Permethrin + Crotamiton

Generic Details

Generic Name

Permethrin-Crotamiton

Other Names

  • Permethrin Crotamiton combination

Drug Class

  • Topical antiparasitic agent

Chemical Formula

C21H20Cl2O3 - Permethrin, C16H26O2 - Crotamiton

Molecular Weight

391.29 g/mol - Permethrin, 242.38 g/mol - Crotamiton

Mechanism of Action

  • Permethrin acts on the nerve cell membrane of parasites, leading to paralysis and death.
  • Crotamiton has antipruritic properties and is used to relieve itching.

Indications

  • Scabies
  • Pediculosis (lice infestation)

Common Dosage Forms

  • Topical cream
  • Topical lotion

Typical Dosage

  • Apply a thin layer from neck to toes and leave on for 8-14 hours (scabies)
  • Repeat after 7 days if needed

Pediatric Dosage

  • As per physician's recommendation based on weight and age

Geriatric Dosage

  • Use with caution, dose adjustment may be required

Side Effects

  • Skin irritation
  • Itching or stinging at application site
  • Redness or rash

Contraindications

  • Hypersensitivity to permethrin or crotamiton

Pregnancy Category

  • Category B - Animal studies have not demonstrated risk to the fetus but no adequate studies in pregnant women.

Lactation Safety

  • Use with caution, limited data available

Drug Interactions

  • No significant interactions reported

Overdose Symptoms

  • Nausea
  • Vomiting
  • Dizziness

Antidote for Overdose

  • No specific antidote, symptomatic treatment

Storage Conditions

  • Store at room temperature below 30°C

Pharmacokinetics

  • Absorption: Permethrin: Minimal systemic absorption after topical application
  • Distribution: Both agents may distribute into breast milk
  • Metabolism: Permethrin: Metabolized in the liver
  • Excretion: Permethrin: Excreted in urine and feces

Precautions

  • Avoid contact with eyes or mucous membranes
  • Do not use on broken skin

Warnings

  • For external use only
  • Consult healthcare provider before use in pregnancy or lactation

Others

  • Complete the full course as directed by the healthcare provider