BNF for Children 2011-2012

BNFC 2011–2012 13.10.5 Preparations for minor cuts and abrasions 593MALATHIONCautions avoid contact with eyes; do not use onbroken or secondarily infected skin; do not use lotionmore than once a week for 3 consecutive weeks;alcoholic lotions not recommended for head lice inchildren with severe eczema or asthma, or for scabiesor crab lice (see notes above)Side-effects skin irritation and hypersensitivity reactions;chemical burns also reportedLicensed use not licensed for use in children under 6months except under medical supervisionIndication and doseSee notes above and under preparationsPermethrin (Non-proprietary)Cream, permethrin 5%, net price 30 g = £5.43Lyclear c Creme Rinse (Chefaro UK) UCream rinse, permethrin 1% in basis containing isopropylalcohol 20%, net price 59 mL = £2.38, 2 59-mL pack = £4.32Excipients include cetyl alcoholNote Use not recommended, therefore no dose stated (producttoo diluted in use and insufficient contact time)Lyclear c Dermal Cream (Chefaro UK)Dermal cream, permethrin 5%, net price 30 g = £5.71.Label: 10, patient information leafletExcipients include butylated hydroxytoluene, wool fat derivativeHead liceRub into dry hair and scalp, allow to dry naturally,remove by washing after 12 hours; repeat applicationafter 7 days (see also notes above)Crab liceApply over whole body, allow to dry naturally,wash off after 12 hours or overnight; repeatapplication after 7 daysScabiesApply over whole body, and wash off after 24hours; if hands are washed with soap within 24hours, they should be retreated; see also notesabove; repeat application after 7 daysNote For scabies, manufacturer recommends application tothe body but not necessarily to the head and neck. However,application should be extended to the scalp, neck, face, andearsDerbac-M c (SSL)Liquid, malathion 0.5% in an aqueous basis, net price50 mL = £2.37, 200 mL = £5.93Excipients include cetostearyl alcohol, fragrance, hydroxybenzoates(parabens)For crab lice, head lice, and scabiesPERMETHRINCautions avoid contact with eyes; do not use onbroken or secondarily infected skinSide-effects pruritus, erythema, and stinging; rarelyrashes and oedemaLicensed use Dermal Cream (scabies), not licensedfor use in children under 2 months; children aged 2months–2 years, medical supervison required; notlicensed for treatment of crab lice in children under18 years; Creme Rinse (head lice) not licensed foruse in children under 6 months except under medicalsupervisionIndication and doseSee notes aboveScabiesApply 5% preparation over whole body includingface, neck, scalp and ears; wash off after 8–12hours; if hands washed with soap within 8 hours ofapplication, they should be treated again withcream (see notes above); repeat application after 7daysNote Manufacturer recommends application to the bodybut to exclude head and neck. However, applicationshould be extended to the scalp, neck, face, and ears13.10.5 Preparations for minorcuts and abrasionsCetrimide cream is used to treat minor cuts and abrasions.Proflavine cream may be used to treat infectedwounds or burns, but has now been largely supersededby other antiseptics or suitable antibacterials.Cetrimide Cream, BPCream, cetrimide 0.5% in a suitable water-misciblebasis such as cetostearyl alcohol 5%, liquid paraffin50% in freshly boiled and cooled purified water, netprice 50 g = £1.11Proflavine Cream, BPCCream, proflavine hemisulphate 0.1%, yellow beeswax2.5%, chlorocresol 0.1%, liquid paraffin 67.3%,freshly boiled and cooled purified water 25%, wool fat5%, net price 100 mL = £1.59Excipients include beeswax, wool fatNote Stains clothingCollodionFlexible collodion may be used to seal minor cuts andwounds that have partially healed.Collodion, Flexible, BPCollodion, castor oil 2.5%, colophony 2.5% in a collodionbasis, prepared by dissolving pyroxylin (10%) ina mixture of 3 volumes of ether and 1 volume ofalcohol (90%), net price 10 mL = 38p. Label: 15Contra-indications allergy to colophony in elastic adhesiveplasters and tapeSkin tissue adhesiveTissue adhesives are used for closure of minor skinwounds and for additional suture support. They shouldbe applied by an appropriately trained healthcare professional.Skin tissue adhesives may cause skin sensitisation.Dermabond ProPen c (Ethicon)Topical skin adhesive, sterile, octyl 2-cyanoacrylate,net price 0.5 mL = £18.38Epiglu c (Schuco)Tissue adhesive, sterile, ethyl-2-cyanoacrylate954.5 mg/g, polymethylmethacrylate, net price 4 3-g vials = £149.50 (with dispensing pipettes and pallete)13 Skin