What should be used to poison pubic fleas? - briefly
Use a topical insecticide containing permethrin or pyrethrin on the infested region. Follow the product’s instructions and repeat the application after 7–10 days to confirm elimination.
What should be used to poison pubic fleas? - in detail
Effective eradication of pubic ectoparasites requires topical or systemic agents with proven acaricidal activity. The most widely recommended products are:
- Permethrin 1 % cream – applied to the affected area for 10 minutes, then washed off. Re‑treatment after 7 days eliminates newly hatched insects. Safe for most adults; avoid in infants under 2 months.
- Pyrethrin‑piperonyl‑butoxide lotion – similar protocol to permethrin; useful when resistance to synthetic pyrethroids is suspected.
- Malathion 0.5 % lotion – left on the skin for 8–12 hours before washing. Effective against resistant strains; contraindicated in pregnant or lactating women.
- Ivermectin 200 µg/kg oral dose – single administration, repeat after 7 days if live parasites persist. Reserved for cases where topical therapy fails or is impractical; not recommended for children under 15 kg or pregnant individuals.
- Benzyl benzoate 25 % emulsion – applied for 24 hours, then removed. Causes irritation; use with caution on sensitive skin.
Adjunct measures:
- Wash all clothing, bedding, and towels in hot water (≥ 60 °C) and dry on high heat.
- Avoid sexual contact until treatment completion and symptom resolution.
- Perform a follow‑up examination 2 weeks after therapy to confirm absence of live insects.
Selection of an agent should consider patient age, pregnancy status, skin sensitivity, and local resistance patterns. Combining topical treatment with thorough hygiene practices yields the highest success rate.