nukenz lotion - Permethrin (NA) medicine

Dermup Cream: A Complete Guide to Uses, Dosage, and Safety

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🏭 Pharm Products Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
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

  • Severe allergic reaction: swelling of face, lips, throat, difficulty breathing.
  • Severe skin reaction: blistering, peeling, or severe rash.
  • Signs of infection: increased redness, warmth, swelling, or pus at the application site.
  • No improvement after 2 weeks of treatment.
  • Symptoms worsen or spread to other areas.
  • Accidental ingestion of the cream, especially in children.

If experiencing severe symptoms, call emergency services immediately.

What is nukenz lotion used for?

This medicine is a topical cream containing permethrin, 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 (NA)
  • Manufacturer: Pharm Products Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nukenz lotion के बारे में (Hindi Summary)

उपयोग: यह दवा परमेथ्रिन क्रीम है, जिसका उपयोग खुजली (स्केबीज), जूँ (हेड लाइस) और जननांग 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।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर खुजली, लालिमा या झुनझुनी शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। यदि आपको गंभीर एलर्जी या त्वचा पर छाले जैसे लक्षण दिखें, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का उपयोग करते समय सावधानी बरतें: आंखों, मुंह और अन्य श्लेष्मा झिल्ली के संपर्क से बचें। यदि संपर्क हो जाए तो पानी से अच्छी तरह धो लें। टूटी या जली हुई त्वचा पर न लगाएं। बच्चों में 2 महीने से कम उम्र में उपयोग न करें। गर्भवती महिलाएं डॉक्टर से परामर्श करें। उपयोग के बाद हाथ धो लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 nukenz lotion 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 by killing the lice and their eggs.
  • 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 by killing the lice and their eggs.
  • It is applied to the affected area and left on for 10 minutes before washing off.","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 (NA)
Brand Namenukenz lotion
ManufacturerPharm Products Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassEctoparasiticides
Route of AdministrationTopical
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from direct sunlight and moisture. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelinePermethrin 5% cream is recommended by the World Health Organization for the treatment of scabies.
ICMR GuidelineThe Indian Council of Medical Research recommends permethrin for the treatment of scabies and lice infestations.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply this medicine to clean, dry skin and avoid applying to broken or irritated areas.
2
For scabies, treat all household 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 any remaining mites or lice.
4
Do not use this medicine more often than prescribed, as it may cause skin irritation.
5
If symptoms persist after 14 days, consult your doctor for re-evaluation.
6
Avoid using other topical products on the treated area unless approved by your doctor.
7
For head lice, comb through hair with a fine-toothed comb after treatment to remove dead lice and eggs.

🔍 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 intense 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
❌
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

AbsorptionSystemic absorption of permethrin after topical application is minimal, typically less than 2% of the applied dose. Absorption may be slightly higher if applied to damaged skin or mucous membranes.
DistributionDue to minimal systemic absorption, distribution of permethrin to body tissues is limited. Any absorbed permethrin is widely distributed but rapidly metabolized.
Protein BindingPermethrin and its metabolites are highly bound to plasma proteins, but specific data are not well established.
MetabolismPermethrin is metabolized in the skin and liver by esterases to inactive metabolites, which are then excreted.
Half-LifeThe elimination half-life of permethrin is not well established due to minimal systemic absorption.
ExcretionMetabolites of permethrin are primarily excreted in the urine.
BioavailabilityBioavailability of topical 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, but clinical improvement of symptoms may take a few days.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe parasiticidal effect persists for the duration of contact, typically 8-14 hours for scabies and 10 minutes for lice.

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, delaying their closure and causing prolonged depolarization. This leads to hyperexcitation, paralysis, and eventually death of the mites or lice. Permethrin has low toxicity to humans because it is poorly absorbed through the skin and is rapidly metabolized if absorbed.

