{
  "schema_version": 1,
  "kind": "condition",
  "id": "pediculosis-pubis",
  "name": "Pubic Lice (Pediculosis pubis)",
  "category": "infectious",
  "sources": "Egyptian National Drug Formulary - Antimicrobial 2023, permethrin monograph (chapter PDF p423) · Egyptian National Drug Formulary 2023 — Antimicrobial, Permethrin monograph, Dosing: Pediatric / Pubic lice (antimicrobial-2023.pdf, page index 422, printed p413) · InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Pubic lice: Learn More – How can you get rid of pubic lice? [Updated 2026 Jan 21]. Bookshelf ID: NBK623159.",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary 2023 — Antimicrobial, Permethrin monograph, Dosing: Pediatric / Pubic lice (antimicrobial-2023.pdf, page index 422, printed p413) · InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Pubic lice: Learn More – How can you get rid of pubic lice? [Updated 2026 Jan 21]. Bookshelf ID: NBK623159.",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1355,
      "generic": "Permethrin",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Permethrin 1% solution or rinse: apply to the affected area, leave on for 10 minutes, then wash off. The formulary carries this only as an adolescent, limited-data regimen — it gives no adult pubic-lice dose.",
      "adult_duration": "Single application; the formulary gives no repeat course for pubic lice",
      "dose_source": "Egyptian National Drug Formulary 2023 — Antimicrobial, Permethrin monograph, Dosing: Pediatric / Pubic lice (antimicrobial-2023.pdf, page index 422, printed p413)",
      "rationale": "The formulary gives permethrin 1% solution or rinse for pubic lice, applied for 10 minutes and washed off, and notes that the available data are limited. The repeat at 7 to 10 days follows the same monograph's lice guidance, which sets the interval by the life cycle of the louse.",
      "cautions": [
        "The formulary records that the CDC considers permethrin one of the drugs of choice for pubic lice during pregnancy.",
        "For external use only. Avoid contact with the eyes and mucous membranes; do not apply inside the nose, ear, mouth or vagina.",
        "The 7-to-10-day repeat belongs to the head-lice regimen; the formulary gives no repeat for pubic lice.",
        "This is the 1% solution or rinse, NOT the 5% scabies cream - same drug, same patient, different strength (Egyptian National Drug Formulary, permethrin monograph).",
        "The formulary records the data for pubic lice as limited.",
        "Treat all sexual partners from the last 3 months at the same time, or the patient is reinfected.",
        "Pubic lice is a sexually transmitted infection - offer screening for others, including HIV and syphilis.",
        "Do not apply to the eyelashes. Lashes are treated with soft paraffin and manual removal, not permethrin.",
        "Pubic lice in a pre-pubertal child raises a safeguarding concern and needs assessment.",
        "Items that cannot be washed should be sealed in a plastic bag for ≥4 weeks."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "The formulary's only pubic-lice entry sits under paediatric dosing, for adolescents, and is flagged as limited data. Pubic lice in a pre-pubertal child is a safeguarding concern and needs assessment, not just treatment.",
      "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": "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
        },
        {
          "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
        }
      ],
      "condition_id": "pediculosis-pubis"
    }
  ]
}