2010
DOI: 10.1111/j.1365-4632.2009.04335.x
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Efficacy of chemical and botanical over‐the‐counter pediculicides available in Brazil, and off‐label treatments, against head lice ex vivo

Abstract: Most Brazilian OTC products did not show a satisfactory efficacy against head lice. Resistance may be present. Ivermectin and coconut oil are promising compounds for topical treatment. Laboratory-based tests should be used to assess resistance patterns and to identify formulations of the active ingredient that increase the efficacy. Standardized testing should be performed before a product is licensed for head lice treatment.

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Cited by 15 publications
(11 citation statements)
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“…Similar results applying an identical methodology were found with permethrin-based products from Australia, the UK and Brazil [9,13,27]. The pyrethrum extract Goldgeist ® forte showed a low efficacy in our study.…”
Section: Discussionsupporting
confidence: 86%
“…Similar results applying an identical methodology were found with permethrin-based products from Australia, the UK and Brazil [9,13,27]. The pyrethrum extract Goldgeist ® forte showed a low efficacy in our study.…”
Section: Discussionsupporting
confidence: 86%
“…Several products based on oils and/or extracts are already commercially available, especially for head lice. Scientific scrutiny of such products often suggests that 'field’ efficacy may be questionable [49,50], with similar conclusions drawn for commercial repellents aimed at the same pest (see Repellent potential). Nevertheless, some products do appear effective, with Tea Tree Gel® outperforming 1% permethrin in an Australian study [50].…”
Section: Reviewmentioning
confidence: 99%
“…In these studies, the efficacy of 1% malathion (100%) was similar to high concentration dimeticone, but efficacy of 0.5% permethrin (two products of 0.5% alcoholic solution and 1% aqueous lotion) ranged from 76% to 96% 10 min until 6 hours after application of products, and pyrethrum extract did not show satisfactory efficacy [20,21]. In fact, a study assessing available OTC products in Brazil found varying efficacy of permethrin-based products and suggested that the formulation would influence efficacy, but that permethrinresistance may also occur in this area [22]. A recent study determining knockdown resistance gene mutations has shown the presence of permethrin-resistant lice collected in this Brazilian study area [23], which may be responsible for the low efficacy observed for permethrin products with a neurotoxic mode of action, in the comparative studies.…”
Section: Ex Vivo Adulticidal Efficacymentioning
confidence: 99%