Licerin

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Licerin

Property Description
Active ingredient Permethrin
Form Topical Lotion, Cream, or Solution
Pharmacological class Ectoparasiticide
Common use Treating parasitic infestations (lice, mites)
Origin Synthetic Pyrethroid

What Type of Medicine is Licerin and What is its Purpose?

Licerin is a single-ingredient topical medication whose active component is Permethrin, classified pharmacologically as an ectoparasiticide. The primary purpose of Licerin is to swiftly and directly eradicate external parasitic infestations on the skin and hair, offering a recognized solution for resolving these issues. This class of medicine is specifically formulated to combat organisms such as lice (causing pediculosis) and mites (causing scabies). Permethrin is an effective treatment option for both head lice and scabies infestations, meaning it is a trusted choice for resolving these common parasitic problems. Licerin is designed to halt the lifecycle of the parasite, offering an effective means of resolving the associated infestation and irritation.


Composition: Permethrin, a Synthetic Pyrethroid

The active ingredient in Licerin is Permethrin, which is a highly effective chemical analogue of naturally occurring pyrethrins. Permethrin is defined as a synthetic pyrethroid because it is chemically synthesized to mimic the insecticidal action of compounds derived from the chrysanthemum flower (Chrysanthemum cinerariifolium). This synthetic characteristic gives Permethrin enhanced chemical stability and a more sustained, potent action compared to its natural counterparts, providing robust efficacy. Permethrin is generally considered a low-toxicity treatment when applied topically, which characterizes its safety profile for dermatological use.


Available Forms: Topical Lotion, Cream, or Solution

Licerin is administered through the topical route, meaning it is applied directly to the body surface to act locally at the site of the infestation. The product is typically available in several convenient dosage forms, including a medicated lotion, a cream, or an aqueous solution vehicle. The lotion form, in particular, is noted for its ability to uniformly coat the hair and scalp, ensuring maximum contact between the active ingredient and the parasites. The selection of these topical forms ensures maximum contact, delivering the required neurotoxic action directly to the organisms to achieve lethality and resolve the condition.

Regulatory References

  1. WHO Model List of Essential Medicines
  2. MedlinePlus resource
  3. National Institute of Health (NIH)
  4. NIH StatPearls Permethrin Review

What side effects are possible with Licerin?

Possible Side Effects and Safety Information

The safety profile of Licerin, containing Permethrin, is established through clinical trials and post-marketing surveillance, with adverse reactions classified according to standard regulatory terminology (e.g., EMA Summary of Product Characteristics, FDA labeling). The most frequently reported effects are generally localized to the application site.

Frequency-Classified Adverse Reactions

Adverse reactions are formally categorized by their expected rate of occurrence:

Frequency Term Identified Effects (Examples)
Common Pruritus (itching), skin burning sensation, erythematous rash, paraesthesia, dry skin.
Uncommon Headache.
Very Rare Excoriation, folliculitis, skin hypopigmentation.
Frequency Not Known Nausea, fever, dizziness, abdominal pain, diarrhea.

Serious Adverse Reactions and Systemic Constraints

The medication is contraindicated in individuals with a known hypersensitivity to the active ingredient Permethrin, other synthetic pyrethroids, pyrethrins, or related compounds such as chrysanthemums. Serious hypersensitivity reactions may occur, requiring discontinuation. Reports of seizure have been noted in post-marketing surveillance; however, a direct causal association with the topical product has not been medically confirmed by regulatory authorities.

Contextual Safety and Population Considerations

Treatment may temporarily exacerbate pre-existing symptoms of the underlying infestation, such as pruritus and erythema. It is important to note that post-treatment pruritus may persist for up to four weeks after successful eradication, which is usually a temporary reaction to the dead parasites. For pediatric use, safety and efficacy are established for children two months of age and older for certain indications. During pregnancy, the FDA classifies the drug as Category B; use is advised only if clearly needed.

Overdose and Emergency Response

Overdose and When to Seek Help

Official Documentation of Overdose Manifestations

The officially documented overdose manifestations for Licerin (Permethrin) are primarily categorized by the route of exposure. Following accidental oral ingestion, labeling notes systemic symptoms including nausea, vomiting, headache, dizziness, and abdominal pain. A severe, potentially life-threatening outcome documented after ingestion is the risk of convulsion (seizure). For instances of excessive topical use, the presentations are localized, involving increased skin irritation, erythema, and the occurrence of severe localized adverse skin reactions. The Central Nervous System and Gastrointestinal system are noted to be affected following ingestion, while the Dermatologic system is affected by over-application.

