eskino liquid - Lindane (NA) + Cetrimide (NA) medicine

Eskino Liquid: Complete Medicine Guide

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🏭 Alkem Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Seizures or convulsions
  • Severe dizziness or confusion
  • Difficulty breathing or swelling of face, lips, or throat
  • Severe skin blistering or peeling
  • Unusual tiredness or bruising
  • Yellowing of eyes or skin

If experiencing severe symptoms, call emergency services immediately.

What is eskino liquid used for?

This medicine is a topical combination of lindane and cetrimide used to treat scabies and certain parasitic skin infestations. It works by killing the parasites and providing antiseptic action. It should be used exactly as prescribed and is not for oral or internal use.

  • Generic Name: Lindane (NA) + Cetrimide (NA)
  • Manufacturer: Alkem Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 eskino liquid के बारे में (Hindi Summary)

उपयोग: यह दवा मुख्य रूप से खुजली (स्केबीज) और जूँ के इलाज के लिए बाहरी रूप से उपयोग की जाती है। इसमें लिंडेन और सिट्रीमाइड होते हैं जो परजीवियों को मारते हैं और त्वचा को साफ करते हैं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में त्वचा में जलन, लालिमा, खुजली या हल्की जलन शामिल हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें दौरे, चक्कर आना, भ्रम या त्वचा पर गंभीर एलर्जी प्रतिक्रिया हो सकती है। यदि ऐसा हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के निर्देशानुसार ही करें। इसे केवल प्रभावित त्वचा पर लगाएं और आंखों, मुंह और श्लेष्मा झिल्ली से बचाएं। लगाने के बाद हाथ धो लें। बच्चों में इसका उपयोग डॉक्टर की सलाह के बिना न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 eskino liquid Uses & Benefits

  • [{"condition":"Scabies","description":"This medicine is applied topically to treat scabies infestation caused by the mite Sarcoptes scabiei.
  • It helps to kill the mites and relieve itching.","evidence":"Well-established"},{"condition":"Pediculosis (lice infestation)","description":"May be used topically to treat lice infestations on the skin or hair, although other agents are often preferred.","evidence":"Limited"}]

Off-label uses: [{"condition":"Cutaneous larva migrans","description":"Occasionally used off-label for creeping eruption caused by hookworm larvae, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Scabies

Also treats: Pediculosis

📋 Drug Information

Generic Name(s)Lindane (NA) + Cetrimide (NA)
Brand Nameeskino liquid
ManufacturerAlkem Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the container tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply this medicine exactly as prescribed, usually as a single application.
2
Avoid using on broken or inflamed skin to prevent systemic absorption.
3
Do not cover the treated area with tight dressings unless instructed.
4
Wash hands thoroughly after application to avoid accidental ingestion.
5
If treating scabies, all household members and close contacts should be treated simultaneously to prevent reinfestation.
6
Discontinue use and consult a doctor if you experience dizziness, seizures, or severe skin irritation.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Intense itching, especially at night
This medicine is commonly prescribed for scabies which causes night-time itching.
Likely Use
✅
Skin rash with small bumps
May be used for scabies rash.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLindane can be absorbed through intact skin, especially if applied to large areas, damaged skin, or under occlusive dressings. Systemic absorption may lead to neurotoxicity. Cetrimide is poorly absorbed through intact skin.
DistributionAbsorbed lindane is distributed to various tissues, including fat, liver, and brain, due to its lipophilic nature. It can cross the blood-brain barrier and placenta.
Protein BindingNot established from the available information.
MetabolismLindane is metabolized in the liver, primarily by cytochrome P450 enzymes, to various metabolites including chlorophenols.
Half-LifeThe elimination half-life of lindane is approximately 17-22 hours, but may be prolonged with repeated exposure.
ExcretionLindane and its metabolites are excreted mainly in urine and feces.
BioavailabilityNot established from the available information.
Onset of ActionThe antiparasitic effect begins within hours of application, but symptom relief (e.g., itching) may take several days as the allergic reaction to mites subsides.
Peak Plasma TimeNot established from the available information.
Duration of ActionA single application is usually sufficient for scabies, but the residual effect may last for several days.

