LINDANE 1%
Patient Counselling
Patient Counselling
For non-pharmacological strategies that should be performed in addition to the instructions below, please click on “Non-Pharmacological Treatments and Preventative Strategies” in Lice algorithm.
Note: This product should be dispensed with a Medication Guide that outlines instructions for use. Seizures and death have been reported with single, repeat or prolonged application. It is important to follow the directions for use carefully and with caution. Ask your doctor or pharmacist if you have any questions.
Treatment:1,8
This product should only be used in patients who cannot tolerate or who have failed first-line treatment with safer and more effective medications for treatment of lice.
This medication is for use on the skin only. Avoid getting any in your eyes, nose, mouth, mucous membranes, or open wounds. Rinse immediately if this product does get on any of these areas. If pain persists, seek medical attention.
Application:1,8
Application for Head and Public Lice:
1) Shake well before using.
2) Wear nitrile, latex with neoprene or vinyl gloves if applying to another person. Lindane will diffuse through natural latex gloves.
3) Oil can increase absorption of lindane and therefore any oil-based products in the hair should be removed through washing and drying of the hair before application.
4) Apply a sufficient quantity of shampoo onto clean, dry hair; no more than 2 ounces (60mL) should be used.
5) Work the shampoo into hair thoroughly and leave on hair for 4 minutes. Do not cover the treated hair.
6) Add small quantities of warm water and massage until a good lather forms.
7) Rinse thoroughly and towel dry. Do not rinse while sitting in a bathtub as this can increase skin contact and systemic absorption.
8) Nits should be removed using a nit comb or tweezers
9) A safe interval for retreatment is unknown. Retreatment is not recommended.
Itching can occur after successful treatment as a side effect of the medication and irritation from lice feces and saliva. Continued itching for days up to weeks after treatment does not necessarily indicate treatment has failed. The presence of live lice within 24 hours of treatment will indicate treatment failure and retreatment with a different lice medication is needed.
Safety:
This product should not be used in premature neonates, infants and young children.
This product should not be used in patients:
a) With a hypersensitivity or allergy to lindane
b) With a history of seizures or at risk for neurotoxicity
c) With excoriated skin or other skin conditions (eg, psoriasis, atopic dermatitis, rash)
d) Aged < 10 years or > 65 years
e) Weighing < 110 lbs (Any child > 110 lbs can be treated as an adult)
f) That are pregnant or breastfeeding
Adverse Reactions:
Seek medication attention immediately if you notice any of these serious side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Dizziness or drowsiness.
- Seizures.
If you experience these less serious side effects and they do not go away, talk with your doctor or pharmacists:
- Redness or rash.
- Skin irritation.
If you notice other side effects that you think are caused by this medicine, tell your doctor or pharmacist.
Interactions:
Avoid use with medications that may lower seizure thresholds. Ask your doctor or pharmacist about which medications this includes. Do not use cosmetics or other skin care products on the treated skin areas. Do not use other hair products on the treated areas as this can increase absorption.
Storage:
Keep this medication in the original container at room temperature, away from heat, moisture or direct sunlight. Do not freeze. Keep all medicine away from children and pets. Return all unused or expired medications to a pharmacy for disposal.
REFERENCES:
1. Lindane. In: DRUGDEX® System [Internet database]. Greenwood Village, Colo: Thomson Reuters
(Healthcare) Inc. Updated periodically. Retrieved on March 3rd, 2013 from:
http://www.micromedexsolutions.com/micromedex2/librarian/ND_T/evidencexpert/ND_PR/evidencexpert/CS/10610E/ND_AppProduct/evidencexpert/DUPLICATIONSHIELDSYNC/389A70/ND_PG/evidencexpert/ND_B/evidencexpert/ND_P/evidencexpert/PFActionId/evidencexpert.DisplayDrugdexDocument?docId=340920&contentSetId=100&title=Lindane&servicesTitle=Lindane
2. Jones KN and English JC. Review of Common Therapeutic Options in the United States for the Treatment of Pediculosis Capitis. Clin Infect Dis 2003; 36: 1355-1361.
3. Finlay J and MacDonald NE. Head lice infestations: A clinical update. Paediatr Child Health 2008; 13(8): 692-8.
4. Lebwohl M, Clark L, and Levitt J. Therapy for head lice based on lice cycle, resistance, and safety considerations. Pediatrics 2007; 119(5): 956-974.
5. Nolan K, Kamrath J, and Levitt J. Lindane toxicity: a comprehensive review of the medical literature. Pediatr Dermatol. 2012; 29(2): 141-146.
6. Lindane. Lexi-Comp, Inc. (Lexi-DrugsTM ). Lexi-Comp, Inc.; January 29, 2011
7. RxFiles. Over the Counter Products - Head Lice. 2010. 97.
8. e-therapeutics 2013. Lindane. Accessed February 27, 2013 from https://www.e therapeutics.ca/cps.showMonograph.action newSearch=true&simpleIndex=brand_generic&simpleQuery=lindane&=&brandExactMatch=false#
9. Miller P. 2010. Patient Self-Care; Second Edition. Parasitic Skin Infections: Lice and
Scabies. 679-688.
