What are the treatment options for pthiriasis (lice infestation)?

Updated: Mar 01, 2018
  • Author: Lyn C C Guenther, MD, FRCPC, FAAD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The same pediculicides used for head louse infestation are also used for pubic louse infestation. In addition, P pubis infestations of the eyelashes are treated with occlusive therapies.

Pubic lice can be treated with over-the-counter permethrin 1% lotion and a mousse containing pyrethrins and piperonyl butoxide (RID foam). [14]

Malathion lotion 0.5% is currently not FDA approved to treat pubic lice.

Lindane shampoo causes neurotoxicity and should not be used as a first-line agent; it should be reserved for cases of resistance or when other medications are not tolerated. [14]


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