Pediculosis - pubic lice; Lice - pubic; Crabs
Pubic lice are best treated with a prescription wash containing permethrin, such as Elimite or Kwell:
A single treatment is all that is usually needed. If another treatment is recommended, it should be done 4 days to 1 week later.
Over-the-counter medications for the treatment of lice include Rid and Nix. Malathione lotion is another treatment option.
While you are treating pubic lice, wash all clothing and linens in hot water. Items that cannot be washed may be sprayed with a medicated spray or sealed (suffocated) in plastic bags and not used for 10 - 14 days. It is important for all intimate contacts to be treated at the same time.
People with pubic lice should be evaluated for other sexually-transmitted infections at the time of diagnosis.
Click here to see a video about getting rid of lice in the home.
The proper treatment, including thorough cleaning, should get rid of the lice.
The constant scratching and digging can cause the skin to become raw, and secondary infections may develop.
Call for an appointment with your health care provider if:
Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa:Mosby Elsevier;2009: pp 590-594.
Diaz JH. Lice (pediculosis). In: Mandell GL, Bennett JE, Dolin R. Mendell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa:Churchill Livingstone Elsevier;2009:chap 293.
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