Lyclear Dermal Cream 30g

Lyclear Dermal Cream is used to treat scabies and crab lice. Lyclear Dermal Cream contains the active ingredient Permethrin 5%, a chemical with a broad range of insecticidal properties. It is an effective treatment for Scabies and Genital Lice (Crabs). The active ingredient, permethrin, belongs to a group of medicines called the pyrethroids, which are anti-parasitic agents.

Adults and children over 2 years old:

Apply the cream to the skin over the whole body including the palms and soles but NOT the head or face. Ensure that you cover the areas between the fingers and toes, under the nails, and on the wrists, arm-pits, external genitals and the buttocks.

Children under 2 years old:

Treat only under medical supervision. Treat as above but also treat the neck, face, ears and scalp. Avoid the area around the mouth and around the eyes.

Leave the cream on for 8 to 12 hours, then wash off with soap and water. If you wash your hands within 8 hours, reapply to the hands.

Approximate dosage: Adults: between 1 and 2 tubes depending on size. Children between 6 and 12: up to half a tube. Children between 1 and 5 years: up to a quarter of a tube. Babies: up to an eighth of a tube.

Only to be used by adults aged 18 and over. Apply sufficient cream to cover the pubic region, pubic hair, around the anus, the genitals, the inner thighs down to the knees and any hair that grows up from the pubic area to the stomach/chest.

One 30g tube is more than sufficient to treat one hairy adult. It is recommended that up to a third of a tube is used to treat the pubic region, peri-anal region, thighs, stomach and chest. No more than two thirds of the tube should be needed to complete the treatment.

The cream should be left on the skin for 24 hours. The treatment areas should then be thoroughly washed.

Any facial hair (beards, moustaches, eyebrows) should be checked for the presence of live lice and eggs. Cream should be applied to any infected facial hair. Eyelashes should be checked, but cream should NOT be applied to them; instead, lice or eggs should be removed with tweezers.

Leave cream on for around 24 hours, then wash thoroughly.

Do not use if you have ever had an allergic reaction to Lyclear Dermal Cream, Permethrin, other pyrethroids or pyrethrins, or any of the ingredients listed.

Take special care with Lyclear Dermal Cream if you are currently using a type of medicine called corticosteroid.

Lyclear Dermal Cream is for external use only.

Avoid contact with the eyes. In the event of eye contamination, rinse with water immediately.

Ensure the skin is clean, dry and cool. Do not take a hot bath immediately before treatment.

The cream rubs easily into the skin. You do not need to keep applying more cream until it can be seen on the surface of the skin.

If the contents of the tube are swallowed by a child, talk to your doctor immediately.

If too much cream is applied, it should be washed off with soap and warm water. If there are any signs of irritation, talk to your doctor.

Lyclear Dermal Cream may cause minor irritation for a short while.

The itching associated with scabies can continue for up to 4 weeks even after a successful application of Lyclear Dermal Cream, as the dead mites and eggs are still attached to the skin. There is no need to reapply the cream within this period.

Ask your doctor or pharmacist for advice before using Lyclear Dermal Cream in pregnancy or whilst breast-feeding.

Permethrin (5% w/w), coconut oil, glyceryl monostearate, macrogol cetyl ether, cetomacrogol 1000, isopropyl myristate, lanolin alcohols/liquid paraffin mixture, butylated hydroxytoluene (E321) glycerol, formaldehyde solution, carbomer, sodium hydroxide and purified water.

Adults and adolescents over 12 years old (for scabies):

• Apply up to 30g of cream (corresponding to one tube of 30g) to the whole body including the neck, palms of the hands and soles of the feet. The head and face can be spared unless this area includes places affected by scabies (itch mites).
• When applying the cream, the areas between the fingers and toes (also under the finger- and toe-nails), the wrists, elbows, armpits, external genitalia and buttocks should be especially carefully treated.

Children aged from 6-12 years (for scabies):

• Apply up to 15g of cream (corresponding to half a tube of 30g).

Children aged from 2 months - 5 years (for scabies):

• Apply up to 7.5g of cream (corresponding to a quarter of a tube of 30g).
• Children should apply the cream uniformly to the whole body, including the palms of the hands, soles of the feet, neck, face, ears, and scalp. Parts of the skin around the mouth (because the cream could be licked off) and the eyes should be spared. Keep your child from licking the cream from the hands. If necessary, children should wear gloves.

Newborns and infants under 2 months of age (for scabies):

• There is only limited amount of data available in this age group and no dose can be recommended. Treatment to children up to the age of 23 months should therefore only be treated under close medical supervision.

Elderly patients (over 65 years) (for scabies):

• Use the cream in the same way as adults but in addition, the face, ears and scalp should also be treated. Care should be taken to avoid applying the cream to areas of skin around the eyes.

Adults over 18 years of age (for crab lice):

• Apply up to 30g of cream (corresponding to one tube of 30g).
• Apply sufficient cream to cover the pubic region, pubic hair, around the anus, the genitals, the inner thighs down to the knees and any hair that grows up from the pubic area to the stomach/chest. No more than two-thirds of the tube should be needed to complete the treatment.
• Any facial hair (beards, moustaches, eyebrows) should be checked for the presence of live lice and eggs. Cream should be applied to any infected facial hair, carefully avoiding eyes. Eyelashes should be checked, but cream should NOT be applied to them; instead, lice or eggs should be removed with tweezers.

How long to use Lyclear Dermal Cream:

• One application of Lyclear Dermal Cream is usually sufficient.
• Leave the cream on the skin for at least eight hours, for example, overnight. Avoid bathing, showering or washing during this period, because this could endanger the success of treatment. If you have to wash your hands within the eight-hour period, then reapply the cream to the hands and wrist area. The same applies if you have to wash other parts of treated skin (buttocks, external genitalia).
• After at least eight hours, take a shower or wash the skin with soap and water.
• If, in cases of persistent or renewed infestation, it is necessary to repeat the treatment, do so after 14 days.

Do not use Lyclear Dermal Cream 30g:

• If you are allergic to Permethrin, other pyrethrins or pyrethroids, or any of the other ingredients of this medicine (listed in section 6 of the Patient Information Leaflet).
• In newborns and infants less than 2 months of age, unless your doctor tells you so.

Warnings and precautions:

• Talk to your doctor or pharmacist before using Lyclear Dermal Cream 30g if you are treating infants (under 23 months of age) or if you are known to be allergic to chrysanthemums or other compositae.
• For cutaneous use only. Do not swallow this medicine.
• Avoid contact with eyes or mucous membranes (inside the nose or throat, genital region) or open wounds. If accidental contact occurs, rinse thoroughly with water immediately.
• Lyclear Dermal Cream 30g may worsen symptoms of dermatitis or other skin sensitivities.
• Corticosteroids (steroids) should not be used to treat skin conditions like skin irritation when Lyclear Dermal Cream 30g is being used, as they may interfere with the body's natural defence to infestations.
• If you are pregnant or breastfeeding, consult your doctor or pharmacist before using Lyclear Dermal Cream 30g.
• Lyclear Dermal Cream 30g contains butylated hydroxytoluene (E321) and formaldehyde which may cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes.
• The paraffins in Lyclear Dermal Cream 30g can reduce the efficiency and reliability of latex products (e.g. condoms, diaphragms) used at the same time.
• Lyclear Dermal Cream 30g is harmful to all types of insects and animals living in water (e.g. fish). Take care that Lyclear Dermal Cream 30g does not get into aquaria or terraria.

Possible side effects:

Like all medicines, Lyclear Dermal Cream 30g can cause side effects, although not everybody gets them.

• If severe hypersensitivity reactions occur, consult a doctor immediately and stop using Lyclear Dermal Cream 30g.
• Common (may affect up to 1 in 10 people): Itching (pruritus), reddening of the skin or unusual sensations on the skin (paraesthesias) such as tingling, pricking, skin burning sensation, and dry skin. The itching associated with scabies can continue for up to 4 weeks even after successful application of Lyclear Dermal Cream 30g, as the dead mites and eggs are still attached to the skin. There is no need to reapply the cream within this period. Moisturisers and oil baths are recommended for dry skin.
• Rare (may affect up to 1 in 1,000 people): Headache.
• Very rare (may affect up to 1 in 10,000 people): Skin lesions (excoriations), inflammation of the hair follicles (folliculitis) and reduced skin pigmentation have been reported. Breathing difficulties in sensitive/allergic persons.
• Not known (frequency cannot be estimated from available data): Intolerability reactions on the skin (contact allergy reactions) expressed as itching, reddening, blisters or nettle rash (urticaria). Nausea.

If you experience any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

Permethrin (5% w/w), coconut oil, glyceryl monostearate, macrogol cetyl ether, cetomacrogol 1000, isopropyl myristate, lanolin alcohols/liquid paraffin mixture, butylated hydroxytoluene (E321), glycerol, formaldehyde solution, carbomer, sodium hydroxide and purified water.

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We cannot guarantee the Patient Information Leaflet is accurate and is for reference only.