Ovide 0.5 % lotion

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Medication name

Generic name:
Malathion - topical

Pronunciation
(mal-uh-THIGH-on)

Brand name(s)
Ovide

Uses

This medication is used to treat head lice, tiny insects that infest and irritate your scalp. Malathion belongs to a class of drugs known as organophosphates. It works by paralyzing and killing lice and their eggs (nits).

This drug is not recommended for use in newborns or infants younger than 1 year.

How to use

Learn all preparation and usage instructions in the product package. If you have any questions, ask your doctor or pharmacist.

This medication is for use on hair and scalp only. Do not swallow. Be careful to avoid getting malathion in your nose, ears, mouth, vagina, or eyes. Protect eyes during application by keeping them tightly closed and covered with a cloth or towel. If the medication accidentally comes in contact with your eyes, flush them with water to reduce irritation. If irritation continues or you experience vision changes, talk to your doctor.

Apply this medication onto dry hair and scalp. Use enough medication to make the hair and scalp wet, especially the back of the head and neck. Allow the hair to air-dry, uncovered. Wash hands after applying this medication. Leave malathion on the hair and scalp for 8-12 hours. Then shampoo and rinse well, especially the back of the head and neck.

Run a fine-toothed comb (nit comb) through your wet hair to remove the dead lice and lice eggs. The infected person should be checked by another person for lice and nits. Please see the instructions in the product package for more details about nit removal. Consult your doctor if lice are still present after 7-9 days. Repeat treatment with this or other medication may be necessary.

This medication may cause a slight stinging feeling on the scalp. This is normal. However, if skin irritation occurs, wash the scalp and hair right away, allow the irritation to clear, and try using the medication again. If the irritation returns, consult your doctor.

This medication contains an ingredient that could easily catch fire (flammable). Avoid smoking, being around open flames (such as fireplaces, stoves, campfires), or electric heat sources such as heaters, hair dryers, and curlers/hair irons while using malathion.

Side effects

Burning, stinging, dry hair, or a temporary increase in dandruff may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before using malathion, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • asthma
  • skin infections
  • skin or scalp problems (such as psoriasis, eczema)
  • open sores/wounds on the scalp (such as minor cuts, scrapes)

Constant or forceful scratching of the scalp may lead to a bacterial skin infection. Tell your doctor right away if you develop worsening redness or pus.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. If you are pregnant and applying this medication on another person, handle it with care.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Overdose

This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Symptoms of overdose may include: breathing problems, muscle weakness/paralysis, shaking, increased sweating/saliva/tears, increased urine, nausea, vomiting, diarrhea, anxiety, headache, confusion, dizziness, drowsiness, slow or fast heartbeat.

Notes

Do not share this medication unless directed to do so by your doctor.

One application is usually all that is needed. To avoid giving lice to another person or getting them again, all headwear, scarves, coats, and bed linens should be machine-washed with hot water and dried in a dryer (at high setting) for at least 20 minutes, dry cleaned, sealed in a plastic bag for 2 weeks, or sprayed with a disinfectant that kills lice. Brushes and combs should be soaked in hot water (hotter than 130 degrees F/54 degrees C) for 10 minutes, soaked in alcohol for 1 hour, or thrown away. Furniture and floors should be thoroughly vacuumed.

People who are in close contact with the infected person, such as members of the same household, should also be checked for lice and nits. Treatment may be considered to prevent infestation even if live lice are not found on them.

Missed dose

Not applicable.

Storage

Store at room temperature away from open flame. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Important note

HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Information last revised May 2024.

Selected from NATIONAL DRUG DATA FILE (NDDF) data included with permission and copyrighted by First Databank, Inc., 2019. This copyrighted material has been downloaded from a licensed data provider.

The above information is intended to supplement, not substitute for, the expertise and judgment of your health care professional. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment.