Adult Dosing
Scabies
- Apply 30 mL 1% lotion x 1
- Increase dose to 60 mL for larger adults; Max: 60 mL
Note:
- Apply a thin layer of lotion over all skin from neck down; wash off in 8-12 hrs
- Do not retreat; do not apply on open wounds
Pediculosis capitis/pubis
- Apply 30 mL 1% shampoo x 1; apply to dry hair without adding water and allow to remain in place for 4 min only
- May increase dose to 60 mL for long and dense hair; Max: 60 mL
Note:
- Add small quantities of water to hair until a good lather forms after 4 mins and immediately rinse all lather away
- Do not retreat or apply on open wounds, cuts, or if sores are present at the site of application
Pediatric Dosing
Scabies
Note:
- Apply a thin layer of lotion over all skin from neck down; wash off in 8-12 hrs
- Do not retreat; do not apply on open wounds
Pediculosis capitis/pubis
- Apply 1% shampoo x 1; apply to dry hair without adding water and allow to remain in place for 4 minute only
Note:
- Add small quantities of water to hair until a good lather forms after 4 minutes and immediately rinse all lather away
- Do not retreat or apply on open wounds, cuts, or if sores are present at the site of application
- Use cautiously in patients who weigh <50 kg and especially in infants
[Outline]
See Supplemental Patient Information
- Seizures and deaths have occurred with repeat or prolonged application, and rarely with single application. Adverse events such as hospitalization, disability, and death have been reported with lindane [US Black Box Warning]
- Use cautiously in infants, children, elderly, and individuals with other skin conditions, and those who weigh <50 kg due to the risk of serious neurotoxicity [US Black Box Warning]
- Use extreme caution while administering therapy to patients with conditions that may increase the risk of seizure such as HIV infection, history of head trauma or a prior seizure, as well as concomitant use of medications known to lower seizure threshold
- Counsel patients on the proper use of lindane, including the amount to apply, how long to leave it on, and avoiding re-treatment
- Avoid contact with the eyes. Advise patients to consult a physician if irritation or sensitization occurs when lindane comes in contact with the eyes
- A Lindane Medication Guide must be given to the patient each time the medication is dispensed as required by law
Cautions: Use cautiously in
- Abrupt withdrawal from alcohol or sedatives
- Severe hepatic cirrhosis
- CNS tumor
- Alcohol abuse
Supplemental Patient Information
- Advise patients that lindane can be poisonous if misused
- Advise caregivers applying this product to patients to wear gloves less permeable to lindane such as nitrile, latex with neoprene or sheer vinyl, and to clean hands thoroughly after application; inform them to avoid natural latex gloves
Pregnancy Category:C
Breastfeeding: Topical application of lindane can increase lindane milk levels for at least several days. Because it is potentially toxic in infants, is a persistent environmental contaminant, and possibly has estrogenic effects that could decrease lactation as well as affect the nursing infant, another agent is preferred. This information is based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 30 March 2011). According to the manufacturer's data; risk of toxicity may exist if lindane is ingested from breast milk, or from skin absorption from mother to baby in the course of breastfeeding if lindane is applied topically to the chest area.
Pricing data from www.DrugStore.com in U.S.A.
- Lindane 1 % SHAM [Bottle] (MORTON GROVE PHARMACEUTICALS)
60 % = $125.99
180 % = $359.96
Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.
