Pyrethrins with Piperonyl Butoxide
Kelas obat: Agen Antineoplastik
Panganggone Pyrethrins with Piperonyl Butoxide
Pedikulosis
Pengobatan topikal pediculosis capitis (infestasi kutu sirah).
Alternatif tinimbang perawatan sing disenengi kanggo pediculosis capitis. Permethrin 1% umume dianggep minangka perawatan sing dipilih, lan malathion 0,5% dianjurake nalika dicurigai resistensi permethrin.
Pamilihan dhasar saka pediculicide ing khasiat (kalebu aktivitas pediculicidal lan ovicidal), safety, biaya, kasedhiyan, gampang aplikasi, umur pasien, anané infèksi kulit sirah liyane, preferensi pasien, keruwetan infestasi. , potensial panularan, jumlah kambuh, lan pola resistensi ing wilayah geografis.
Pengobatan topikal pediculosis pubis (infestasi kutu pubis). Dianggep minangka pediculicide pilihan dening CDC lan liya-liyane kanggo perawatan saka pediculosis pubis, kalebu ing patients HIV-infèksi.
Pengobatan topikal pediculosis corporis (infestasi kutu badan). Ing sawetara kasus, infestasi kutu awak bisa diobati kanthi kebersihan sing luwih apik lan dekontaminasi sandhangan lan sprei kanthi ngumbah ing suhu sing bisa mateni kutu. Yen infestasi abot, pediculicide uga kudu digunakake (contone, permethrin topikal, pyrethrins topikal karo piperonyl butoxide, malathion topikal, ivermectin oral).
Salah siji saka sawetara opsi sing dianjurake kanggo perawatan pediculosis corporis ing perawatan adjunctive saka epidemi (louse-borne) typhus. Agen penyebab epidemi typhus (Rickettsia prowazekii) ditularake saka wong-ke-wong dening Pediculus humanus corporis lan disaranake kanggo ngilangi kanthi lengkap (utamane ing antarane kontak sing kena infeksi tifus) ing kahanan epidemi.
Scabies
Ora efektif kanggo nambani kudis (infestasi tungau).
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Carane nggunakake Pyrethrins with Piperonyl Butoxide
Umum
Langkah kanggo Nyegah Reinfestasi lan Transmisi
Administrasi
Administrasi Topikal
Gunakake topikal, biasane minangka sampo sing ngandhut 0,33% pyrethrins lan 4% piperonyl butoxide.
Mung kanggo panggunaan njaba. Aja menehi oral lan ora ditrapake ing membran mukus (umpamane, ing njero irung, tutuk, utawa tempek).
Aja ditrapake ing alis utawa bulu mata lan aja nganti kena mripat. Mripat kudu ditutup rapet lan ditutupi nganggo andhuk alus utawa washcloth nalika sampo ditrapake ing rambut utawa dikumbah.
Kocok wadhah piretrin nganggo piperonil butoksida sadurunge digunakake.
Dosis
Pasien Anak
Pediculosis Pediculosis Capitis (Infestasi Kutu Kepala) utawa Pediculosis Corporis (Infestasi Kutu Badan) TopikalGunakake ing rambut kulit garing utawa wilayah liyane sing kena pengaruh. ing jumlah cukup kanggo sak tenane udan wilayah. Yen ngobati kutu sirah, luwih dhisik ditrapake ing mburi kuping lan mburi gulu. Sawise 10 menit, tambahake banyu anget kanggo mbentuk busa sing apik, wisuh, lan mbilas nganggo banyu nganti kabeh busa ilang. Garing rambute nganggo andhuk sing resik lan sisir nganggo sisir untu sing apik kanggo mbusak nits sing isih ana.
Salah perawatan bisa uga sukses, nanging perawatan kudu diulang sawise 7-10 dina kanggo mateni kutu sing mentas netes. Aja nggunakake luwih saka kaping pindho ing 24 jam.
