Lice Buyer's Guide: Treatment Product Reviews Go Now

lindane topical

Generic Name: lindane topical (LIN dane)
Brand Name:

What is lindane topical?

Lindane is a pediculicide and a scabicide. It affects the nervous system of the parasites.

Lindane topical is used to treat head lice, pubic lice ("crabs"), and scabies.

Lindane topical may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about lindane topical?

Do not apply this medication to the face, eyes, nose, or mouth. Flush with water if you get medication in any of these areas. Seek medical attention if lindane topical is ingested or if irritation is persistent.

Do not use more of this medication than is recommended. Using more than the prescribed amount of lindane topical may cause seizures or other dangerous side effects.

Slideshow: Worried About Ebola? You’re More Likely to Get These 10 Serious Infections

Treat sexual and other close contacts who are also infected. Do not use lindane topical to treat contacts who are not infected in an attempt to prevent infection from occurring.

To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, hair brushes, and combs in hot water with a strong cleanser.

Talk to your doctor before using a second dose of lindane topical. Using lindane topical too soon after the first dose may cause seizures and/or death.

What should I discuss with my healthcare provider before using lindane topical?

Do not use lindane topical without the first talking to your doctor if you

  • have ever had an allergic or bad reaction to it;

  • have epilepsy or another seizure disorder;

  • have many open sores or broken skin;

  • have used lindane lotion or shampoo in the last few months;

  • have HIV or AIDS;

  • have risk factors for seizures such as a head injury, tumor in the brain or spinal cord, cirrhosis of the liver, or heavy alcohol use; or

  • are treating an infant or baby, an elderly person, or an adult or child who weighs less than 110 pounds (50 kg).

You may not be able to use lindane topical, or you may require a dosage adjustment or special monitoring during treatment.

Lindane topical is in the pregnancy category C. This means that it is not known whether lindane topical will be harmful to an unborn baby. Do not use lindane topical without first talking to your doctor if you are pregnant or could become pregnant during treatment.

Lindane passes into breast milk, and may be harmful to a nursing baby. Do not use this medication without first talking to your doctor if you are breast-feeding a baby.

Lindane topical may have increased side effects when used by elderly individuals. Talk to your doctor before using lindane topical if you are 65 years of age or older.

How should I use lindane topical?

Use lindane topical exactly as directed by your doctor, or follow the directions that accompany the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Do not use more of this medication than is recommended. Using more than the prescribed amount of lindane topical may cause seizures or other dangerous side effects.

If you are putting lindane topical on another person, wear special gloves made of nitrile, latex with neoprene, or sheer vinyl. Do not use natural latex gloves because more lindane can go through that kind of glove. Wash your hands thoroughly after application of the medication.

Be sure the affected skin is clean and does not have any other lotion, cream, or oil on it, including oil based hair products or conditioners when treating head lice. Wait at least 1 hour after bathing or showering before application of lindane topical.

Shake the bottle of lindane lotion or shampoo well before application.

To treat scabies:

  • Apply a thin layer of the cream or lotion to all body parts from the neck down to the soles of the feet (scabies does not usually infect the head). Apply the medication to dry skin and rub it in well. Trim the fingernails and apply the medication under the nails with a toothbrush. Throw away the toothbrush after using it to apply the medication. Do not cover the skin treated with lindane lotion with anything that does not breathe, like diapers with plastic lining, plastic clothes, tight clothes, or blankets. Leave the medication on for 8 to 12 hours, then wash it off completely with warm but not hot water. Do not allow the medication to sit for longer than 8 to 12 hours. Scabies is usually cured with one application. Itching may persist for several weeks, but it does not mean that the infection has not been cured. If living mites become visible, a second treatment may be necessary. Talk to your doctor before using a second dose of lindane topical. Using lindane topical too soon after the first dose may cause seizures and/or death.

To treat head lice:

  • Wash the hair with shampoo only (no conditioner or other hair products) at least one hour before applying lindane shampoo. Apply the shampoo to dry hair as follows: 1 ounce (half of a 2-ounce bottle) for short hair, 1.5 ounces (three-quarters of a 2-ounce bottle) for medium-length hair, or a full 2-ounce bottle for long hair. Be sure to cover the fine hairs along the neck and behind the ears. Work the medication in thoroughly. Allow it to sit for 4 minutes. Do not allow the medication to sit for longer than 4 minutes. Do not cover the hair with anything that doesn't breathe such as a shower cap or towel. Add a small amount of water to form a good lather, then rinse completely avoiding unnecessary contact of the lather with other body surfaces. Towel dry the hair briskly and comb with a fine-toothed comb (nit comb) to remove any remaining nits or nit shells (tweezers can also be used). One treatment should be sufficient. If live mites are visible after 7 days, a repeat treatment may be necessary. Talk to your doctor before using a second dose of lindane topical. Using lindane topical too soon after the first dose may cause seizures and/or death.

