Generic Elimite (Permethrin)

Elimite
Elimite is used to treat head lice and scabies.
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30 g
2 tubes
Elimite
R$214.63
R$ 168.16
R$ 84.08 per tube
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30 g
3 tubes
Elimite
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R$ 66.27 per tube
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30 g
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Elimite
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30 g
6 tubes
Elimite
R$633.15
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Introduction

Elimite is a topical medication that contains the synthetic pyrethroid permethrin as its active ingredient. It is supplied in a 30 g tube and is classified as an acaricide and insecticide for human use. The primary approved indications are the treatment of scabies and the control of head lice infestations. In addition to these primary uses, permethrin is sometimes employed off-label for certain dermatologic parasitic conditions, though such applications have not received formal regulatory approval.

What is Elimite?

Elimite is the generic version of well-known medications, containing the active compound permethrin. Our online pharmacy provides this generic alternative as a cost-effective treatment option. Permethrin has been marketed under brand names such as Nix, Kwell, and Scabicidal. Elimite is formulated as a cream or lotion in a 30 g tube designed for topical application to the skin or scalp. The manufacturer is not disclosed in publicly available labeling, but the product complies with the quality standards required by health authorities for topical antiparasitic agents.

How Elimite Works

Permethrin belongs to the pyrethroid class of insecticides. It binds to voltage-gated sodium channels on the neuronal membranes of mites and lice, prolonging the open state of the channel. This results in persistent depolarization, leading to paralysis and death of the parasite. The action is rapid; scabies mites are killed within 2-4 hours after adequate skin exposure, while head lice are eliminated within 30 minutes of contact. Systemic absorption from intact skin is minimal, and the compound is metabolized primarily by hepatic enzymes and excreted in the urine.

Conditions Treated with Elimite

  • Scabies - A contagious skin infestation caused by the mite Sarcoptes scabiei. Permethrin 5 % cream applied to the entire body from the neck down (and to the scalp in infants) eradicates the mites, breaking the transmission cycle.
  • Pediculosis capitis (head lice) - Infestations of Pediculus humanus capitis on the scalp. A 1 % permethrin lotion applied to dry hair for 10 minutes and then rinsed removes both live lice and nymphs.

These conditions respond to permethrin because the drug directly targets the nervous system of the ectoparasites, offering a high cure rate (>90 %) when applied correctly.

Off-Label and Investigational Uses of Elimite

Off-label use Evidence base Comment
Chigger (trombiculid) bites Small case series report symptom relief after topical permethrin 1 % application. Not approved; use should be supervised by a clinician.
Mite-related dermatitis (e.g., demodicosis) Limited pilot studies show reduction in mite counts with 5 % permethrin cream. Efficacy not established; safety profile similar to approved uses.
Scabies in immunocompromised patients Clinical reports suggest higher-dose or repeated-application regimens may be needed. Regulatory approval remains for standard dosing; off-label adaptation requires specialist oversight.

All off-label applications lack formal regulatory endorsement. Patients should discuss any non-approved use with a qualified healthcare provider before initiating treatment.

Is Elimite the Right Medication for You?

Elimite is appropriate for individuals diagnosed with scabies or head lice who can apply a topical agent safely. Ideal candidates include:

  • Adults and children older than 2 months (for scabies) who have no known hypersensitivity to pyrethroids.
  • Patients with intact skin where systemic absorption is expected to remain low.

Contraindications include:

  • Known allergy to permethrin or any component of the formulation.
  • Severe skin conditions (e.g., extensive dermatitis, open wounds) where the product cannot be applied uniformly.

In pregnant or breastfeeding women, permethrin is generally considered low risk, but a clinician’s assessment is recommended.

Risks, Side Effects, and Interactions

Common

  • Transient skin irritation - mild erythema, itching, or burning at the application site.
  • Pruritus - may persist for a few days after mite death, reflecting an inflammatory response.

Rare

  • Allergic contact dermatitis - characterized by vesicular rash, swelling, and intense itching.
  • Hyperpigmentation - localized darkening of skin after repeated applications.

Serious

  • Systemic toxicity - extremely rare; symptoms may include headache, dizziness, or seizures, typically in cases of extensive application over broken skin.
  • Severe hypersensitivity reaction - angioedema or generalized urticaria requiring immediate medical attention.

Drug-Drug and Drug-Food Interactions

  • Topical corticosteroids - concurrent use may increase skin absorption of permethrin; monitor for irritation.
  • Phototoxic agents - permethrin does not potentiate photosensitivity, but avoid excessive UV exposure after application to minimize skin irritation.
  • Oral antiepileptics - no known interaction, but patients on seizure-lowering medications should be observed for any unexpected neurologic signs if systemic absorption occurs inadvertently.