How It Works

Lindane acts on the nervous system of parasites by interfering with gamma-aminobutyric acid (GABA) channels, leading to hyperexcitation, paralysis, and death of the mite or louse. Cetrimide is a cationic surfactant that disrupts microbial cell membranes and helps to cleanse the skin, providing antiseptic action.

Mechanism Steps

1
Penetration into parasite: Lindane penetrates the exoskeleton of the mite or louse and enters the nervous system.
2
GABA channel blockade: Lindane binds to GABA-gated chloride channels, preventing chloride influx and causing neuronal hyperexcitation.
3
Paralysis and death: The parasite experiences uncontrolled excitation, leading to paralysis and eventual death.
4
Antiseptic action of cetrimide: Cetrimide disrupts bacterial cell membranes and helps cleanse the skin, reducing secondary infection risk.

💡 How to Take eskino liquid

Strength: Not established from the available information.

1Wash and dry the affected area gently.
2Apply a thin layer of the medicine to the affected skin as directed.
3Avoid contact with eyes, mouth, and mucous membranes.
4Wash hands thoroughly after application.
5Leave on for the recommended time, then wash off thoroughly.
6Do not cover with tight dressings unless instructed.

Dosage Information

Adult DosageThe dosage and duration of application must be individualized by a qualified clinician based on the condition being treated, the severity of infestation, and the patient's age, weight, and overall health. Typically, a thin layer is applied to the affected area and washed off after a specified time. Follow your doctor's instructions exactly. Do not use more than prescribed.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. This medicine is contraindicated in children under 2 years of age.
Elderly DosageElderly patients may be more susceptible to neurotoxicity. Use with caution and only under medical supervision. Dose must be individualized by a qualified clinician.
Renal ImpairmentNot established from the available information. Consult your doctor for dose adjustment.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose must be individualized by a qualified clinician.
Maximum Daily DoseNot established from the available information. Do not exceed the prescribed amount.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of eskino liquid

✅ Common Side Effects

Skin irritation (Common (5-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Itching (Common (5-10%))
May be due to the dying mites or irritation. Consult if it worsens.
Redness (Common (5-10%))
Usually temporary. Avoid scratching.

🚨 Serious Side Effects

Seizures (Rare (<0.1%))
Seek immediate medical attention if seizures occur.
Severe allergic reactions (anaphylaxis) (Rare (<0.1%))
Seek emergency care if you experience swelling of face, lips, throat, or difficulty breathing.
Neurotoxicity (dizziness, confusion) (Rare (<0.1%))
Discontinue use and contact your doctor immediately.

⚠️ Rare Side Effects

Aplastic anemia
Report unusual fatigue, bruising, or bleeding to your doctor.
Contact dermatitis
Discontinue use and consult a dermatologist.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
CNS depressants Major
Warfarin Moderate
Hepatotoxic drugs Moderate
Topical corticosteroids Minor

🚨 Major Interactions

  • Other topical agents containing lindane
  • CNS depressants

⚡ Moderate Interactions

  • Anticoagulants (e.g., warfarin)
  • Hepatotoxic drugs

🍷 Alcohol Interaction

Alcohol may increase the risk of CNS side effects such as dizziness or drowsiness. Avoid alcohol while using this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to lindane or cetrimide","Use on broken or inflamed skin","Children under 2 years of age","Pregnancy (unless clearly needed)","Breastfeeding","History of seizures or neurological disorders"]

⚠️ Warnings & Precautions

["For external use only. Do not ingest.","Avoid contact with eyes, lips, and mucous membranes.","Do not apply to large areas of the body or under occlusive dressings.","Use with caution in children and the elderly due to increased risk of neurotoxicity.","Do not use for prolonged periods without medical supervision.","Keep out of reach of children.","Discontinue if severe skin irritation or neurological symptoms occur."]

🤱 Lactation Safety

Lindane is excreted in breast milk. Breastfeeding is not recommended while using this medicine. If treatment is essential, consult your doctor for guidance and consider pumping and discarding milk during treatment.

💊 Overdose Management

Overdose with this medicine is unlikely via topical application, but excessive use or accidental ingestion can lead to neurotoxicity, including seizures. If ingestion occurs, seek emergency medical care immediately. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ Missed Dose

This medicine is usually applied as a single application or as directed. If you miss a dose, apply it as soon as you remember, but if it is almost time for the next dose, skip the missed dose. Do not double the dose.

