Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
13.10. Anti-infective skin preparations
13.10.4. Parasiticidal preparations
For the treatment of head lice, please refer to the NHSGGC Head Lice Service protocol available on StaffNet (Cut and paste the following link into your web browser to access): http://www.staffnet.ggc.scot.nhs.uk/Acute/Division%20Wide%20Services/Pharmacy%20and%20Prescribing%20Support%20Unit/Community%20Pharmacy/Documents/Head%20Lice%20guidance%20notes%20August%202009.doc
Preferred List
DIMETICONE (HEDRIN) (LOTION)
Prescribing Notes:
Preparations contain 4% dimeticone. Hedrin® does not contain a chemical insecticide, but works by encapsulating the head lice, preventing them from functioning.
Total Formulary
IVERMECTIN (tablets)
Restrictions:
Restricted to use as a 3rd line treatment option for scabies when a total of 2 courses of either malathion or permethrin have been ineffective or not tolerated.
This preparation may be the only available licensed scabies treatment while there are intermittent supply issues with permethrin and malathion. (May 2024)
Prescribing Notes:
Oral tablets are a licensed formulation in the UK since 2023; the online BNF may not yet reflect this. (May 2024)