372 Where There Is No Doctor  2011 Green Pages
Nystatin or Miconazole
Name:__________________ price:________ for_ ______
Often comes in: solutions, dusting powders, vaginal
tablets, ointments, and creams
Used for treating yeast infections (Candida,
moniliasis) in the mouth (thrush), the vagina, or
in the folds of the skin. Nystatin only works for
infections caused by yeast, but miconazole works
against other fungus infections as well.
Dosage for nystatin and miconazole-the same for
children and adults:
Thrush in the mouth: put 1 ml. of solution in the
mouth and hold it there for at least 1 minute before
swallowing. Do this 3 or 4 times a day.
Yeast infection on the skin: keep as dry as
possible and use nystatin or miconazole dusting
powder or ointment 4 or 5 times a day.
Yeast infection in the vulva or vagina: put
cream inside the vagina twice daily or a vaginal
tablet inside the vagina nightly. For miconazole,
using a 200 mg. insert, use for 3 days. For nystatin,
using a 100,000 Unit insert, use for 14 days.
FOR SCABIES AND LICE:
INSECTICIDES
Benzyl benzoate, cream or lotion
Name:__________________ price:________ for_ ______
Often comes in: cream or lotion.
Used for both scabies and head lice.
For head lice, wash and dry hair and scalp
thoroughly before applying benzyl benzoate. Use
enough to thoroughly wet the dry hair and skin.
Leave the medicine on for 24 hours, then wash with
warm water and soap or shampoo. After rinsing
and drying, use a fine-tooth comb to remove any
nits or shells from hair. For severe cases, repeat
2 to 3 times, waiting 24 hours after each use.
For scabies, wash and dry body thoroughly,
then apply benzyl benzoate from the neck down,
including the soles of the feet, and rub in well.
Leave the medicine on for 24 hours, then wash with
warm water and soap. Rinse thoroughly and dry
with a clean towel. For severe cases, repeat once
between 1 to 5 days after the first use.
Dosage of Benzyl benzoate for children with either
head lice or scabies:
For infants: mix 1 part benzyl benzoate with
3 parts water, 1 time only.
For older children: mix 1 part benzyl
benzoate with 1 part water, 1 time only.
Permethrin (Acticin, Elimite, Nix)
Name:__________________ price:_______ for_______
Comes in many forms. For scabies, use a cream
containing 5 percent permethrin. For lice, use a
shampoo containing 1 percent permethrin.
For scabies, this is the best choice (unless you
have HIV, then use Ivermectin, see p. 377).
For scabies, wash and dry body thoroughly,
then apply permethrin from the neck down,
including the soles of the feet, and rub in well.
Leave the medicine on for 10 to 14 hours, then
wash with warm water and soap. Rinse thoroughly
and dry with a clean towel. Repeat after 1 week.
Treat all family members as prevention.
For head lice, permethrin is used in some
medicated shampoos (Nix). Follow the directions
on the container, which should be the same as
listed below in Pyrethrins with piperonyl (RID).
Crotamiton (Crotan, Eurax)
Name:__________________ price:________ for_ ______
Often comes in: cream or lotion containing
10 percent crotamiton.
For scabies only, but avoid using on children
under 3 years old. Use like permethrin, but do not
wash it off. After 24 hours, apply a second time.
Wash with soap and warm water 2 days after the
last application. Change clothing and bedding
at this time as well. Resistance is developing to
Crotamiton, so it does not always work.
Ivermectin (see p. 377)
Sulfur in petroleum jelly (Vaseline) or lard
Use this for scabies if you cannot get the above.
Mix 1 part of sulfur in 20 parts of Vaseline, mineral
oil, or lard to form a 5 percent sulfur ointment.
Pyrethrins with piperonyl (RID)
Name:__________________ price:________ for_ ______
Often comes as a liquid solution containing
pyrethrins and piperonyl butoxide.
Works well for all kinds of lice. Without adding
any water, apply the liquid to dry hair until it is
completely wet. (Do not use on eyebrows or
eyelashes.) Wait 10 minutes, no longer. Wash the
hair with warm water and soap or shampoo. Repeat
in 1 week. Change clothing and bedding after
treatment. To get rid of nits (lice eggs), see p. 200.