Permisha

Permisha Uses, Dosage, Side Effects, Food Interaction and all others data.

Permisha induces electrochemical abnormalities across the membranes of excitable cells, leading to sensory hyperexcitability, in coordination and prostration. Permisha is rapidly metabolized in mammals by ester hydrolysis to inactive metabolites which are excreted primarily in the urine. The principal metabolites of Permisha are detectable in the urine within hours of a whole body application of the cream to healthy volunteers or scabies patients. The highest levels of excretion are detectable within the first 48 hours, but very low levels of metabolites are still detectable in the urine of some individuals 28 days after treatment.

Permisha, a pyrethroid, is active against a broad range of pests including lice, ticks, fleas, mites, and other arthropods.

Trade Name Permisha
Generic Permethrin
Permethrin Other Names Permethrin
Type Soap
Formula C21H20Cl2O3
Weight Average: 391.288
Monoisotopic: 390.07894992
Groups Approved, Investigational
Therapeutic Class Parasiticidal preparations
Manufacturer Positif Lifesciences
Available Country India
Last Updated: September 19, 2023 at 7:00 am
Permisha
Permisha

Uses

Permisha is used for the treatment of scabies.

Permisha is also used to associated treatment for these conditions: Head Lice Infestation, Norwegian scabies, Scabies, Lice of the pubic area

How Permisha works

Permisha acts on the nerve cell membrane to disrupt the sodium channel current by which the polarization of the membrane is regulated. Delayed repolarization and paralysis of the pests are the consequences of this disturbance.

Dosage

Permisha dosage

For 15 gm Tube:

  • Adults and children (over 12 years): Use two full tube
  • Children aged 6-12 years: Use a full tube
  • Children aged 1-5 years: Use up to 1/2 of a tube
  • Children aged 2 months to 1 year: Use up to 1/4 of a tube

For 30 gm Tube:

  • Adults and children (over 12 years): Use a full tube
  • Children aged 6-12 years: Use up to 1/2 of a tube
  • Children aged 1-5 years: Use up to 1/4 of a tube
  • Children aged 2 months to 1 year: Use up to 1/8 of a tube
  • Patients of >2 months of age can use the dermal cream.
  • Cream should be applied to clean, dry skin. If the body is hot due to warm bath or any other reason, skin should be allowed to cool.
  • It should be applied to the whole body excluding head.
  • The whole body should be washed thoroughly 8-12 hours after treatment.
  • Adults and children above 12 years will use a 30 g tube as a single dose.
  • If necessary maximum two tubes (60 gm) can be used as a single dose.
  • The cream should not be applied to the vicinity of mouth and areas close to the eyes.

Side Effects

In scabies patients, skin discomfort, usually described as burning, stinging or tingling occurs in a few individuals soon after the cream is applied. Other transient signs and symptoms of irritation including erythema, edema, eczema, rash and pruritus which may follow the treatment of scabies with Permisha are generally considered to be the part of the natural history of scabies. In patients treated for scabies, itching may persist for up to 4 weeks post-treatment. This is generally regarded as due to an allergic reaction to the dead mites under the skin and is not necessarily indicative of a treatment failure.

Toxicity

Oral, rat LD50: 430 - 4000 mg/kg; skin, rabbit LD50: 2000 mg/kg.

Precaution

Permisha is not an eye-irritant, but the cream itself may cause marked irritation. Nursing staff who routinely apply Permisha, may wear gloves to avoid any possible irritation to the hands.

Interaction

The treatment of eczematous-like reactions with corticosteroids should be withheld prior to treatment with Permisha, as there is a risk of exacerbating the scabies infestation by reducing the immune response to the mite.

Food Interaction

No interactions found.

Elimination Route

Poorly absorbed through the skin.

Elimination Route

Permisha is rapidly metabolized by ester hydrolysis to inactive metabolites which are excreted primarily in the urine.

Pregnancy & Breastfeeding use

There are limited data on the use of Permisha in pregnancy which provide no indication of any risk to the foetus. Furthermore, the amount of Permisha absorbed systemically following a whole body application is extremely low. The negative mutagenicity tests and the very low mammalian toxicity would suggest that any risk to the foetus following treatment with Permisha is minimal. Inspite of these, Permisha is suggested not to useduring pregnancy.

It is not known whether Permisha is excreted in human breast milk. So, it should not be used in nursing mothers.

Contraindication

Permisha is contraindicated in subjects with known hypersensitivity to the product, its components, other pyrethroids or pyrethrins.

Acute Overdose

There are no reports of overdosage with Permisha. It is possible that excessive application of Permisha might result in localized adverse reactions or more severe skin reactions.

Storage Condition

Store at a cool and dry place. Protect from light. Do not freeze.

Innovators Monograph

You find simplified version here Permisha

Permisha contains Permethrin see full prescribing information from innovator Permisha Monograph, Permisha MSDS, Permisha FDA label

FAQ

What is Permisha used for?

Permisha is used to treat scabies and lice. It is applied to the skin as a cream or lotion. As an insecticide, Permisha can be sprayed onto clothing or mosquito nets to kill the insects that touch them.Permisha topical may also be used for other purposes not listed in this medication guide.

How safe is Permisha?

Permisha is considered safe for topical use in adults and children over the age of two months.

How does Permisha work?

Permisha works by paralyzing and killing the mites and their eggs.

What are the common side effects of Permisha?

    Common side effects of Permisha are include :

  • Mild and transient burning and stinging.
  • Itching.
  • Skin redness.
  • Skin swelling.
  • Skin rash.
  • Numbness or tingling where the medicine was applied.
  • Scabies symptoms may temporarily worsen after treatment.

Is Permisha safe during pregnancy?

Animal studies have revealed no evidence of impaired fertility or harm to the fetus. There are no controlled data in human pregnancy. Permisha topical is only recommended for use during pregnancy when benefit outweighs risk.

Is Permisha safe during breastfeeding?

Permisha is generally considered safe for children and adults of all ages, including women who are breastfeeding.

Can I drink alcohol with Permisha?

After using Permisha, you should wash all clothing, sheets, and towels you used in hot water. You should also clean all showers, toilets, and bathtubs with rubbing alcohol to kill remaining parasites.

Does alcohol affect Permisha?

After using Permisha, you should wash all clothing, sheets, and towels you used in hot water. You should also clean all showers, toilets, and bathtubs with rubbing alcohol to kill remaining parasites.

How long does it take Permisha to work?

The dermal cream should be applied for 8-12 hours, while users are instructed to apply the cream rinse for 10 minutes only. Ten minutes is not long enough to enable the Permisha to penetrate burrows or skin, a factor that was relevant in one case reported here.

How long does Permisha last?

At the concentration level delivered in the aerosol, non-aerosol pump sprays and soak systems, an application lasts for six weeks and through six washings. Permisha breaks down through exposure to air and sunlight.

Does Permisha stop itching?

Even if Permisha kills all the scabies, the dead mites can still make you itch for up to 4 weeks after treatment. Ask your doctor about other medications that may be used to soothe the itching.

How often can I take Permisha?

Use two applications of Permisha cream, seven days apart. Your whole body must be treated with the cream. Leave each application on for 8-12 hours, then wash the cream off with soap and water.

Can I overdose on Permisha ?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away.

Who should not take Permisha?

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

What happens if I miss a dose?

Since Permisha topical is usually needed only once, you are not likely to be on a dosing schedule. Wait at least 7 days before using a second application.

Do I put Permisha on vagina?

Apply Permisha topical to all pubic hair and any surrounding hairs on the thighs and around the anus. Leave the medicine on for 10 minutes. Then work into a lather and rinse thoroughly with warm water.

Is it safe to use Permisha everyday?

Topical Permisha, applied once daily, is considered as the most effective treatment in scabies.

*** Taking medicines without doctor's advice can cause long-term problems.
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