gzlthrin cream - Permethrin (50mg) medicine

Gzlthrin Cream: A Complete Guide to Uses, Side Effects, and Safety

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🏭 Gedzrlvin Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 17, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Oct 17, 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

  • Difficulty breathing or swallowing
  • Swelling of the face, lips, tongue, or throat
  • Severe skin rash, blistering, or peeling
  • Signs of infection such as increased redness, warmth, pus, or fever
  • Persistent or worsening symptoms after treatment
  • Severe itching that interferes with sleep
  • Application site reactions that are severe or spreading

If experiencing severe symptoms, call emergency services immediately.

What is gzlthrin cream used for?

This medicine is a topical cream containing Permethrin 50mg, used to treat scabies, head lice, and pubic lice. It works by killing the parasites. Apply as directed by your doctor, usually leaving it on for 8-14 hours for scabies or 10 minutes for lice, then wash off.

  • Generic Name: Permethrin (50mg)
  • Manufacturer: Gedzrlvin Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 gzlthrin cream के बारे में (Hindi Summary)

उपयोग: यह दवा परमेथ्रिन 50mg युक्त एक क्रीम है, जिसका उपयोग खुजली (स्केबीज), जूँ (हेड लाइस) और जघन जूँ (प्यूबिक लाइस) के इलाज के लिए किया जाता है। यह परजीवियों को मारकर काम करती है। इसे डॉक्टर के निर्देशानुसार प्रभावित त्वचा पर लगाएं। स्केबीज के लिए इसे 8-14 घंटे तक लगा रहने दें, फिर धो लें। जूँ के लिए 10 मिनट तक लगा रहने दें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर खुजली, लालिमा या सूजन शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। कभी-कभी जलन या चुभन हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि सांस लेने में कठिनाई, चेहरे, होंठ या गले में सूजन, या गंभीर त्वचा प्रतिक्रिया हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का उपयोग केवल बाहरी त्वचा पर करें। आंखों, मुंह और श्लेष्मा झिल्ली के संपर्क से बचें। यदि संपर्क हो जाए तो पानी से धो लें। टूटी या सूजी हुई त्वचा पर न लगाएं। लगाने के बाद हाथ धो लें। बच्चों की पहुंच से दूर रखें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।

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

💊 gzlthrin cream Uses & Benefits

  • [{"condition":"Scabies","description":"This medicine is used to treat scabies infestation by killing the mites and their eggs.
  • It is applied to the entire body from the neck down, left on for 8-14 hours, and then washed off.","evidence":"Well-established"},{"condition":"Head lice","description":"This medicine is used to treat head lice infestation.
  • It is applied to the scalp and hair, left on for 10 minutes, and then rinsed off.","evidence":"Well-established"},{"condition":"Pubic lice","description":"This medicine is used to treat pubic lice infestation.
  • It is applied to the affected area and washed off after 10 minutes.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Cutaneous larva migrans","description":"Sometimes used off-label to treat creeping eruption caused by hookworm larvae.","evidence":"Limited"}]

Primary treatment for: Scabies

Also treats: Head lice infestation, Pubic lice infestation

📋 Drug Information

Generic Name(s)Permethrin (50mg)
Brand Namegzlthrin cream
ManufacturerGedzrlvin Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassEctoparasiticides
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Keep away from direct sunlight and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization (WHO) recommends Permethrin 5% cream as a first-line treatment for scabies. It is included in the WHO Model List of Essential Medicines.
ICMR GuidelineThe Indian Council of Medical Research (ICMR) guidelines also recommend Permethrin 5% cream for the treatment of scabies.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply this medicine to clean, dry skin for best results.
2
For scabies, treat all family members and close contacts simultaneously to prevent reinfestation.
3
Wash all clothing, bedding, and towels in hot water and dry on high heat to kill mites and eggs.
4
Avoid scratching the affected area to prevent secondary bacterial infection.
5
If symptoms persist after 7 days, consult your doctor for re-evaluation.
6
Do not use this medicine more often than prescribed, as it may cause skin irritation.
7
Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

