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Topiscab 5% cream, is an external antiparasitic medication, based on permethrin, a molecule belonging to the pyrethrin family
This cream is active against skin parasites such as sarcoptes, agent of scabies. Topiscab is therefore a topical treatment for scabies.
100 g of cream contains 5 g of permethrin.
The other components are: emulsifying cetostearyl alcohol (type A), liquid paraffin, white petroleum jelly, sorbic acid and purified water
The usual dosage is 2 skin applications with the first application on D 0 and the second application one week later on D 8. The duration between 2 applications should not be less than 7 days and not more than 14 days.
This cream should be applied gently in a thin layer on the skin.
In adults and adolescents over 12 years of age, 30 g of cream is applied per application, which is equivalent to the tube.
This cream is applied to the whole body, including the neck, nape of the neck, palms of the hands and soles of the feet. It is not necessary to apply it to the head and face, except if they are affected. Remember to apply the cream between the fingers and toes, on the wrists, elbows, armpits, external genitalia and buttocks.
For children aged 6 to 12 years, apply 15 g of cream. For children aged 1 to 5 years, the dose is 7.5 g of cream, which is the size of two hazelnuts. Finally, for children aged 2 months to 1 year, 3.75 g of cream is applied. In children, the cream is also applied to the whole body including the face and scalp.
In elderly subjects, the cream is applied to the same areas as in adults, with the addition of the face, ears and scalp.
To avoid any risk of contamination, one tube is used per patient. It is important that the cream does not get into the eyes or come into contact with mucous membranes (lips, mouth, nostrils, genital area) or open wounds, otherwise rinse with water
After applying the cream, leave it on for at least 8 hours, the best being to apply it in the evening at bedtime, to guarantee its effectiveness. Avoid bathing, showering and washing during this time. If your hands are washed during these 8 hours, the cream must be reapplied to your hands and wrists, as well as if other areas have been washed. After these 8 hours, the cream is removed in the shower or with soap and water.
In case of allergy to permethrin, other pyrethrins or any of the other components contained in this medication.
It is best to tell your doctor before treating an infant. Topiscab cream should not be used on newborns during the first 2 months without the advice of your doctor.
Topiscab cream is harmful to insects and to organisms living in water (fish, daphnia, algae)
The paraffin and white petroleum jelly in the cream may decrease the effectiveness of latex-containing products (e.g. condoms, diaphragms) when used together.
Tell your doctor or pharmacist if you are taking any other medicines.
Topiscab can be used in pregnant women, ask your doctor for advice. But during the treatment, it is preferable to stop breastfeeding.
Specific References
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