To treat pubic lice ("crabs"):

  • Apply the shampoo to dry pubic hair. Work the medication in thoroughly. Allow it to sit for 4 minutes. Add a small amount of water to form a good lather then rinse and towel dry. Comb with a fine-toothed comb (nit comb) and remove any remaining nits or nit shells (tweezers can also be used). One treatment should be sufficient. If live mites are visible after 7 days, a repeat treatment may be necessary. Talk to your doctor before using a second dose of lindane topical. lindane topical too soon after the first dose may cause seizures and/or death. Sexual partners should also be treated.

Do not apply this medication to the face, eyes, nose, or mouth. Flush with water if you get medication in any of these areas. Seek medical attention if lindane topical is ingested or if irritation is persistent.

Do not apply lindane topical to open cuts or wounds. Doing so could cause too much medication to be absorbed by the body, which could be very dangerous.

Do not allow skin treated with lindane topical to touch others who have not been treated with the medication, especially a baby or small child.

To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, hair brushes, and combs in hot water with a strong cleanser.

Store lindane topical at room temperature away from moisture and heat.

What happens if I miss a dose?

Lindane topical is only applied once, so you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of an oral or topical lindane overdose include tremors, excitation, agitation, seizures, and possibly death.

What should I avoid while using lindane topical?

Avoid sexual or intimate contact with others until the infection has been cured. Also avoid sharing hair combs, hair accessories, hats, clothing, bed linens, and other articles of personal use. The infections are highly contagious.

Do not use more of this medication than is recommended. Using more than the prescribed amount of lindane topical may cause seizures or other dangerous side effects.

Do not apply this medication to the face, eyes, nose, or mouth. Flush with water if you get medication in any of these areas. Seek medical attention if lindane topical is ingested or if irritation is persistent.

Do not apply lindane topical to open cuts or wounds. Doing so could cause too much medication to be absorbed by the body, which could be very dangerous.

To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, hair brushes, and combs in hot water with a strong cleanser.

Lindane topical side effects

Stop using lindane topical and seek emergency medical attention if you experience an uncommon but serious side effect such as

  • an allergic reaction (shortness of breath; closing of the throat; swelling of the lips, face, or tongue; or hives);

  • seizures; or

  • uncontrollable body shaking.

Other less serious side effects may also occur. Talk to your doctor if you experience

  • dizziness or drowsiness;

  • itching, burning, dryness, or rash of the skin.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Lindane topical dosing information

Usual Adult Dose for Scabies:

1% lotion applied to the skin (neck to toes) and left on for 8 to 12 hours. Afterwards patient should bathe thoroughly.

Safer agents should be tried first (i.e., crotamiton, permethrin, malathion).

Usual Adult Dose for Lice:

15 to 30 mL of 1% shampoo applied for 4 to 5 minutes one time. Up to 60 mL may be necessary for long, dense hair. Apply to dry hair and rinse hair well when complete. Combing with a fine tooth comb helps remove nits.

Safer agents should be tried first (i.e., pyrethrum with piperonyl butoxide, permethrin).

Usual Pediatric Dose for Scabies:

<1 month: Contraindicated.

>1 month, <50 kg: Extreme caution is recommended due to the risk of adverse events.

>1 month, >50 kg: Apply a thin layer of 1% lotion or liquid and massage it on skin from head to toes. Wash off 6 to 8 hours after application.

Safer agents should be tried first (i.e., crotamiton, permethrin, malathion).

Usual Pediatric Dose for Lice:

<1 month: Contraindicated.

>1 month, <50 kg: Extreme caution is recommended due to the risk of adverse events.

>1 month, >50 kg: 15 to 30 mL of 1% shampoo applied for 4 to 5 minutes one time. Up to 60 mL may be necessary for long, dense hair. Apply to dry hair and rinse hair well when complete. Combing with a fine tooth comb helps remove nits.

Safer agents should be tried first (i.e., pyrethrum with piperonyl butoxide, permethrin).

What other drugs will affect lindane topical?

Do not apply other topical preparations to the affected area during treatment with lindane topical.

Lindane topical should not be used with other medications that increase the risk of seizures. Talk to your doctor and pharmacist before using lindane topical if you are taking any other prescription or over-the-counter medicines, including herbal products.

Where can I get more information?

  • Your pharmacist has additional information about lindane topical written for health professionals that you may read.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 5.04. Revision Date: 2010-12-15, 5:01:39 PM.

Hide
(web1)