Head lice
Treatment of head lice
Wet combing or dimeticone 4% lotion is recommended first line for pregnant or breastfeeding women and people with asthma or eczema. Dimeticone 4% cutaneous spray to be reserved for when lotion unsuitable.
Dimeticone
Dimeticone 4% lotion
Dimeticone 4% cutaneous spray
Malathion
Malathion 0.5% aqueous liquid
Prescribing Notes:
- Dimeticone 4% lotion is a flammable product, keep away from fire/naked flames. Nit combs are available via Pharmacy First.
History Notes
27/05/2026
Regional formulary chapter launched.
Treatment of head lice
Wet combing or dimeticone 4% lotion is recommended first line for young children aged 6 months to 2 years and people with asthma or eczema. Dimeticone 4% cutaneous spray to be reserved for when lotion unsuitable.
Dimeticone
Dimeticone 4% lotion
Dimeticone 4% cutaneous spray
Malathion
Malathion 0.5% aqueous liquid
Prescribing Notes:
- Dimeticone 4% lotion is a flammable product, keep away from fire/naked flames. Nit combs are available via Pharmacy First.
History Notes
27/05/2026
Regional formulary chapter launched.