Scabi-pearl
Scabi-pearl Uses, Dosage, Side Effects, Food Interaction and all others data.
Scabi-pearl induces electrochemical abnormalities across the membranes of excitable cells, leading to sensory hyperexcitability, in coordination and prostration. Scabi-pearl is rapidly metabolized in mammals by ester hydrolysis to inactive metabolites which are excreted primarily in the urine. The principal metabolites of Scabi-pearl 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.
Scabi-pearl, a pyrethroid, is active against a broad range of pests including lice, ticks, fleas, mites, and other arthropods.
| Trade Name | Scabi-pearl |
| 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 | Pearl Pharmaceuticals |
| Available Country | Pakistan |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Scabi-pearl is used for the treatment of scabies.
Scabi-pearl is also used to associated treatment for these conditions: Head Lice Infestation, Norwegian scabies, Scabies, Lice of the pubic area
How Scabi-pearl works
Scabi-pearl 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
Scabi-pearl 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 Scabi-pearl 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
Scabi-pearl is not an eye-irritant, but the cream itself may cause marked irritation. Nursing staff who routinely apply Scabi-pearl, 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 Scabi-pearl, 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
Scabi-pearl 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 Scabi-pearl in pregnancy which provide no indication of any risk to the foetus. Furthermore, the amount of Scabi-pearl 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 Scabi-pearl is minimal. Inspite of these, Scabi-pearl is suggested not to useduring pregnancy.
It is not known whether Scabi-pearl is excreted in human breast milk. So, it should not be used in nursing mothers.
Contraindication
Scabi-pearl 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 Scabi-pearl. It is possible that excessive application of Scabi-pearl 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
You find simplified version here Scabi-pearl
Scabi-pearl contains Permethrin see full prescribing information from innovator Scabi-pearl Monograph, Scabi-pearl MSDS, Scabi-pearl FDA label
FAQ
What is Scabi-pearl used for?
Scabi-pearl is used to treat scabies and lice. It is applied to the skin as a cream or lotion. As an insecticide, Scabi-pearl can be sprayed onto clothing or mosquito nets to kill the insects that touch them.Scabi-pearl topical may also be used for other purposes not listed in this medication guide.
How safe is Scabi-pearl?
Scabi-pearl is considered safe for topical use in adults and children over the age of two months.
How does Scabi-pearl work?
Scabi-pearl works by paralyzing and killing the mites and their eggs.
What are the common side effects of Scabi-pearl?
- 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 Scabi-pearl are include :
Is Scabi-pearl 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. Scabi-pearl topical is only recommended for use during pregnancy when benefit outweighs risk.
Is Scabi-pearl safe during breastfeeding?
Scabi-pearl is generally considered safe for children and adults of all ages, including women who are breastfeeding.
Can I drink alcohol with Scabi-pearl?
After using Scabi-pearl, 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 Scabi-pearl?
After using Scabi-pearl, 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 Scabi-pearl 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 Scabi-pearl to penetrate burrows or skin, a factor that was relevant in one case reported here.
How long does Scabi-pearl 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. Scabi-pearl breaks down through exposure to air and sunlight.
Does Scabi-pearl stop itching?
Even if Scabi-pearl 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 Scabi-pearl?
Use two applications of Scabi-pearl 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 Scabi-pearl ?
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 Scabi-pearl?
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 Scabi-pearl 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 Scabi-pearl on vagina?
Apply Scabi-pearl 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 Scabi-pearl everyday?
Topical Scabi-pearl, applied once daily, is considered as the most effective treatment in scabies.