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 cell membrane, interfering with their normal opening and closing.
3
Prolonged depolarization: The binding delays the closure of sodium channels, causing prolonged depolarization of the nerve cell.
4
Paralysis and death: The continuous depolarization leads to hyperexcitation, paralysis, and ultimately death of the parasite.

💡 How to Take nukenz lotion

Strength: Cream containing permethrin 5% w/w.

1Read the patient information leaflet provided with this medicine.
2Wash and dry the affected area gently before application.
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 soles of the feet, avoiding the face and scalp unless directed.
5Leave the cream on for the recommended time (8-14 hours for scabies, 10 minutes for lice).
6Wash off thoroughly with soap and water after the recommended time.
7Wash all clothing, bedding, and towels in hot water to prevent reinfestation.
8Wash your hands after application unless your hands are being treated.

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 to 14 hours, then wash off thoroughly with soap and water. 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 DosageFor children 2 months and older, the dosage is the same as for adults, but use with caution. For infants under 2 months, consult a pediatrician. Pediatric 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 prescribed instructions.
Renal ImpairmentNo dosage adjustment is necessary for patients with renal impairment due to minimal systemic absorption.
Hepatic ImpairmentNo dosage adjustment is necessary for patients with hepatic impairment due to minimal systemic absorption.
Maximum Daily DoseThe maximum daily dose is not applicable as this medicine is used as a single application per treatment course. Do not exceed the prescribed frequency.

Dosage Timeline

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

🍽️ Food Timing Guide

No food restrictions
No specific food interactions
This medicine is for topical use and is not affected by food.

⏰ What to Do If You Miss a Dose

📌 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.
📌 If you miss a scheduled re-treatment
→ Contact your doctor to reschedule.
💡 Do not double the dose.

⚠️ Side Effects of nukenz lotion

✅ 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%))
Usually resolves without treatment. Avoid scratching. Consult doctor if worsens.
Application site tingling or numbness (Common (1-10%))
Temporary effect. If it persists, contact your healthcare provider.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Severe skin irritation or blistering (Rare (<0.1%))
Discontinue use and consult a doctor immediately.

⚠️ Rare Side Effects

Headache
Usually resolves. If persistent, consult doctor.
Dizziness
Avoid driving or operating machinery if affected. Consult doctor if persists.
Nausea
Usually transient. If severe or persistent, seek medical advice.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to permethrin or any component of the formulation.","Use on broken or inflamed skin is not recommended unless directed by a physician.","Not for use in children under 2 months of age."]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes, mouth, and mucous membranes.","If accidental contact occurs, rinse thoroughly with water.","Do not apply to areas of the skin that are broken or irritated.","Wash hands after application unless hands are being treated.","Avoid using other topical medications on the same area unless instructed.","Keep out of reach of children.","If condition persists or worsens, consult a doctor.","Do not use for prolonged periods without medical advice."]

🤱 Lactation Safety

Permethrin is considered safe during breastfeeding. Apply to the breast area only if necessary, and wash thoroughly before nursing to prevent infant ingestion.

💊 Overdose Management

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

⏰ Missed Dose

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 to make up for a missed one.

Additional Safety Advice

General Safety

For safe and effective use of this medicine, apply it exactly as prescribed by your doctor. Avoid contact with eyes, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not use this medicine on children under 2 months of age unless directed by a doctor. Pregnant women should consult their doctor before using this medicine. Do not apply to broken or irritated skin. Wash your hands thoroughly after applying the cream, unless your hands are being treated. Avoid using other topical products on the same area unless instructed. Keep this medicine out of reach of children. If you are breastfeeding, avoid applying the cream to the breast area to prevent ingestion by the infant. 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. Permethrin is considered safe during pregnancy, but individual circumstances may vary.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, consult your doctor before applying this medicine to surgical sites or nearby areas to avoid irritation or infection.

🦷 Dental Procedures

No specific considerations for dental procedures. This medicine is for topical use and does not interact with dental treatments.

