Elimite Cream

(Permethrin)

The active ingredient in Elimite is permethrin.

Permethrin belongs to a class of medicines known as pyrethrins. It works by affecting the nervous system of mites, leading to paralysis and death. Elimite is considered scabicidal because it kills living mites responsible for scabies. It may also help reduce symptoms of scabies, such as pruritus and skin irritation, over time, although itching can continue for a short period after treatment.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Elimite. However, the following is a synopsis of the general guidelines for the use of Elimite:

• Elimite is for topical use only and should not be taken by mouth.
• Apply a thin layer of Elimite cream to clean, dry skin.
• Cover the entire body from the neck down, including soles of your feet, between fingers and toes, under fingernails, buttocks, and skin folds.
• In infants and young children, the scalp, hairline, temples, and forehead may also need to be treated as directed by a healthcare professional.
• Leave the cream on the skin for 8 to 14 hours before washing it off with warm water.
• Do not use hot water, as this may increase skin irritation.
• Most people require only a single application, but a second treatment may be recommended by a healthcare provider if symptoms persist.
• Wash clothing, towels, and bedding used within the previous 48 hours in hot water and dry on high heat.
• Elimite is FDA approved for use in adults and pediatric patients 2 months of age and older.

Some mild or common side effects of Elimite include:

• Skin irritation at the application site.
• Mild burning or stinging sensation.
• Redness or skin rash.
• Pruritus or itching, which may continue temporarily after treatment.
• Dryness or peeling of the skin.

Some individuals may experience serious side effects while using Elimite. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

• Severe allergic reaction, with hives, swelling of the face, lips, tongue, or throat, and trouble breathing.
• Severe skin irritation or blistering.

These are not all of the possible side effects of Elimite. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Elimite, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including if you have:

• Known allergic reaction to permethrin, pyrethrins, or preservatives.
• Skin conditions that may increase irritation or absorption.
• Open wounds, sores, or secondary skin infections.
• A history of severe skin sensitivity.

Avoid contact with eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water. Elimite should not be used more often or for longer than prescribed, as this may increase the risk of side effects.

Elimite should not be used in individuals with:

A known hypersensitivity or allergic reaction to permethrin or any inactive ingredients in the formulation.

Elimite begins working shortly after application to kill living mites. Most mites are eliminated after a single treatment. However, itching and skin irritation may continue for up to 2 to 4 weeks due to the body’s reaction to dead mites and debris. This does not mean the treatment has failed. If symptoms persist beyond this period, follow up with a healthcare provider.

When Elimite is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

Other topical skin products may increase irritation when used at the same time.

Systemic drug interactions are unlikely because Elimite is minimally absorbed through the skin.

Elimite is available as:

• Permethrin 5% topical cream.

Elimite should be stored at room temperature, away from the reach of children or pets.

Elimite is manufactured by various pharmaceutical companies, depending on the distributor.

Yes, Elimite is available as a generic medication. Other brand names of permethrin cream include Acticin and Nix.

Elimite is typically used as a single treatment. If additional treatment is required, it should only be repeated under the guidance of a healthcare provider. Do not reuse Elimite unless directed by a medical professional.

Elimite may be used during pregnancy if clearly needed. Elimite is usually applied once, which limits systemic exposure. Always follow medical advice from your healthcare provider during pregnancy.

It is unknown if this drug passes into breast milk, but it is unlikely to harm a nursing infant. Avoid applying Elimite directly to the breast or nipple area. If applied to the chest, wash the area thoroughly before breastfeeding.