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Suggest Remedies For Body Lice Infestation

Posted on Fri, 26 May 2017

Question: How do I get rid of lice under mu skin?

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Answer few questions

Detailed Answer:
Hi
Thanks for being at HealthcareMagic
Are you having lice on the scalp, body or pubic area?
Are you taking any antihistaminic?
How many doses of permethrin and ivermectin have you taken?
Kindly revert with the answers.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (4 hours later)

I am not taking any antihistamines. I have put on the permetherin Cream as needed. I have taken two doses of oral ivermectin. one one week and another the next. 200 mcg/kg wt. this helped some but it did not clear it out.

Answered by Dr. Asmeet Kaur Sawhney (10 hours later)

Brief Answer:
Take antihistaminic, reapply permethrin lotion

Detailed Answer:
The medicines are fine.
The itching in lice infection is due to a hypersensitivity reaction and can take little longer to resolve even after the lice are eradicated.
Even permethrin lotion has to be reapplied after 10 days for complete cure of infection.
I would recommend you to take antihistaminic like tablet Cetrizine 10 mg once or twice daily depending on the intensity of itching for another 10-14 days.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Asmeet Kaur Sawhney (58 minutes later)

How about the oral ivermectin? What dose do you recommend and for how long?

Answered by Dr. Asmeet Kaur Sawhney (4 hours later)

Brief Answer:
200mcg per kgbody weight single dose, repeated after 10 days

Detailed Answer:
You have already taken ivermectin.
The dose is 200microgram per kg body weight single dose. This is repeated after 10 days.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Asmeet Kaur Sawhney (5 hours later)

Do I keep repeating the ivermectin until everything is cleared? While I am taking the Ivermectin should I also be applying through permetherin cream?

Answered by Dr. Asmeet Kaur Sawhney (2 hours later)

Brief Answer:
You can repeat ivermectin after a gap of 10 days, can use permethrin lotion

Detailed Answer:
You can repeat ivermectin after a gap of 10 days.
Yes you can also use permethrin lotion along with tablet ivermectin.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Asmeet Kaur Sawhney (12 hours later)

what is your usual protocol for lice under the skin?

Answered by Dr. Asmeet Kaur Sawhney (2 hours later)

Brief Answer:
Permethrin, ivermectin and laundry of clothes

Detailed Answer:
As a regular protocol I give my patients tablet ivermectin 200 mcg perkg body weight single dose.
This is repeated after 10 days.
Also I ask them to apply permethrin 5 percent lotion and repeat after 10 days.
Besides this I ask the patient to go for laundering of the recently worn clothes.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Asmeet Kaur Sawhney (6 hours later)

Dies your patients keep repeating the protocol until the lice is cleared or eradicated?

Answered by Dr. Asmeet Kaur Sawhney (2 hours later)

Brief Answer:
Usually repeat the protocol once or twice

Detailed Answer:
Usually my patients repeat the protocol once or twice.
That is sufficient to eradicate the infection.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad