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Elimite (Permethrin 5%)

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What is Elimite

Elimite, containing the active ingredient Permethrin at a concentration of 5%, is a topical cream widely used for the treatment of scabies, a skin infection caused by tiny mites that burrow into the skin. Permethrin belongs to a class of drugs known as pyrethrins, which act by paralyzing and killing the mites and their eggs.


Elimite is recommended for the treatment of scabies in adults and children who are at least 2 months old. It is applied as a topical cream to the skin, following specific instructions for application to ensure effectiveness. The cream is typically applied to the entire body from the neck down and left on for 8 to 14 hours before washing off. Treatment may need to be repeated in 7 days if the infection has not cleared. Patients should follow their healthcare provider's instructions closely regarding application procedures and treatment duration.

Precautions and Contraindications

Before using Elimite, patients should be aware of certain precautions and contraindications. The medication is contraindicated in individuals who have shown hypersensitivity to permethrin, chrysanthemums, or any component of the formulation. Although Elimite is considered safe for use during pregnancy and breastfeeding, it should be used with caution, and only when clearly needed, under the guidance of a healthcare provider. It's important to ensure that the cream does not come into contact with the eyes, nose, mouth, or genitals.


Given its topical use, systemic interactions with other drugs are unlikely with Elimite. However, patients should inform their healthcare provider about all the medications, supplements, and herbal products they are using to rule out any potential interactions, especially if they are using other topical medications that might affect the absorption or effectiveness of permethrin.

Side Effects

While Elimite is generally well-tolerated, some individuals may experience side effects. Common adverse reactions include mild burning, stinging, itching, redness, or swelling at the application site. These symptoms are usually temporary and should diminish as the body adjusts to the medication. Serious side effects are rare but require immediate medical attention and include severe burning, stinging, redness, or swelling where the product was applied, difficulty breathing, or signs of an allergic reaction.

Before You Start Elimite Treatment

Consulting a healthcare professional is essential before beginning treatment with Elimite. This includes discussing the patient's medical history, current health conditions, and any allergies to ensure the safety and effectiveness of the medication. The healthcare provider will provide detailed instructions on how to apply the cream correctly.


Overdose with Elimite is unlikely when used as directed because it is applied topically and absorption into the bloodstream is minimal. However, if Elimite is ingested or applied excessively, it could lead to increased risk of side effects. Symptoms of excessive exposure may include increased itching, numbness, tingling, or rash. In the case of accidental ingestion or suspicion of an overdose, it is crucial to seek emergency medical attention immediately.

To conclude, Elimite (Permethrin 5%) offers an effective solution for the treatment of scabies, providing relief from the itching and discomfort associated with mite infestations. Consulting a healthcare provider and adhering to the prescribed application procedures are essential steps in using this medication safely and effectively. Through careful use and adherence to medical advice, patients can achieve significant relief from scabies, enhancing their quality of life while minimizing the risks associated with treatment.