{ "schema_version": 1, "kind": "condition", "id": "head-lice", "name": "Head Lice (pediculosis capitis)", "category": "infectious", "sources": "AAP Clinical Report: Head Lice 2022 for the indication, with the product from Egyptian National Drug Formulary - Antimicrobial 2023, Permethrin monograph (printed page 414): \"Head lice: Topical: Cream rinse/lotion 1%: Prior to application, wash hair with conditioner-free shampoo; rinse with water and towel dry. Apply a sufficient amount of lotion or cream rinse to saturate the hair and scalp ... Leave on hair for 10 minutes (but no longer), then rinse off with warm water; remove remaining nits with a nit comb. A single application is generally sufficient; however, may repeat 7 days after first treatment if lice or nits are still present.\" The formulary's head lice strength is 1% against the 2.5% given here, and it puts 5% at scabies. · AAP Clinical Report: Head Lice 2022 · CDC Parasites: Lice: Head Lice Treatment 2020 · Ovide (malathion) Lotion 0.5% US prescribing information (DailyMed, Taro)", "review_status": "reviewed", "verified_against": "AAP Clinical Report: Head Lice 2022 for the indication, with the product from Egyptian National Drug Formulary - Antimicrobial 2023, Permethrin monograph (printed page 414): \"Head lice: Topical: Cream rinse/lotion 1%: Prior to application, wash hair with conditioner-free shampoo; rinse with water and towel dry. Apply a sufficient amount of lotion or cream rinse to saturate the hair and scalp ... Leave on hair for 10 minutes (but no longer), then rinse off with warm water; remove remaining nits with a nit comb. A single application is generally sufficient; however, may repeat 7 days after first treatment if lice or nits are still present.\" The formulary's head lice strength is 1% against the 2.5% given here, and it puts 5% at scabies. · AAP Clinical Report: Head Lice 2022 · Ovide (malathion) Lotion 0.5% US prescribing information (DailyMed, Taro)", "verified_date": "2026-08", "treatments": [ { "id": 855, "generic": "Permethrin", "line": 1, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply 2.5% lotion or cream to clean, towel-dried hair and scalp, leave on for 10 minutes, then rinse thoroughly with warm water. Repeat application in 7-10 days.", "adult_duration": "2 applications 7-10 days apart", "dose_source": "AAP Clinical Report: Head Lice 2022 for the indication, with the product from Egyptian National Drug Formulary - Antimicrobial 2023, Permethrin monograph (printed page 414): \"Head lice: Topical: Cream rinse/lotion 1%: Prior to application, wash hair with conditioner-free shampoo; rinse with water and towel dry. Apply a sufficient amount of lotion or cream rinse to saturate the hair and scalp ... Leave on hair for 10 minutes (but no longer), then rinse off with warm water; remove remaining nits with a nit comb. A single application is generally sufficient; however, may repeat 7 days after first treatment if lice or nits are still present.\" The formulary's head lice strength is 1% against the 2.5% given here, and it puts 5% at scabies.", "rationale": "AAP/CDC guidelines specify 1% permethrin baseline; Ectomethrin 2.5% lotion/cream is the registered formulation available in Egyptian retail pharmacies.", "cautions": [ "Avoid contact with eyes and mucous membranes; rinse thoroughly with water if contact occurs.", "Re-treatment on day 7-10 is essential to kill newly hatched nits, as topical pediculicides are not completely ovicidal.", "Examine and treat all household members with active infestation simultaneously to prevent re-infestation." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Suitable for infants and children >=2 months old. Apply to scalp/hair, leave on for 10 minutes, rinse. Repeat in 7-10 days.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "ECTOMETHRIN 2.5 % CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR > APC (ARAB PERFUMES CHEMICALS AND PHARMACEUTICAL CO.)", "price_egp": 12.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ECTOMETHRIN 5 % CREAM. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR > APC (ARAB PERFUMES CHEMICALS AND PHARMACEUTICAL CO.)", "price_egp": 21.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ECTOMETHRIN 5% OINT. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR > APC (ARAB PERFUMES CHEMICALS AND PHARMACEUTICAL CO.)", "price_egp": 21.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NEWCID 1% 60ML SHAMPOO", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "CID", "price_egp": 9.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NEWCID 1% 80ML SHAMPOO", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "CID", "price_egp": 11.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "head-lice" }, { "id": 856, "generic": "Malathion", "line": 2, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply 0.5% lotion to dry hair and scalp, allow to air dry naturally, leave on for 8-12 hours (or overnight), then wash out with shampoo. Repeat in 7-9 days if live lice persist.", "adult_duration": "1-2 applications 7-9 days apart", "dose_source": "Ovide (malathion) Lotion 0.5% US prescribing information (DailyMed, Taro)", "rationale": "Second-line organophosphate pediculicide registered in Egypt (Prioderm / Lice Clean 0.5% lotion) used when permethrin treatment failure or resistance occurs", "cautions": [ "Flammable due to isopropyl alcohol base; keep away from open flames, heat sources, and electric hair dryers while applied.", "Do not use in infants under 6 months of age without specialist advice.", "May cause temporary scalp irritation or stinging.", "Leave the hair uncovered while it dries, and comb it through with a fine nit comb after rinsing - the lotion kills, the comb removes.", "It is an organophosphate. If a child swallows any, that is an immediate hospital trip, not a wait." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Approved for children >=6 months (BNFC 2024) or >=6 years (CDC 2020 / FDA). Apply to dry hair, leave for 8-12 hours, then shampoo out. Repeat in 7-9 days.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "PRIODERM 0.5 % LOTION 60 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO > MUNDIPHARMA", "price_egp": 8.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "LICE CLEAN 0.5GM/100ML TOPICAL LOTION", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "WESTERN PHARMACEUTICALS INDUSTRIES > WESTERN PHARMA", "price_egp": 8.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "head-lice" } ] }