, neck, scalp, temple, and forehead; may re-apply in 14 days if live mites appear.
Age group 0-2 months: Limited data on use in this group. A single application of permethrin 5% cream was shown to be safe and effective in a full-term neonate when applied from scalp to toes for 6 hoursbefore rinsing with soap and water.
2. Head lice:
Infants ≥2 months, Children, and Adolescents
Permethrin rinse 1%: First wash hair with any non-conditioning shampoo, then after towel dried, apply a sufficient volume of permethrin solution/rinse to saturate the hair and scalp; also apply behind the ears and at the base of the neck; leave on hair for 10 minutes before rinsing off with water; remove remaining nits. May repeat in 7 to 10 days if live lice or nits observed.
3. Pubic lice: Permethrin rinse 1%: Apply to affected area, leave on for 10 minutes, then wash off.
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