Pediatric Medication

Brand Names: US

Acticin [DSC]; Elimite

Brand Names: Canada

Kwellada-P [OTC]; Nix [OTC]

What is this drug used for?

  • It is used to treat lice.
  • It is used to treat scabies.
  • It may be given to your child for other reasons. Talk with the doctor.

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

  • Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
  • Do not use on a child younger than 2 months of age without first checking with the doctor.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Trouble breathing.
  • A burning or tingling feeling that is not normal.
  • Eye irritation.
  • Very bad irritation where this drug is used.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Itching. Talk to the doctor about what to do.
  • Irritation where this drug is used.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

All products:

  • Follow how to give this drug as you have been told by your child’s doctor or read the package insert.


  • Do not use on people or animals.
  • For use on non-washable items only.
  • Spray on infested part and let dry all the way.
  • Vacuum rugs and carpets. Throw away vacuum cleaner bags after use.

All other products:

  • Do not give by mouth. Use on your child’s skin only. Keep out of your child’s mouth, nose, and eyes (may burn).
  • Wash your hands before and after use.
  • Clean affected part before use. Make sure to dry well.
  • Wash all bedding, towels, and recently worn clothes in hot water or have them dry cleaned.


  • Put a thin layer on your child’s skin from the neck to the toes. Put in the skin folds, creases, and spaces between the finger and toes.
  • Put under fingernails.
  • Trim fingernails short.
  • Put cream under nails with a toothbrush. Throw away toothbrush after use.
  • Have your child wear light clothing while this drug is on his/her skin.
  • Do not let your child’s skin touch anyone else’s skin while wearing the cream.
  • After 8 to 14 hours, fully wash cream from skin using warm, soapy water.

Cream rinse and lotion:

  • Shampoo your child’s hair, rinse, and towel dry before use. Use a shampoo without a conditioner.
  • Shake well before use.
  • Cover eyes and face with a towel.
  • Lightly coat hair and scalp.
  • Work into hair and scalp gently.
  • Leave on for 10 minutes.
  • Do not cover head while cream rinse or lotion is on hair.
  • After 10 minutes, put a little bit of warm water on hair and lather.
  • Rinse fully.
  • Wash your hands after use.
  • Dry with a towel.
  • Use special nit comb or tweezers to get rid of dead nits (lice eggs) from hair.

What do I do if my child misses a dose?

  • Put on a missed dose as soon as you think about it.

How do I store and/or throw out this drug?

  • Store at room temperature. Throw away any part not used after use.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Last Reviewed Date



© 2016 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.