Spinosad is a unique topical medication because it is used to manage both lice and scabies. It is derived from the fermentation of a specific bacteria in soil that works to paralyze and kill the organism causing the infestation. In treating lice, spinosad is applied to a dry scalp and hair for 10 minutes, then rinsed in just one application.

Malathion is a topical antiparasitic agent used to treat head lice and their ova of the scalp hair. Malathion is a pediculicide, meaning it kills lice. 

Mupirocin is a topical antibiotic used to treat impetigo due to Staphylococcus aureus and Streptococcus pyogenes. It may also be used to treat secondary skin infections (e.g., localized infection of wounds, burns, dermatitis).

Prescription strength permethrin (5%) is used as a topical treatment for mild or severe scabies infestations. Permethrin targets the nerve cells of the parasite killing the parasite, and will continue to exert activity after rinsing ensuring the infestation is gone. This formulation may be used in combination with oral treatments for severe or difficult infestations.

Albendazole is used to treat infections caused by parasites (e.g., pinworm, hookworm, roundworm, and tapeworm). Albendazole works by keeping the parasite from absorbing sugar, thereby causing the parasite to lose energy and die.

Oral ivermectin is used to treat scabies for individuals that have had prolonged skin to skin contact to scabies within the past 6 weeks. It may also be used for scabies infestation for individuals living in the same environment. This formulation may also be used in combination with topical treatments for severe or difficult infestations. 

Oral ivermectin is used to treat lice infestations that are resistant to topical treatments. Ivermectin targets the parasite’s nervous system killing the parasite, providing relief over a short duration of therapy. With the addition of the oral formulation, appropriate treatment can be carried out reliably.