Additional Safety Advice

General Safety

Use this medicine exactly as prescribed by your doctor. Apply it only to the affected skin and avoid contact with eyes, lips, and mucous membranes. Do not cover the treated area with tight dressings or plastic unless instructed. Wash your hands thoroughly after application. Avoid using this medicine on children under 2 years of age unless specifically directed by a pediatrician. Do not use it for prolonged periods without medical supervision. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Do not share this medicine with others, even if they have similar symptoms. If your condition does not improve or worsens after treatment, contact your healthcare provider.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of neurotoxicity from lindane. Use with caution and only under medical supervision. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor for safer alternatives.

🏥 Post-Surgery Considerations

Avoid using this medicine on surgical wounds or broken skin. Consult your doctor before use after surgery.

🦷 Dental Procedures

No specific considerations. Inform your dentist if you are using this medicine.

💚 Lifestyle Tips for Better Results

🏃
Wash all clothing, bedding, and towels in hot water to kill mites.
🥗
Avoid close physical contact until treatment is complete.
😴
Keep fingernails short to prevent scratching and secondary infection.
💧
Maintain good personal hygiene.
🧘
Follow up with your doctor to ensure the infestation is cleared.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that cause excessive sweating immediately after application, as this may increase skin absorption. Wait until the medicine is washed off.

🥗 Diet Recommendations

Stay well hydrated.
Eat a balanced diet to support skin health.
Avoid alcohol while using this medicine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some individuals. Avoid driving or operating heavy machinery if you experience these effects. It is generally applied at night and washed off in the morning, so it may not affect daytime activities.

🛑 When to Stop This Medicine

Stop using this medicine if you experience severe skin irritation, neurological symptoms, or an allergic reaction. Do not stop without consulting your doctor if you are in the middle of treatment for scabies, as incomplete treatment can lead to recurrence.

📅 Long-Term Use Effects

Prolonged use or repeated application of this medicine can increase the risk of neurotoxicity and skin irritation. It should only be used for the prescribed duration. Long-term effects may include liver toxicity and blood disorders. Regular monitoring may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Permethrin cream

A safer and often more effective first-line treatment for scabies.

Evidence: Well-established
Benzyl benzoate lotion

An alternative acaricide for scabies.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If traveling across time zones, follow your prescribed schedule. Declare it at customs if required. Do not expose to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old adult with scabies
Was prescribed this medicine for scabies. Applied it as directed and noticed improvement in itching within a few days. Emphasized the importance of treating all family members to prevent recurrence.
💡 Lesson: Complete treatment of all contacts is essential to eradicate scabies.
👤 A 65-year-old with a history of seizures
Used this medicine for scabies but experienced dizziness and confusion. Discontinued and consulted a doctor who switched to a safer alternative.
💡 Lesson: Elderly patients with neurological conditions should use this medicine with caution and under close supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The medicine starts killing parasites soon after application, but itching may take a few days to subside as it is often an allergic reaction to the mites.

Q: Can I use it on my scalp?

A: It may be used on the scalp for lice, but follow your doctor's instructions carefully.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine on my face?
  • How long should I leave it on?
  • Is it safe for my child?
  • What if I accidentally swallow it?
  • Can I use it if I am pregnant?

🔄 Substitutes for eskino liquid

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Eskino Liquid can be used for any skin infection.
    Fact: It is specifically for parasitic infestations like scabies and should not be used for bacterial or fungal infections unless prescribed.
  • Myth: More frequent application makes it work faster.
    Fact: Using more than prescribed increases the risk of toxicity and does not improve efficacy.

🔄 Alternative Options

Generic Alternatives

  • Lindane + Cetrimide topical liquid

Brand Alternatives

  • Eskino Liquid

📊 Comparison with Similar Medicines

[{"medicine":"Permethrin","class":"Pyrethroid","efficacy":"First-line for scabies","safety":"Better safety profile"},{"medicine":"Benzyl benzoate","class":"Acaricide","efficacy":"Effective for scabies","safety":"May cause irritation"}]

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