Ivermectin, Topical

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KEY POINTS

• This medicine is used on the scalp to treat head lice. Use it exactly as directed.
• This medicine may cause unwanted side effects. Tell your healthcare provider if you have any side effects that are serious, continue, or get worse.
• Tell all healthcare providers who treat you about all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take.

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What are other names for this medicine?

Type of medicine: antihelmintic (antiworm)

Generic and brand names: ivermectin, topical; Sklice

What is this medicine used for?

This medicine is used on the scalp to treat head lice.

This medicine may be used to treat other conditions as determined by your healthcare provider.

What should my healthcare provider know before I take this medicine?

Before taking this medicine, tell your healthcare provider if you have ever had:

• An allergic reaction to any medicine
• A skin problem such as eczema

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.

How do I take it?

Check the label on the medicine for directions about your specific dose. Use this medicine exactly as directed by your healthcare provider. Do not use it more often or longer than directed.

Do not use this medicine on infants or children under 6 months of age.

This medicine is for use on scalp hair and scalp only. Keep this medicine away from the eyes and mouth. If it gets into the eyes accidentally, flush them with plenty of cool tap water.

Apply the lotion to dry hair and thoroughly coat your hair and scalp. Each medicine tube is for single-use only. Discard any unused medicine.

Wash your hands after applying the lotion.

Leave the lotion on for 10 minutes, then rinse your hair thoroughly and use a fine-toothed comb to remove dead lice and eggs.

Do not put this medicine on open cuts or broken skin.

More than one treatment is usually not needed. Contact your healthcare provider if lice are still present after 7 to 9 days. Do not apply a second treatment without your healthcare provider's approval.

What if I overdose?

If you or anyone else has intentionally taken too much of this medicine, call 911 or go to the emergency room right away. If you pass out, have seizures, weakness or confusion, or have trouble breathing, call 911. If you think that you or anyone else may have taken too much of this medicine, call the poison control center. Do this even if there are no signs of discomfort or poisoning. The poison control center number is 800-222-1222.

Symptoms of an acute overdose may include: skin rash, swelling, headache, dizziness, weakness, nausea, vomiting, diarrhea, stomach pain, loss of coordination, seizures, shortness of breath, numbness, tingling.

What should I watch out for?

Do not use this medicine on infants or children under 6 months of age. Their skin may absorb too much medicine and they may have serious side effects. An adult should supervise use of this medicine on older children. Make sure children close their eyes tightly to keep this medicine out of their eyes. Pregnant women should not apply this medicine without gloves.

Head lice spread easily, so your healthcare provider may want to treat all members of your household at the same time. Clean combs and brushes well by soaking them in a disinfectant such as Lysol. All clothing, bedding, and towels must be washed in hot water and dried in a hot dryer. Contaminated clothing that cannot be washed or dry cleaned should be sealed in a plastic bag for 2 weeks to make sure that you have killed all of the lice.

This medicine is for use on the scalp and scalp hair only. If it is swallowed by accident, get emergency medical help right away.

If you need emergency care, surgery, lab tests, or dental work, tell the healthcare provider or dentist you are taking this medicine.

What are the possible side effects?

Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help.): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (Report these to your healthcare provider right away.): Severe redness, pain, swelling, or irritation of the eye or eyelid.

Other: Dandruff, dry skin, temporary burning sensation on your scalp.

What products might interact with this medicine?

No significant drug interactions have been reported.

If you are not sure if your medicines might interact, ask your pharmacist or healthcare provider. Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

How should I store this medicine?

Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.

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This advisory includes selected information only and may not include all side effects of this medicine or interactions with other medicines. Ask your healthcare provider or pharmacist for more information or if you have any questions.

Ask your pharmacist for the best way to dispose of outdated medicine or medicine you have not used. Do not throw medicine in the trash.

Keep all medicines out of the reach of children.

Do not share medicines with other people.