For non-pharmacological strategies that should be performed in addition to the instructions below, please click on “Non-Pharmacological Treatments and Preventative Strategies” in Lice algorithm.
Note: This product should be dispensed with a Medication Guide that outlines instructions for use. Seizures and death have been reported with single, repeat or prolonged application. It is important to follow the directions for use carefully and with caution. Ask your doctor or pharmacist if you have any questions.
Treatment:1,8
This product should only be used in patients who cannot tolerate or who have failed first-line treatment with safer and more effective medications for treatment of lice.
This medication is for use on the skin only. Avoid getting any in your eyes, nose, mouth, mucous membranes, or open wounds. Rinse immediately if this product does get on any of these areas. If pain persists, seek medical attention.
Application:1,8
Application for Head and Public Lice:
1) Shake well before using.
2) Wear nitrile, latex with neoprene or vinyl gloves if applying to another person. Lindane will diffuse through natural latex gloves.
3) Oil can increase absorption of lindane and therefore any oil-based products in the hair should be removed through washing and drying of the hair before application.
4) Apply a sufficient quantity of shampoo onto clean, dry hair; no more than 2 ounces (60mL) should be used.
5) Work the shampoo into hair thoroughly and leave on hair for 4 minutes. Do not cover the treated hair.
6) Add small quantities of warm water and massage until a good lather forms.
7) Rinse thoroughly and towel dry. Do not rinse while sitting in a bathtub as this can increase skin contact and systemic absorption.
8) Nits should be removed using a nit comb or tweezers
9) A safe interval for retreatment is unknown. Retreatment is not recommended.
Itching can occur after successful treatment as a side effect of the medication and irritation from lice feces and saliva. Continued itching for days up to weeks after treatment does not necessarily indicate treatment has failed. The presence of live lice within 24 hours of treatment will indicate treatment failure and retreatment with a different lice medication is needed.
Safety:
This product should not be used in premature neonates, infants and young children.
This product should not be used in patients:
a) With a hypersensitivity or allergy to lindane
b) With a history of seizures or at risk for neurotoxicity
c) With excoriated skin or other skin conditions (eg, psoriasis, atopic dermatitis, rash)
d) Aged < 10 years or > 65 years
e) Weighing < 110 lbs (Any child > 110 lbs can be treated as an adult)
f) That are pregnant or breastfeeding
Adverse Reactions:
Seek medication attention immediately if you notice any of these serious side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Dizziness or drowsiness.
- Seizures.
If you experience these less serious side effects and they do not go away, talk with your doctor or pharmacists:
- Redness or rash.
- Skin irritation.
If you notice other side effects that you think are caused by this medicine, tell your doctor or pharmacist.
Interactions:
Avoid use with medications that may lower seizure thresholds. Ask your doctor or pharmacist about which medications this includes. Do not use cosmetics or other skin care products on the treated skin areas. Do not use other hair products on the treated areas as this can increase absorption.
Storage:
Keep this medication in the original container at room temperature, away from heat, moisture or direct sunlight. Do not freeze. Keep all medicine away from children and pets. Return all unused or expired medications to a pharmacy for disposal.
REFERENCES:
1. Lindane. In: DRUGDEX® System [Internet database]. Greenwood Village, Colo: Thomson Reuters
(Healthcare) Inc. Updated periodically. Retrieved on March 3rd, 2013 from:
http://www.micromedexsolutions.com/micromedex2/librarian/ND_T/evidencexpert/ND_PR/evidencexpert/CS/10610E/ND_AppProduct/evidencexpert/DUPLICATIONSHIELDSYNC/389A70/ND_PG/evidencexpert/ND_B/evidencexpert/ND_P/evidencexpert/PFActionId/evidencexpert.DisplayDrugdexDocument?docId=340920&contentSetId=100&title=Lindane&servicesTitle=Lindane
2. Jones KN and English JC. Review of Common Therapeutic Options in the United States for the Treatment of Pediculosis Capitis. Clin Infect Dis 2003; 36: 1355-1361.
3. Finlay J and MacDonald NE. Head lice infestations: A clinical update. Paediatr Child Health 2008; 13(8): 692-8.
4. Lebwohl M, Clark L, and Levitt J. Therapy for head lice based on lice cycle, resistance, and safety considerations. Pediatrics 2007; 119(5): 956-974.
5. Nolan K, Kamrath J, and Levitt J. Lindane toxicity: a comprehensive review of the medical literature. Pediatr Dermatol. 2012; 29(2): 141-146.
6. Lindane. Lexi-Comp, Inc. (Lexi-DrugsTM ). Lexi-Comp, Inc.; January 29, 2011
7. RxFiles. Over the Counter Products - Head Lice. 2010. 97.
8. e-therapeutics 2013. Lindane. Accessed February 27, 2013 from https://www.e therapeutics.ca/cps.showMonograph.action newSearch=true&simpleIndex=brand_generic&simpleQuery=lindane&=&brandExactMatch=false#
9. Miller P. 2010. Patient Self-Care; Second Edition. Parasitic Skin Infections: Lice and
Scabies. 679-688.