Mandated Emergency Actions and Management

Official regulatory guidance requires that immediate medical attention be sought in all cases of suspected overdose. The instruction mandates contacting a Poison Control Center if the medication is swallowed or if there is concern about excessive use. Furthermore, emergency services (e.g., 911) must be contacted immediately if the victim is not breathing or has collapsed.

Management is strictly symptomatic and supportive, as a specific antidote is not documented in the official labeling. For accidental ingestion, general supportive measures must be employed. Gastric lavage may be considered as a procedural intervention, particularly in a child, if consultation occurs within two hours of ingestion. Localized skin reactions from excessive use require symptomatic treatment.

Therapeutic Uses of Licerin

What Licerin Treats: Main Uses and Benefits

Licerin is commonly used for the therapeutic management of external parasitic conditions, is applied in addressing Scabies (caused by mites) and Pediculosis (infestations of lice). The active component is utilized across therapeutic domains involving these common infestations, which include head, body, and pubic lice.

The medication helps address symptom clusters that may become intense or disruptive, such as severe, generalized pruritus (itching) and localized inflammatory skin reactions. When applied in conditions involving these parasitic symptoms, Licerin provides support that helps ease the overall burden of skin discomfort and contributes to easing discomfort during symptomatic periods.

Quick Fact: Symptomatic Focus: Intense Itching

In clinical scenarios involving high-risk exposure, its use may also extend to the simultaneous treatment of close contacts or family members to assist with infestation control and supports the patient during difficult symptomatic episodes. As many patients find the associated symptoms highly distressing, the focus is managing distressing manifestations and addressing the parasitic source.

“This medication is commonly used to help manage symptoms related to active parasitic infestation, assists with maintaining functional stability.”

Regulatory References

  1. NIH StatPearls comprehensive review

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Licerin

Licerin (Permethrin) eligibility is defined by regulatory agencies based on age, allergy status, and specific physiological states. The following information reflects official population rules.

Category Official Regulatory Statement
Populations for Whom Use is Contraindicated Individuals with known hypersensitivity to Permethrin, other pyrethrins, or any component of the formulation must not use the medicine.
Age-Related Eligibility Rules Use is not established in infants under 2 months of age; this population is excluded from treatment. The minimum approved age is typically 2 months for the 5% cream (scabies) and 2 years for the 1% lotion (lice).
Pregnancy and Lactation Status Use during pregnancy is generally not recommended. For breastfeeding mothers, a temporary cessation of nursing (e.g., 24 hours post-treatment with the 5% cream) is advised by regulatory labeling.
Eligibility-Related Restrictions Conditional use may be required for patients with severe pre-existing asthma (with certain volatile formulations) or severe skin inflammation due to the potential for increased absorption. No specific restrictions are mandated for hepatic or renal impairment.

Connection to the overall eligibility profile

Regulatory documents define who can and cannot use Licerin primarily through absolute contraindications based on allergy and by establishing minimum age thresholds. Further constraints involve specific caution for use during pregnancy, lactation, and in individuals with certain severe respiratory conditions.

What should I know about interactions with other medicines?

Licerin Interactions with other medicines and products

Official government regulatory documentation for Licerin (Permethrin topical) consistently states that no interactions are known with co-administered medicinal products, which is attributed to the minimal systemic absorption of the active ingredient.

Interaction Constraints and Restrictions

While conventional drug-drug interactions are not documented, the regulatory label specifies certain constraints and product-substance restrictions.

Category Regulatory Statement
Timing-Based Caution Co-administration of corticosteroids used to treat secondary eczematous reactions must be withheld prior to Licerin application. This constraint is documented to avoid the risk of exacerbating the underlying parasitic infestation by reducing the host's immune response.
Latex Product Restriction The excipients in the cream or lotion (paraffin and white soft paraffin) can impair the function and reliability of latex products (e.g., condoms, diaphragms) used concurrently.
Substance Hazard Fabric that has been in contact with the product (e.g., clothing, bedding, dressings) is rendered easily ignitable and is explicitly classified as a serious fire hazard.

Pharmacokinetic and Metabolic Profile

No specific medicinal products are listed as altering the drug's systemic exposure, nor are any CYP-mediated or transporter-based interactions officially documented. Additionally, the regulatory documents do not specify interaction patterns with food, alcohol, or herbal supplements.