🔍 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
✅
Rash with small red bumps or burrows
This medicine is used to treat scabies rash.
Likely Use
✅
Visible lice or nits in hair
This medicine is used to treat head lice.
Likely Use
✅
Itching in the genital area
This medicine is used to treat pubic lice.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Joint pain
This medicine is not used for joint pain.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionPermethrin is minimally absorbed through intact human skin. Systemic absorption is less than 2% of the applied dose when used topically as directed.
DistributionDue to minimal systemic absorption, Permethrin does not distribute significantly into body tissues. Any absorbed drug is rapidly metabolized.
Protein BindingPermethrin and its metabolites are highly bound to plasma proteins, but this is not clinically significant due to low systemic exposure.
MetabolismPermethrin is metabolized in the skin and liver by esterases to inactive metabolites. The primary metabolic pathway involves hydrolysis of the ester bond.
Half-LifeThe elimination half-life of Permethrin is not well established due to minimal systemic absorption. Any absorbed drug is rapidly metabolized and excreted.
ExcretionMetabolites of Permethrin are excreted primarily in the urine.
BioavailabilityBioavailability of topically applied Permethrin is very low, typically less than 2%.
Onset of ActionThe onset of action against parasites is rapid, usually within minutes to hours after application. Symptom relief from itching may take longer as it is due to allergic reaction to dead mites.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe parasiticidal effect persists as long as the cream is in contact with the skin. After washing off, residual activity may remain on the skin for some time.

How It Works

Permethrin, the active ingredient in this medicine, is a synthetic pyrethroid that acts on the nervous system of parasites. It binds to voltage-gated sodium channels in the nerve cells of mites and lice, prolonging the opening of these channels. This leads to continuous depolarization of the nerve membrane, causing hyperexcitation, paralysis, and eventually death of the parasite. Permethrin has low toxicity to humans because it is poorly absorbed through intact skin and is rapidly metabolized by esterases in the skin and liver.

Mechanism Steps

1
Penetration into parasite: Permethrin penetrates the exoskeleton of the mite or louse and reaches its nervous system.
2
Binding to sodium channels: Permethrin binds to voltage-gated sodium channels in the nerve cells, preventing them from closing properly.
3
Prolonged depolarization: The sustained opening of sodium channels causes continuous depolarization of the nerve membrane.
4
Paralysis and death: The hyperexcited state leads to paralysis and eventual death of the parasite.

💡 How to Take gzlthrin cream

Strength: Cream containing Permethrin 50mg per gram (5% w/w).

1Read the patient information leaflet provided with this medicine.
2Wash and dry the affected area gently.
3Apply a thin layer of the cream to the affected area as directed by your doctor.
4For scabies, apply from the neck down to the toes, including under the nails.
5Leave the cream on for the recommended time (8-14 hours for scabies, 10 minutes for lice).
6Wash off the cream thoroughly with warm water and soap.
7Wash your hands before and after application.
8Avoid contact with eyes, mouth, and other mucous membranes.
9Do not cover the treated area with tight bandages unless instructed.
10Clean clothing, bedding, and towels to prevent reinfestation.

Dosage Information

Adult DosageFor scabies: Apply a thin layer of this medicine to the entire body from the neck down to the toes, including the soles of the feet. Leave on for 8-14 hours, then wash off thoroughly. For head lice: Apply to the scalp and hair, leave on for 10 minutes, then rinse off. For pubic lice: Apply to the affected area, leave on for 10 minutes, then wash off. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dosage adjustments are required for elderly patients. However, use with caution and follow the doctor's instructions.
Renal ImpairmentNo dosage adjustments are required for patients with renal impairment due to minimal systemic absorption.
Hepatic ImpairmentNo dosage adjustments are required for patients with hepatic impairment due to minimal systemic absorption.
Maximum Daily DoseThe maximum daily dose is not established as this medicine is applied topically as a single application per treatment course. Do not exceed the recommended application frequency.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

No specific food interactions
Not applicable
This medicine is applied topically and does not interact with food.

⏰ 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 apply a double dose to catch up.

⚠️ Side Effects of gzlthrin cream

✅ Common Side Effects

Application site itching (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Application site redness (Common (1-10%))
May be a sign of irritation. If it worsens, stop use and consult a doctor.
Application site swelling (Common (1-10%))
Usually temporary. If swelling is severe or accompanied by difficulty breathing, seek emergency care.
Burning sensation (Uncommon (0.1-1%))
If burning is severe, wash off the cream and consult your doctor.
Stinging (Uncommon (0.1-1%))
Usually transient. If it persists, consult your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face, lips, or throat, or a severe rash.
Severe skin reaction (e.g., contact dermatitis) (Rare (<0.1%))
Stop using the cream and consult a doctor if you develop severe redness, blistering, or peeling of the skin.

