How should I use Acticin (permethrin topical)?
Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
You may have a temporary increase in itching, swelling, or redness of treated skin when you first start using permethrin topical.
Do not take by mouth. This medicine is for use only on the skin. Do not apply to open cuts or wounds. If the medicine gets in your eyes or mouth, rinse with water. Use the surface spray only on household surfaces and not on your skin.
You may need to shake the medicine before each use. Follow the directions on the medicine label.
To treat scabies:
Clean and dry the skin. Apply a thin layer of this medicine to all body parts from the neck down to the soles of the feet. Rub in completely. Leave the medicine on your skin for 8 to 14 hours, then wash it off completely.
When using permethrin topical on an infant, also apply the medicine to the scalp, temples, and forehead. Avoid applying near the eyes, nose, mouth, or genitals.
If your condition does not clear up within 14 days, apply permethrin topical again.
To treat head lice:
Wash your hair using shampoo only (no conditioner or 2-in-1 shampoo). Rinse thoroughly and towel dry the hair, leaving it damp.
Protect your eyes with a towel or washcloth. Apply the medicine to completely saturate all hair, and leave it in for 10 minutes. Then rinse with warm water.
You may also use a nit comb to remove lice eggs from the hair. Your hair should be slightly damp while using a nit comb. Work on only one section of hair at a time, combing through 1 to 2-inch strands from the scalp to the ends.
Rinse the nit comb often during use. Place removed nits into a sealed plastic bag and throw it into the trash.
Check the scalp again daily to make sure all nits have been removed.
If you still see lice 7 days after your first treatment, use a second application.
To treat pubic lice (crabs):
All sexual partners should be treated.
Wash and dry the treatment area. Apply permethrin topical to all pubic hair and any surrounding hairs on the thighs and around the anus (avoid areas inside the rectum or vagina).
Leave the medicine on for 10 minutes. Then work into a lather and rinse thoroughly with warm water.
You may also use a nit comb to remove lice eggs from pubic hair (hair should be slightly damp).
To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, and towels in hot water and dry in high heat. Dry-clean any non-washable clothing. Soak all hair brushes, combs, and hair accessories in hot water for at least 10 minutes.
Use permethrin surface spray to disinfect non-washable items such as:
mattresses and pillows;
hats, gloves, and scarves;
headphones or headbands;
the inside of a bike helmet; or
seats and carpets inside your car.
Stuffed toys or pillows that cannot be washed should be sealed in air-tight plastic bags for 4 weeks. After removing from the bag, vigorously shake the item outdoors.
Vacuum all rugs, carpets, and car seats. Then throw away the vacuum cleaner bag.
For the most complete treatment of lice or scabies, you must treat your environment (clothing, bedding, etc) at the same time you treat your hair and/or body.
Store permethrin topical at room temperature away from moisture and heat.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if you think you have used too much, or if anyone has accidentally swallowed the medication.
Acticin (permethrin topical) side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have severe burning, stinging, redness, or swelling after applying permethrin topical.
Common side effects may include:
mild burning, stinging, itching or mild rash;
numbness or tingling where the medicine was applied;
stomach pain, nausea, vomiting, diarrhea.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How is this medicine (Acticin) best taken?
Use Acticin as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Follow how to use as you have been told by the doctor or read the package insert.
- Do not take this medicine by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn).
- Wash your hands before and after use.
- Clean affected part before use. Make sure to dry well.
- Wash all bedding, towels, and recently worn clothes in hot water or have them dry cleaned.
- Put a thin layer on the skin from the neck to the toes. Put in the skin folds, creases, and spaces between the fingers and toes.
- Put under fingernails.
- Trim fingernails short.
- Put cream under nails with a toothbrush. Throw away toothbrush after use.
- Wear light clothing while Acticin is on your skin.
- Do not let your skin touch anyone else's skin while wearing the cream.
- After 8 to 14 hours, fully wash cream from skin using warm, soapy water.
What do I do if I miss a dose?
- Put on a missed dose as soon as you think about it.
Usual Adult Dose for Lice
Permethrin topical 1% kit:
Apply lotion/creme rinse to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). Leave on hair for 10 minutes and rinse with water. Use comb and/or gloves provided to remove remaining nits.
Permethrin topical 1% solution:
Apply to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). Leave on hair for 10 minutes and rinse with water.
Concomitant treatment of individuals in the household is recommended to avoid reinfestation. Thorough cleaning of all clothing and bedding is required once treatment has begun.
For proper head lice management, nits should be removed with a nit comb.