Mechanism of Action

The mechanism of Licerin's active component, Permethrin, is defined by its selective and rapid action on the nervous system of target parasites (lice and mites), resulting in a direct neurotoxic cascade.

Targeting Arthropod Voltage-Gated Sodium Channels

The active ingredient acts as a modulator of inactivation by binding to voltage-gated sodium channels (VGSCs) within the parasite's nerve cell membranes. This crucial interaction prevents the channels from properly closing, resulting in a continuous, excessive influx of positive sodium ions ( Na^+). This mechanism directly alters the electrochemical gradient and disrupts the process of neuronal repolarization kinetics.

Inducing Irreversible Paralysis and Functional Collapse

The sustained flood of Na^+ ions triggers a state of hyperexcitability, causing the parasite's motor and respiratory nerves to fire continuously and uncontrollably. This cascade rapidly translates into massive, involuntary muscle spasms followed by irreversible neuromuscular paralysis. The resulting complete physiological failure, specifically the paralysis of systems required for life, produces the irreversible physiological consequence of organism death.

Mechanistic Limitations and Specificity

This mechanism exhibits selectivity for arthropod nervous systems, a function of fundamental structural differences in their sodium channels compared to mammalian channels, combined with rapid host metabolism.

Dosage and Administration Information

Licerin is administered exclusively through the topical route onto the skin or hair. The specific application protocol is determined by the dosage form: the 5% Cream and the 1% Lotion or Rinse each follow distinct usage patterns. The treatment is generally executed as a single application, with a specific minimum time interval before re-treatment is permitted.

A crucial factor in the use of Licerin is the mandated contact time, which differs significantly by formulation. The 5% Cream must remain on the skin for 8 to 14 hours before being washed off, and reapplication to the hands is necessary if they are washed during this period. Conversely, the 1% Rinse requires a contact time of only 10 minutes before the hair is thoroughly rinsed. For the 1% Rinse, the application process includes the specific preparation step of washing hair with a non-conditioning shampoo prior to application.

For adults using the 5% Cream, the standard application is typically up to 30 grams massaged into the whole body, but this amount should not exceed 60 grams in a single course. Usage instructions also vary by age; the 5% Cream is indicated for use in children 2 months of age and older. In infants and older adults, the product must be applied to the scalp, neck, and face, areas often excluded in younger adult regimens. This procedural difference ensures comprehensive coverage based on the application areas appropriate for these populations.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Licerin

This section summarizes the structure of the research base for Licerin's active component, Permethrin, focusing on the types of clinical studies conducted, the outcomes measured, and the established research limitations.


Evidence for Use in Scabies (Mite Infestation)

Research exploring the use of Licerin for scabies primarily consists of Randomized Controlled Trials (RCTs) and systematic reviews. These studies were conducted to examine how the medicine compares to other topical or oral treatments for scabies. Researchers used primary outcomes, including clinical cure rate (assessed by the clearance of skin lesions) and mite eradication, to track changes observed in participants. Studies reported measurements of mite eradication and lesion clearance in the observed populations under trial conditions. Research highlights that pruritus (itching) was observed to persist for several weeks after mite eradication, which was noted by researchers as a factor when assessing symptom clearance.

Evidence for Use in Pediculosis (Lice Infestation)

The evidence supporting the use of Licerin for head lice infestation also relies heavily on Randomized Controlled Trials and subsequent systematic reviews, often enrolling school-aged children. The measured outcomes included the clearance of live adult lice and nymphs, as well as ovicidal activity (the medicine’s effect on the eggs). Findings generally describe that research examined the clearance of infestation when applied according to study protocols, noting that a second application was often required to address newly hatched nits.

Study of Persistence and Long-Term Outcomes

Research has primarily focused on short-term symptom changes and immediate parasitic clearance. Follow-up durations in most key trials are limited to the immediate post-treatment period (typically up to two to four weeks) to observe the measured changes in infestation status. Evidence provides limited long-term data (e.g., beyond six months to one year) to fully establish the persistence of changes observed and the true risk of recurrence in the general population.

Evidence Gaps and Areas of Uncertainty

A major limitation consistently described in the research is the issue of resistance. Findings indicate that both scabies mites and head lice have developed reduced susceptibility to Permethrin in many parts of the world, leading to inconsistent outcomes across studies performed in different regions. Subgroup findings are also uncertain for some populations, such as infants under two months.

Key Studies & References WHO Model List of Essential Medicines (EML) Entry for Permethrin

Frequently Asked Questions (FAQ)

Common questions about Licerin (FAQ)

Q: Does Licerin have any known side effects that are often missed?

