Ermite Cream 5% w/w Uses, Dosage, Side Effects and more
Ermite Cream 5% w/w induces electrochemical abnormalities across the membranes of excitable cells, leading to sensory hyperexcitability, in coordination and prostration. Ermite Cream 5% w/w is rapidly metabolized in mammals by ester hydrolysis to inactive metabolites which are excreted primarily in the urine. The principal metabolites of Ermite Cream 5% w/w are detectable in the urine within hours of a whole body application of the cream to healthy volunteers or scabies patients. The highest levels of excretion are detectable within the first 48 hours, but very low levels of metabolites are still detectable in the urine of some individuals 28 days after treatment.
Ermite Cream 5% w/w, a pyrethroid, is active against a broad range of pests including lice, ticks, fleas, mites, and other arthropods.
| Attribute | Details |
|---|---|
| Trade Name | Ermite Cream 5% w/w |
| Generic | Permethrin |
| Permethrin Other Names | Permethrin |
| Weight | 5% w/w |
| Type | Cream |
| Formula | C21H20Cl2O3 |
| Weight | Average: 391.288 Monoisotopic: 390.07894992 |
| Groups | Approved, Investigational |
| Therapeutic Class | Parasiticidal preparations |
| Manufacturer | Jayson Pharmaceuticals Ltd. |
| Available Country | Bangladesh |
| Last Updated: | January 7, 2025 at 1:49 am |
Uses
Ermite Cream 5% w/w is used for the treatment of scabies.
Ermite Cream 5% w/w is also used to associated treatment for these conditions: Head Lice Infestation, Norwegian scabies, Scabies, Lice of the pubic area
How Ermite Cream 5% w/w works
Ermite Cream 5% w/w acts on the nerve cell membrane to disrupt the sodium channel current by which the polarization of the membrane is regulated. Delayed repolarization and paralysis of the pests are the consequences of this disturbance.
Dosage
For 15 gm Tube:
- Adults and children (over 12 years): Use two full tube
- Children aged 6-12 years: Use a full tube
- Children aged 1-5 years: Use up to 1/2 of a tube
- Children aged 2 months to 1 year: Use up to 1/4 of a tube
For 30 gm Tube:
- Adults and children (over 12 years): Use a full tube
- Children aged 6-12 years: Use up to 1/2 of a tube
- Children aged 1-5 years: Use up to 1/4 of a tube
- Children aged 2 months to 1 year: Use up to 1/8 of a tube
- Patients of >2 months of age can use the dermal cream.
- Cream should be applied to clean, dry skin. If the body is hot due to warm bath or any other reason, skin should be allowed to cool.
- It should be applied to the whole body excluding head.
- The whole body should be washed thoroughly 8-12 hours after treatment.
- Adults and children above 12 years will use a 30 g tube as a single dose.
- If necessary maximum two tubes (60 gm) can be used as a single dose.
- The cream should not be applied to the vicinity of mouth and areas close to the eyes.
Side Effects
In scabies patients, skin discomfort, usually described as burning, stinging or tingling occurs in a few individuals soon after the cream is applied. Other transient signs and symptoms of irritation including erythema, edema, eczema, rash and pruritus which may follow the treatment of scabies with Ermite Cream 5% w/w are generally considered to be the part of the natural history of scabies. In patients treated for scabies, itching may persist for up to 4 weeks post-treatment. This is generally regarded as due to an allergic reaction to the dead mites under the skin and is not necessarily indicative of a treatment failure.
Toxicity
Oral, rat LD50: 430 - 4000 mg/kg; skin, rabbit LD50: 2000 mg/kg.
Precaution
Ermite Cream 5% w/w is not an eye-irritant, but the cream itself may cause marked irritation. Nursing staff who routinely apply Ermite Cream 5% w/w, may wear gloves to avoid any possible irritation to the hands.
Interaction
The treatment of eczematous-like reactions with corticosteroids should be withheld prior to treatment with Ermite Cream 5% w/w, as there is a risk of exacerbating the scabies infestation by reducing the immune response to the mite.
Food Interaction
No interactions found.Elimination Route
Poorly absorbed through the skin.
Elimination Route
Ermite Cream 5% w/w is rapidly metabolized by ester hydrolysis to inactive metabolites which are excreted primarily in the urine.
Pregnancy & Breastfeeding use
There are limited data on the use of Ermite Cream 5% w/w in pregnancy which provide no indication of any risk to the foetus. Furthermore, the amount of Ermite Cream 5% w/w absorbed systemically following a whole body application is extremely low. The negative mutagenicity tests and the very low mammalian toxicity would suggest that any risk to the foetus following treatment with Ermite Cream 5% w/w is minimal. Inspite of these, Ermite Cream 5% w/w is suggested not to useduring pregnancy.