⚠️ Rare Side Effects

Headache
Usually resolves on its own. If persistent, consult your doctor.
Dizziness
Avoid driving or operating machinery if affected. Consult your doctor if it continues.
Numbness
Report to your doctor if you experience numbness or tingling.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Permethrin or any other ingredient in the cream.","Hypersensitivity to pyrethroids or pyrethrins.","Use in infants under 2 months of age (unless directed by a doctor)."]

⚠️ Warnings & Precautions

["For external use only. Do not swallow.","Avoid contact with eyes, mouth, and mucous membranes.","Do not apply to broken or inflamed skin.","Wash hands after application.","Do not use on large areas of the body without medical advice.","Keep out of reach of children.","If condition persists or worsens, consult a doctor.","Do not use for prolonged periods without medical supervision."]

🤱 Lactation Safety

Permethrin is considered safe for use during breastfeeding. It is poorly absorbed through the skin, so the amount passed into breast milk is minimal. However, avoid applying the cream to the breast area to prevent infant exposure. Consult your doctor for guidance.

💊 Overdose Management

Overdose with topically applied Permethrin is unlikely due to low systemic absorption. If accidental ingestion occurs, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, dizziness, headache, and in severe cases, seizures. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose of this medicine, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

For safe and effective use of this medicine, follow these guidelines: Apply the cream only to the affected skin areas as directed by your doctor. Avoid contact with eyes, mouth, nose, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not apply to broken or inflamed skin unless instructed. Wash your hands thoroughly after applying the cream. Do not cover the treated area with tight bandages or dressings unless told to do so. Avoid using other skin products on the treated area unless approved by your doctor. This medicine is for external use only; do not swallow. Keep out of reach of children. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for any condition other than that for which it was prescribed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients can use this medicine safely. However, they may be more prone to skin irritation. Monitor for any adverse reactions and consult a doctor if needed.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. It is considered safe during pregnancy, but your doctor will weigh the benefits and risks.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, consult your doctor before using this medicine on the surgical area. Avoid applying to healing wounds unless directed.

🦷 Dental Procedures

This medicine is applied topically and does not affect dental procedures. However, inform your dentist about all medications you are using.

💚 Lifestyle Tips for Better Results

🏃
Maintain good personal hygiene to prevent reinfestation.
🥗
Wash all clothing, bedding, and towels in hot water and dry on high heat.
😴
Avoid close physical contact with others until treatment is complete.
💧
Keep your nails short to prevent scratching and secondary infection.
🧘
Use a fine-tooth comb to remove nits from hair if treating head lice.
🌞
Vacuum carpets and furniture to remove any fallen hairs or mites.

🏋️ Exercise Considerations

There are no specific exercise restrictions while using this medicine. However, if you have scabies, avoid close contact sports until treatment is complete to prevent spreading the infestation to others. If you experience skin irritation, avoid activities that cause excessive sweating or friction on the treated area.

🥗 Diet Recommendations

No specific dietary restrictions are required while using this medicine.
Maintain a balanced diet to support overall skin health.
Stay well hydrated to keep your skin healthy.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to work or drive. However, if you experience dizziness or drowsiness (rare), avoid driving or operating machinery. If you have scabies, you may need to stay home from work or school until you have completed the first treatment to avoid spreading the infestation.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if you experience severe skin irritation, allergic reactions, or if your condition worsens. Do not stop treatment prematurely unless instructed by your doctor, as this may lead to treatment failure and reinfestation.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless directed by a doctor. Prolonged use may increase the risk of skin irritation or allergic reactions. If you require repeated treatments, consult your doctor to confirm the diagnosis and rule out other conditions. There is no evidence of systemic toxicity from long-term topical use due to minimal absorption.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Good hygiene practices

Regular washing of clothes and bedding in hot water can help prevent reinfestation.

Evidence: Well-established
Tea tree oil

Some studies suggest tea tree oil may have antiparasitic properties, but evidence is limited.