Official documentation classifies adverse effects reported in clinical trials and post-marketing surveillance by their expected frequency (e.g., Common, Uncommon, Frequency Not Known). All reported effects are recorded within these standard regulatory classifications.


Q: Can Licerin be taken along with common over-the-counter pain relievers?

According to the official product information, no interactions are known with co-administered medicinal products, including typical over-the-counter pain relievers. This finding is consistent with the minimal systemic absorption of the active component when applied topically.


Q: What happens when a person stops taking Licerin?

Studies and official documents indicate that post-treatment pruritus (itching) may persist for up to four weeks after successful eradication of the parasites. This persistence is generally a known, temporary reaction to the dead parasites.


Q: How does Licerin interact with supplements like St. John's Wort?

Official regulatory documents state that there are no specific interaction patterns officially documented with herbal supplements. This information is consistent with the drug’s minimal absorption into the bloodstream.


Q: Does taking Licerin with food change how it works?

Regulatory documents do not specify any interaction patterns with food. Since Licerin is a topical medication, the effect of consuming food on the medicine's activity is not detailed in official labeling.


Q: Is Licerin compatible with alcohol consumption (descriptive info only)?

Regulatory documents do not specify interaction patterns with alcohol, which is consistent with the topical administration route. Licerin is applied externally and is not associated with systemic drug-alcohol interactions.


Q: How long does it take to get Licerin completely out of your system?

The systemic absorption of the active ingredient is minimal, typically less than 2% of the applied dose. Official pharmacokinetic studies indicate that elimination is largely complete within about one week (168 hours) following topical application.


Q: Can Licerin be taken by people with heart conditions?

Official eligibility and safety documents define contraindications based on factors like hypersensitivity or minimum age requirements. These documents do not list a specific restriction or contraindication related to pre-existing heart conditions.


Q: How long does it typically take before a person notices the effects of Licerin?

The active component’s mechanism of action involves the rapid paralysis and death of the target parasites. This process is described as beginning immediately after the necessary contact time—which is specific to the formulation used—is completed.


Q: Is Licerin considered safe for older adults or seniors?

Reported clinical experience has not suggested differences in responses between elderly and younger patients. However, clinical studies did not contain sufficient numbers of subjects aged 65 and over to allow a definitive statement regarding differences in response.


Q: Why do some patient forums talk about taking Licerin at night?

Official administration instructions for the 5% Cream require a mandated contact time of 8 to 14 hours before the product must be washed off. Administration at night allows for compliance with this lengthy contact time while a person is sleeping.


Q: Are there any specific foods or drinks that should be avoided while using Licerin?

Regulatory documents do not specify any interaction patterns with food or drink that must be avoided. This is consistent with the minimal systemic absorption of the topical medicine.


Q: Does Licerin carry a risk of physical dependence or addiction?

The active ingredient in Licerin is not classified as a controlled substance by the U.S. Drug Enforcement Administration (DEA). The DEA classification is used to categorize drugs based on their potential for abuse or dependence.


Q: Is Licerin taken long-term or short-term?

The treatment protocol is designed to be a short-term course, generally executed as a single application. Regulatory documents define a minimum time interval that must pass before re-treatment is permitted, which supports its definition as a short-term treatment.


Q: Does Licerin interfere with birth control pills (informational)?

Official regulatory documentation notes that the excipients in the cream or lotion can impair the function and reliability of latex products (like condoms and diaphragms). However, due to the medicine’s minimal absorption, no systemic drug-drug interaction with oral hormonal contraceptives is noted in regulatory documents.


Q: Are there specific symptoms that require immediate medical attention while on Licerin?

Official labeling states that serious adverse reactions, such as severe hypersensitivity (allergic reaction) or seizure (reported in post-marketing surveillance), may occur. These are the types of events noted in regulatory documentation as serious.

How should Licerin be stored and disposed of?

How to Store and Dispose of Licerin?

Storage Conditions

Licerin (Permethrin Topical) must be stored at controlled room temperature, specifically between 20 C and 25 C (68 F and 77 F). It is essential to not freeze the product and to protect it from excessive moisture and direct light. The medication should be kept in its original container with the lid tightly closed.

Handling and Disposal

For child safety, Licerin must be stored out of the sight and reach of children. Unused or expired product and any waste materials must be disposed of in accordance with local requirements for pharmaceutical waste. It is critical not to contaminate water (including surface water or sewage) when disposing of the product.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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