Dewasa
Pediculosis Pediculosis Capitis (Infestasi Kutu Kepala) utawa Pediculosis Corporis (Infestasi Kutu Badan) TopikalGunakake ing rambut kulit garing utawa liyane sing kena pengaruh. wilayah ing jumlah cukup kanggo sak tenane udan wilayah. Yen ngobati kutu sirah, luwih dhisik ditrapake ing mburi kuping lan mburi gulu. Sawise 10 menit, tambahake banyu anget kanggo mbentuk busa sing apik, wisuh, lan mbilas nganggo banyu nganti kabeh busa ilang. Garing rambute nganggo andhuk sing resik lan sisir nganggo sisir untu sing apik kanggo mbusak nits sing isih ana.
Sawijining perawatan bisa uga sukses, nanging perawatan kudu diulang sawise 7-10 dina kanggo mateni kutu sing mentas netes. Aja nggunakake luwih saka kaping pindho ing 24 jam.
Pediculosis Pubis (Infestasi Kutu Pubik) TopikalGunakake menyang area pubis. Sawise 10 menit, mbilas nganggo banyu.
CDC nyaranake ngevaluasi maneh pasien 1 minggu sawise perawatan yen gejala tetep; retreatment bisa uga perlu yen kutu utawa endhog ditemokake. Sawetara dokter nyaranake perawatan rutin 7-10 dina sawise perawatan awal. Yen perawatan maneh perlu, CDC nyaranake nggunakake regimen alternatif.
Pènget
Kontraindikasi
Pènget/PanandhapReaksi Sensitivitas
Episode Asma
Bisa nyebabake kesulitan ambegan utawa episode asma ing individu sing rentan.
Gunakake kanthi ati-ati ing wong sing alergi ragweed.
Mungkasi nggunakake lan hubungi dokter yen ana kesulitan ambegan.
Dermatitis KontakPyrethrins bisa dadi alergen kontak; sensitisasi sing ditondoi dening dermatitis bisa uga amarga rereged saka kembang piretrom.
Persediaan piretrin sing kasedhiya sacara komersial dimurnikake, lan mung sensitisasi kulit entheng sing dilaporake.
Pancegahan Umum
Pancegahan AdministrasiAja kontak karo mripat amarga iritasi okular bisa kedadeyan. Aja digunakake kanggo perawatan pediculosis saka alis utawa bulu mata.
Yen ana kontak sing ora disengaja karo mripat, mripat sing kena pengaruh kudu dikumbah kanthi banyu. Yen ana iritasi mata, mandheg nggunakake lan hubungi dokter.
Aja kontak karo membran mukosa (contone, ing njero irung, tutuk, utawa vagina) amarga iritasi bisa kedadeyan.
Reaksi DermatologisIritasi lokal utawa eritema bisa kedadeyan.
Yen ana iritasi utawa infeksi kulit, mandheg nggunakake lan hubungi dokter.
Aja nganggo ing kulit sing radhang akut utawa lumahing mentahan sing nangis.
Populasi Tertentu
KandhutanCDC nganggep piretrin karo piperonil butoksida minangka pedikulsida pilihan nalika perawatan dianggep perlu ing wanita ngandhut.
Wanita sing ngandhut kudu takon karo dokter sadurunge ngobati dhewe. karo pyrethrins karo piperonyl butoxide
LaktasiOra dingerteni yen disebarake menyang susu. CDC nganggep pyrethrins karo piperonyl butoxide minangka pediculicide pilihan nalika perawatan dianggep perlu ing wanita lactating.
Wanita sing nyusoni kudu takon karo dokter sadurunge ngobati dhewe karo piretrin karo piperonyl butoxide.
Panggunaan PediatrikOra bisa digunakake ing bocah-bocah <2 taun kajaba diarahake dening dokter.
Sing adoh saka bocah-bocah.
Efek Sabar sing Umum
Iritasi lokal (eritema, pruritus, urtikaria, edema, eksim).
Disclaimer
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