Use: Dosing, Missed Dose, Overdose

Standard dosing for scabies: Apply a 5 % permethrin cream to the entire body from the neck down (including soles and palms) overnight (8-14 hours), then wash off. Repeat after 7 days to ensure eradication of any newly hatched mites.

Standard dosing for head lice: Apply a 1 % permethrin lotion to dry hair, saturating the scalp and hair shafts for 10 minutes. Rinse thoroughly and comb out nits. A second treatment after 7 days is recommended to eliminate any surviving nymphs.

Missed dose: If a dose is missed, apply it as soon as remembered, provided the recommended interval has not yet passed. Do not double the dose.

Overdose: Excessive topical application may increase systemic exposure. In case of suspected overdose, seek medical evaluation promptly. Supportive care includes monitoring of neurologic status and symptomatic treatment.

Practical precautions

  • Apply to clean, dry skin; avoid contact with eyes, mouth, and mucous membranes.
  • Do not use with alcohol-based products; alcohol may increase skin irritation.
  • Refrain from operating heavy machinery or driving until any transient neurologic symptoms have resolved.

FAQ

  • What temperature should I store Elimite at? Elimite should be kept at controlled room temperature (15-30 °C). Extreme heat or cold may alter the stability of the permethrin molecule.

  • Can I use Elimite while breastfeeding? Current evidence suggests minimal systemic absorption, making it unlikely to enter breast milk in harmful amounts. Nevertheless, consult a healthcare professional before routine use.

  • Is Elimite safe for use on infants under 2 months? For scabies, a 5 % permethrin cream can be used on infants older than 2 months. Younger infants require a physician-prescribed alternative, such as sulfur ointment.

  • How long does the 30 g tube last with typical use? A single full-body application for scabies generally uses 10-12 g of cream. For head lice, a 1 % lotion course consumes approximately 5 g per treatment. The tube therefore provides enough for multiple treatment cycles.

  • Will Elimite cause my hair to become dry or brittle? Permethrin lotions may have a mild drying effect. Using a mild conditioner after treatment can mitigate hair texture changes.

  • Can I travel internationally with the tube of Elimite? Yes; the product is classified as a non-controlled topical medication. Carry it in its original container and declare it if customs forms request medication details.

  • Does permethrin testing appear on standard drug screens? Permethrin is not typically screened for in routine workplace drug tests because it is not a substance of abuse.

  • Are there any regional formulation differences for Elimite? Formulation may vary slightly in inactive ingredients (e.g., emulsifiers) depending on the manufacturing site, but the active concentration remains consistent at 5 % for scabies and 1 % for lice.

  • What is the difference between Elimite and the brand-name Nix? Nix is a commercially branded permethrin lotion primarily marketed for head lice. Elimite provides the same active ingredient at equivalent concentrations but is offered as a generic product, often at lower cost.

  • Can I use Elimite on pets who have the same parasites? Permethrin formulations for human use are not approved for veterinary applications. Pets require specifically licensed veterinary products; using human permethrin may cause toxicity.

Glossary

Pyrethroid
A class of synthetic insecticides that mimic natural pyrethrins, acting on sodium channels of nerve cells to cause paralysis.
Scabies mite
The microscopic arthropod Sarcoptes scabiei that burrows into human skin, causing intense itching and a characteristic rash.
Nymph
An immature stage of a louse that has not yet developed into an adult; nymphs are typically attached to hair shafts and are removed during lice treatment.
Topical absorption
The process by which a drug applied to the skin enters systemic circulation; for permethrin, this absorption is generally low when applied to intact skin.

Buying Elimite from Our Online pharmacy

Patients seeking a reliable, affordable source of permethrin can obtain Elimite through our online pharmacy. The service offers:

  • Cost-effective pricing - generic Elimite is priced near the manufacturer’s production cost, reducing the financial burden for patients.
  • Verified quality - every tube is sourced from licensed, audited suppliers that meet international pharmaceutical standards.
  • Discreet and reliable delivery - packages are shipped in unbranded envelopes, with options for express (≈ 7 days) or regular airmail (≈ 3 weeks) depending on location.
  • International access - our pharmacy broker network collaborates with overseas licensed pharmacies, allowing patients in regions with limited local availability to obtain the medication safely.

Because the product is delivered directly to the patient’s door, privacy is maintained throughout the ordering process. This convenient model supports individuals who may face barriers to traditional pharmacy access, insurance restrictions, or high out-of-pocket costs.

Disclaimer

The information presented about Elimite is intended for general educational purposes and does not substitute professional medical advice. Treatment decisions, including any off-label applications, should be made under the supervision of a qualified healthcare practitioner. Readers are presumed to be responsible adults capable of making informed health choices. Our online pharmacy supplies Elimite to individuals who might encounter limited availability through conventional pharmacies or who are looking for affordable generic alternatives. Always discuss with a physician before initiating, modifying, or discontinuing any medication.

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