itching+actually+due+to+permethrin+treatment

=Itching actually due to permethrin treatment=

//A man walks into your pharmacy, enquiring about his son's scalp rash//

Problem
Need to determine the cause of the itching to ensure the appropriate action is taken

Questions to Ask
- What other symptoms is your son experiencing? //no other symptoms eg itch, pain, blisters etc therefore not causing son any distress// - When did the rash appear? //rash started approx around and after permethrin headlice treatment// - Has the headlice problem been resolved? //head lice problem has been resolved// The man  wants to know if there is anything to prevent future headlice

What to do:
- Rash is most possibly contact dermatitis, the son‘s scalp has been sensitised to permethrin cream. - Since rash not causing any distress, advise father not to worry too much at this stage as rash is likely to self- resolve, however if persistent or has worsened refer to GP. Meanwhile, simply need to leave it alone and watch closely for any changes in the next few days. - Avoid further sensitisation by using mild shampoo (eg sorbelene) and avoid hot water scalp contact etc - There is no product for preventing head lice