Elimite: Effective Topical Treatment for Scabies and Mite Infestations

Elimite

Elimite

Elimite (permethrin) is commonly used for the following conditions caused by tiny insects: Head lice, Scabies (pestilent scabies mite). Permethrin kills tiny insects, such as head lice and mites, by disrupting their nerves and muscles. Similarly to all naturally occurring pyrethrins, Elimite permeates the nervous system of parasites leading to the disruption of sodium cation inflow throughout cell membrane ion channels. Subsequently, the insect dies.
Product dosage: 30 gm
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Elimite (permethrin) cream is a prescription-strength topical medication specifically formulated to eradicate scabies mites and their eggs. As a leading scabicidal treatment, it offers targeted, potent action against Sarcoptes scabiei, providing relief from intense itching and preventing transmission. Clinically proven and dermatologist-recommended, it represents a first-line defense in managing parasitic skin infestations with a well-established safety profile.

Features

  • Contains 5% permethrin as the active scabicidal agent
  • Cream-based formulation for easy application and absorption
  • Prescription-strength efficacy available only through healthcare providers
  • Single-application treatment in most cases, with potential repeat dosing if necessary
  • Suitable for patients aged 2 months and older
  • Minimal systemic absorption when used as directed

Benefits

  • Rapidly eliminates scabies mites and eggs, breaking the infestation cycle
  • Provides significant relief from persistent itching, often within days
  • Reduces risk of secondary bacterial infections from scratching
  • Helps prevent spread to close contacts and family members
  • Requires minimal application for comprehensive treatment
  • Supported by decades of clinical use and scientific validation

Common use

Elimite is primarily indicated for the treatment of scabies infestations caused by the mite Sarcoptes scabiei var. hominis. It may also be used off-label for other mite-related dermatological conditions under medical supervision. The medication works through neurotoxic action on the mites’ nervous systems, effectively paralyzing and killing the parasites while having minimal effect on human skin when applied correctly.

Dosage and direction

Apply a thin layer of Elimite cream to the entire body from the neck down, paying particular attention to areas between fingers and toes, wrists, axillae, external genitalia, and beneath breast tissue. In elderly patients or those with compromised immune function, application may need to extend to the scalp and face, avoiding immediate eye and mucous membrane areas. Leave the cream on for 8-14 hours before thoroughly washing off with soap and water. Most patients require only one treatment, though a second application 7-14 days later may be necessary if live mites reappear.

Precautions

  • For external use only; avoid contact with eyes, nose, mouth, and other mucous membranes
  • Do not apply to acutely inflamed or broken skin unless directed by a physician
  • May cause temporary burning, stinging, or tingling upon application
  • Clothing, bedding, and towels should be washed in hot water or dry-cleaned after treatment
  • Close contacts should be evaluated and potentially treated simultaneously to prevent reinfestation
  • Not recommended for use during pregnancy unless clearly needed and benefits outweigh risks

Contraindications

Elimite is contraindicated in patients with known hypersensitivity to permethrin, other synthetic pyrethroids, or any component of the formulation. It should not be used in patients with history of allergic reactions to chrysanthemums or ragweed. Use in neonates younger than 2 months is not recommended due to increased skin permeability and potential for systemic absorption.

Possible side effects

Common side effects include temporary itching, burning, stinging, tingling, numbness, or redness at the application site. These typically resolve within days of treatment. Less frequently, patients may experience rash, swelling, or skin irritation. Rare but serious side effects include severe allergic reactions (anaphylaxis), difficulty breathing, swelling of the face or throat, and intense skin inflammation. Discontinue use and seek immediate medical attention if severe reactions occur.

Drug interaction

No significant drug interactions have been formally established with topical permethrin application due to minimal systemic absorption. However, patients using other topical medications, especially those containing corticosteroids or other active ingredients, should consult their physician before simultaneous application. Theoretical interactions with other neurotoxic agents should be considered in patients with neurological disorders.

Missed dose

As Elimite is typically administered as a single application, the concept of “missed dose” does not directly apply. If the prescribed treatment duration (8-14 hours) is unintentionally shortened, consult your healthcare provider regarding potential reapplication. Do not apply additional cream without medical advice, as overuse may increase risk of adverse effects.

Overdose

Excessive application may lead to increased adverse effects including severe skin irritation, burning sensation, and potential systemic effects such as nausea, headache, dizziness, or neurological symptoms. In case of accidental ingestion, seek immediate medical attention or contact a poison control center. Treatment is supportive and symptomatic, as there is no specific antidote for permethrin overdose.

Storage

Store at room temperature (15-30°C or 59-86°F) in the original container. Keep tightly closed and protected from light. Do not freeze. Keep out of reach of children and pets. Properly discard any unused medication after treatment completion. Do not flush medications down the toilet or pour into drainage unless instructed to do so.

Disclaimer

This information is provided for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional before starting any new medication or treatment regimen. Individual results may vary, and proper diagnosis should be obtained from a medical practitioner before using Elimite or any prescription medication.

Reviews

Clinical studies demonstrate Elimite’s efficacy rates exceeding 90% in eliminating scabies infestations with single applications. Dermatologists consistently report high satisfaction with its safety profile and patient compliance compared to alternative treatments. Patients note significant improvement in itching within 24-48 hours and complete resolution of symptoms within 2-4 weeks post-treatment. The convenience of single application and minimal side effects contribute to its standing as a gold standard in scabies management.