citric acid/citronellyl acetate/isopropanol/methyl salicylate (OTC)

Frequency Not Defined

Irritation to skin, scalp and eyes

Contact allergic sensitization

Contraindications

Hypersensitivity to any components in gel

Cautions

Avoid contact with eyes

Pregnancy

Safety not established

Lactation

Unknown if distributed in human breast milk

Consider the developmental and health benefits of breastfeeding along with the mother’s clinical need for the drug, and any potential adverse effects on the breastfed infant from the drug or from the underlying maternal condition

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

Mechanism of Action

Mechanical removal of nits and lice with nit comb

Isopropanol displays minimal suffocation effects

Topical Administration

Apply to dry hair a sufficient amount to wet scalp and hair, leave on 10 min, rinse, use nit comb to remove lice and nits, and shampoo as usual

Avoid contact with eyes

Wash hands after coming into contact

Retreat in 7-9 days if lice still present

Amount to apply varies with hair length