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Spinosad topical suspension (Natroba®) is a prescription medication used to treat infestations of head lice and scabies. Derived from the fermentation of a naturally occurring soil bacterium, spinosad targets the parasite’s nervous system, leading to paralysis and death. It is effective against both live lice and unhatched eggs, which helps reduce the need for multiple treatments.
How to Use:
For Head Lice:
Apply to dry scalp and hair, ensuring complete coverage from roots to ends.
Leave in place for 10 minutes, then rinse thoroughly with warm water.
Shampoo and towel-dry hair after rinsing.
In many cases, a single application is sufficient; repeat in 7 days if live lice are still detected.
Wash clothing, bedding, hats, combs, and brushes in hot water or dry clean to prevent reinfestation.
For Scabies:
Apply a thin layer of suspension over the entire body from the neck down, covering all skin surfaces. In infants and young children, the scalp, hairline, temples, and forehead may also need to be treated.
Leave on the skin for 6 hours (or overnight), then rinse off thoroughly with warm water.
A second treatment may be prescribed 7 days later if live mites are still present or symptoms persist.
Wash bedding, clothing, and towels in hot water and dry on a hot cycle to prevent reinfestation.
Important Notes and Warnings:
For external use only; do not ingest or apply to the eyes.
Avoid contact with eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water.
Use with caution in individuals allergic to spinosad or similar medications.
Possible side effects include redness, itching, dryness, or irritation at the site of application.
Not recommended for infants younger than 6 months without provider guidance.
Spinosad kills lice, eggs, and mites, but itching may continue for days to weeks as the skin recovers.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only a healthcare provider has the knowledge and training to decide which medicines are right for you. TelyRx does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a limited summary of general information about the medicine’s uses from the patient education materials and is not intended to be comprehensive. This limited summary does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not intended to provide medical advice, diagnosis or treatment and does not replace information you may receive from your healthcare provider. For a more detailed summary of information about the risks and benefits of using this medicine, please review the entire patient education information you receive with the medication.
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