It is not known whether Ermite Cream 5% w/w is excreted in human breast milk. So, it should not be used in nursing mothers.
Contraindication
Ermite Cream 5% w/w is contraindicated in subjects with known hypersensitivity to the product, its components, other pyrethroids or pyrethrins.
Acute Overdose
There are no reports of overdosage with Ermite Cream 5% w/w. It is possible that excessive application of Ermite Cream 5% w/w might result in localized adverse reactions or more severe skin reactions.
Storage Condition
Store at a cool and dry place. Protect from light. Do not freeze.
Innovators Monograph
Ermite Cream 5% w/w contains Permethrin see full prescribing information from innovator Monograph, MSDS, FDA label
FAQ
What is Ermite Cream 5% w/w used for?
Ermite Cream 5% w/w is used to treat scabies and lice. It is applied to the skin as a cream or lotion. As an insecticide, Ermite Cream 5% w/w can be sprayed onto clothing or mosquito nets to kill the insects that touch them.Ermite Cream 5% w/w topical may also be used for other purposes not listed in this medication guide.
How safe is Ermite Cream 5% w/w?
Ermite Cream 5% w/w is considered safe for topical use in adults and children over the age of two months.
How does Ermite Cream 5% w/w work?
Ermite Cream 5% w/w works by paralyzing and killing the mites and their eggs.
What are the common side effects of Ermite Cream 5% w/w?
- Mild and transient burning and stinging.
- Itching.
- Skin redness.
- Skin swelling.
- Skin rash.
- Numbness or tingling where the medicine was applied.
- Scabies symptoms may temporarily worsen after treatment.
Common side effects of Ermite Cream 5% w/w are include :
Is Ermite Cream 5% w/w safe during pregnancy?
Animal studies have revealed no evidence of impaired fertility or harm to the fetus. There are no controlled data in human pregnancy. Ermite Cream 5% w/w topical is only recommended for use during pregnancy when benefit outweighs risk.
Is Ermite Cream 5% w/w safe during breastfeeding?
Ermite Cream 5% w/w is generally considered safe for children and adults of all ages, including women who are breastfeeding.
Can I drink alcohol with Ermite Cream 5% w/w?
After using Ermite Cream 5% w/w, you should wash all clothing, sheets, and towels you used in hot water. You should also clean all showers, toilets, and bathtubs with rubbing alcohol to kill remaining parasites.
Does alcohol affect Ermite Cream 5% w/w?
After using Ermite Cream 5% w/w, you should wash all clothing, sheets, and towels you used in hot water. You should also clean all showers, toilets, and bathtubs with rubbing alcohol to kill remaining parasites.
How long does it take Ermite Cream 5% w/w to work?
The dermal cream should be applied for 8-12 hours, while users are instructed to apply the cream rinse for 10 minutes only. Ten minutes is not long enough to enable the Ermite Cream 5% w/w to penetrate burrows or skin, a factor that was relevant in one case reported here.
How long does Ermite Cream 5% w/w last?
At the concentration level delivered in the aerosol, non-aerosol pump sprays and soak systems, an application lasts for six weeks and through six washings. Ermite Cream 5% w/w breaks down through exposure to air and sunlight.
Does Ermite Cream 5% w/w stop itching?
Even if Ermite Cream 5% w/w kills all the scabies, the dead mites can still make you itch for up to 4 weeks after treatment. Ask your doctor about other medications that may be used to soothe the itching.
How often can I take Ermite Cream 5% w/w?
Use two applications of Ermite Cream 5% w/w cream, seven days apart. Your whole body must be treated with the cream. Leave each application on for 8-12 hours, then wash the cream off with soap and water.
Can I overdose on Ermite Cream 5% w/w ?
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away.
Who should not take Ermite Cream 5% w/w?
Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.
What happens if I miss a dose?
Since Ermite Cream 5% w/w topical is usually needed only once, you are not likely to be on a dosing schedule. Wait at least 7 days before using a second application.
Do I put Ermite Cream 5% w/w on vagina?
Apply Ermite Cream 5% w/w topical to all pubic hair and any surrounding hairs on the thighs and around the anus. Leave the medicine on for 10 minutes. Then work into a lather and rinse thoroughly with warm water.
Is it safe to use Ermite Cream 5% w/w everyday?
Topical Ermite Cream 5% w/w, applied once daily, is considered as the most effective treatment in scabies.
