Crab Lice

Pay particular attention to the pubic hair, hair around the anus, between the legs, and other hairy areas of the body.  Check for involvement of more distant sites such as eyebrows.

Note: re-application of permethrin is based on expert opinion and has been accepted as standard practice, although not licensed.  [Also, BNF recommends 12 hour contact time for permethrin  instead of licensed recommendation of 24 hours]. 

Malathion 0.5% aqueous lotion

Apply over whole body. Wash off after 12 hours or after leaving on overnight.

Reapply after 7 days.

OR Permethrin 5% dermal cream

Apply over whole body and should be left on the skin for 24 hours.  The treatment areas should then be thoroughly washed. 

Reapply after 7 days.