Evidence: Limited
Oral ivermectin

An alternative treatment for scabies, especially in cases resistant to topical treatments.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. You can receive vaccinations while using this medicine.

📦 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

✅ DO

Keep out of reach of children

❌ DON'T

Do not use after expiry date

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If you are traveling across time zones, continue with your regular application schedule as prescribed. For international travel, check the customs regulations of your destination regarding prescription medications. Always pack this medicine in your carry-on luggage to avoid loss or exposure to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old woman with scabies
She noticed intense itching at night and a rash on her hands and wrists. Her doctor diagnosed scabies and prescribed this medicine. She applied it from the neck down, left it on overnight, and washed it off in the morning. She also washed all her bedding and clothes in hot water. Within a week, the itching subsided, and the rash cleared up.
💡 Lesson: Proper application and hygiene measures are crucial to eliminate scabies and prevent reinfestation.
👤 A 10-year-old child with head lice
The child had persistent head lice despite using over-the-counter shampoos. The doctor recommended this medicine. It was applied to the scalp and hair, left on for 10 minutes, and rinsed off. The lice were gone after one treatment. The child's parents also combed the hair with a fine-tooth comb to remove nits.
💡 Lesson: This medicine is effective for head lice, but combing to remove nits helps prevent recurrence.

💬 Questions Patients Often Ask

Q: How long does it take for this medicine to work?

A: This medicine starts killing parasites soon after application. However, itching may persist for a few weeks after treatment as it is an allergic reaction to dead mites. If symptoms persist beyond 2 weeks, consult your doctor.

Q: Can I use this medicine on my face?

A: This medicine is generally not recommended for use on the face unless specifically directed by a doctor. Avoid contact with eyes, mouth, and nose.

Q: Is this medicine safe for children?

A: This medicine is safe for children over 2 months of age when used as directed. For infants under 2 months, consult a doctor before use.

Q: What should I do if I miss a dose?

A: If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose.

Q: Can I use this medicine if I am pregnant?

A: This medicine is considered safe for use during pregnancy when used as directed. However, consult your doctor before use.

Q: Does this medicine cure scabies in one application?

A: In many cases, a single application is sufficient. However, your doctor may recommend a second application after 7 days to ensure all mites are killed.

Q: Can I take a bath after applying this medicine?

A: You should leave the cream on for the recommended time before washing it off. Avoid bathing or washing the treated area during the treatment period.

Q: Is this medicine available over the counter?

A: This medicine is usually available by prescription. Consult your doctor for a prescription.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine on my face?
  • How long should I leave this medicine on?
  • Is this medicine safe for children?
  • Can I use this medicine if I am pregnant?
  • What should I do if I miss a dose?
  • Can I take a bath after applying this medicine?
  • Does this medicine cure scabies in one application?
  • Can I use this medicine for other skin conditions?

🛑 Myths vs. Facts

  • Myth: This medicine can be used to treat any skin rash.
    Fact: This medicine is specifically for parasitic infestations like scabies and lice. It is not effective for other skin conditions such as eczema or psoriasis.
  • Myth: You only need to treat the affected area.
    Fact: For scabies, the entire body from the neck down must be treated, as mites can be present on unaffected skin.
  • Myth: You can stop treatment once symptoms improve.
    Fact: It is important to complete the full course as prescribed to ensure all mites are killed and to prevent reinfestation.
  • Myth: This medicine is safe to use on infants without doctor's advice.
    Fact: This medicine should not be used on infants under 2 months of age unless specifically directed by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Permethrin 5% cream

Brand Alternatives

  • Permethrin cream

📊 Comparison with Similar Medicines

[{"medicine":"Permethrin","class":"Pyrethroid","route":"Topical","common_use":"Scabies, lice","notes":"First-line, safe"},{"medicine":"Lindane","class":"Organochlorine","route":"Topical","common_use":"Scabies, lice","notes":"Neurotoxicity risk, second-line"},{"medicine":"Crotamiton","class":"Scabicide","route":"Topical","common_use":"Scabies","notes":"Less effective, alternative"},{"medicine":"Benzyl benzoate","class":"Scabicide","route":"Topical","common_use":"Scabies","notes":"Effective, but can irritate skin"},{"medicine":"Ivermectin","class":"Antiparasitic","route":"Oral","common_use":"Scabies","notes":"For severe or resistant cases"}]

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