Elimite (Generic name: Pepmethrin 5% 30g) is an anti-parasite medication. It is used to treat head lice and scabies.
The permethrin used is an approximate 1:3 mixture of the cis and trans isomers of the pyrethroid 3-(2,2-dichloroethenyl)-2,2-dimethylcyclopropanecarboxylic acid, (3-phenoxyphenyl) methyl ester. Permethrin has a molecular formula of C21H20CI2O3 and a molecular weight of 391.29. It is a yellow to light orange-brown, low melting solid or viscous liquid.
Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of topical permethrin in the elderly with use in other age groups.
Although over-the-counter (OTC) treatments are available for scabies, it is recommended that you visit your GP if this is the first time you have had a scabies infestation. This is because other, more serious skin conditions can cause similar symptoms to scabies. It is therefore important for your GP to rule these out as a cause of your symptoms.
Symptoms should improve gradually within 7-10 days after treatment. Persistent symptoms are due to the body's reaction to the dead, or dying mite. If symptoms haven't improved (you can buy or order cream online) within this time, it's likely that the treatment has failed, reinfection has occurred, or the original diagnosis of scabies was incorrect. Consider either re-treating or getting another diagnosis.
Currently, the standard treatment for scabies is to apply a 5% permethrin cream to the entire body, including the head, as indicated on the medication label. It is advisable to be absolutely thorough, making sure to cover all skin underneath any hair or nails. In my family's case, it was necessary to apply the lotion to our faces, including just inside the nostrils (permethrin 5% cream for scabies) and on the tops of the eyelids (even at the base of the eyelashes), since these were the locations where the mites were found. Your physician should consult with you on the application of the medicine.