💚 Lifestyle Tips for Better Results

🏃
Maintain good personal hygiene to prevent reinfestation.
🥗
Wash all clothing, bedding, and towels in hot water after treatment.
😴
Avoid close physical contact with others until you have completed treatment.
💧
Keep your nails short to prevent scratching and secondary infections.
🧘
Use a fine-toothed comb to remove nits from hair after lice treatment.
🌞
Vacuum carpets and furniture to remove any fallen hairs with nits.

🏋️ Exercise Considerations

No specific exercise restrictions while using this medicine. However, avoid swimming or excessive sweating immediately after application to ensure the medicine stays on the skin for the required duration.

🥗 Diet Recommendations

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

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to work or drive. However, if you experience dizziness or drowsiness (rare), avoid driving or operating machinery until you feel alert.

🛑 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 does not improve after the recommended treatment period. Do not stop treatment prematurely without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to skin irritation or allergic reactions. If you require repeated treatments, consult your doctor to confirm the diagnosis and rule out other conditions.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Ivermectin (oral)

An oral medication for scabies, used when topical treatment fails or is not tolerated.

Evidence: Well-established
Crotamiton cream

An alternative topical treatment for scabies, but less effective than permethrin.

Evidence: Moderate
Sulfur ointment

An older topical treatment for scabies, safe for infants and pregnant women.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

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 or freeze

✅ 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

When traveling with this medicine, carry it in its original packaging with the prescription label. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store it at room temperature and protect it from extreme heat or cold. If you are traveling across time zones, continue using it as prescribed; no time zone adjustment is needed for topical application. Declare it at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-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 neck to toes, left it on overnight, and washed it off in the morning. She also washed all her bedding and clothes in hot water. The itching subsided within a week, and she was cured after one application.
💡 Lesson: Proper application and hygiene measures are crucial to prevent reinfestation and ensure treatment success.
👤 A 6-year-old child with head lice
The child had lice and nits in the hair. The pediatrician recommended this medicine. The mother applied it to the scalp and hair, left it on for 10 minutes, and rinsed thoroughly. She then combed out the dead lice and nits. The child was lice-free after one treatment, but the mother was advised to repeat treatment after 7 days to kill any newly hatched lice.
💡 Lesson: A second treatment may be necessary to ensure complete eradication of lice.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts killing parasites soon after application, but itching may persist for up to 4 weeks as the skin heals. If symptoms persist beyond 2 weeks, consult your doctor.

Q: Can I use this medicine on my face?

A: This medicine should not be applied to the face unless specifically directed by a doctor, as it can cause irritation to sensitive areas.

Q: Is this medicine safe for children?

A: Yes, it is safe for children 2 months and older when used as directed. For infants under 2 months, consult a pediatrician.

Q: Do I need to treat my whole family?

A: Yes, for scabies, all household members and close contacts should be treated simultaneously to prevent reinfestation.

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

A: Permethrin is considered safe during pregnancy (Category B). However, consult your doctor before use.

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

A: 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 double the dose.

Q: Are there any food restrictions while using this medicine?

A: No, there are no food restrictions as this medicine is for topical use.

Q: Can I use this medicine for other skin conditions?

A: No, this medicine is specifically for scabies and lice infestations. Do not use it for other conditions unless prescribed by a doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine on my face?
  • How long does it take to cure scabies?
  • Is it safe to use during pregnancy?
  • Can I use it on my child?
  • What if I miss a dose?
  • Do I need to treat my partner?
  • Can I use it for other skin conditions?

🔄 Substitutes for nukenz lotion

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all types of skin itching.
    Fact: This medicine is only effective against scabies and lice infestations, not other causes of itching.
  • Myth: You only need to apply this medicine once and the infestation is gone.
    Fact: While one application may be sufficient, sometimes a second treatment after 7-14 days is needed to kill newly hatched mites.
  • Myth: This medicine is safe to use on the face without precautions.
    Fact: It should not be applied to the face unless specifically directed by a doctor, as it can cause irritation.

🔄 Alternative Options

Generic Alternatives

  • Permethrin 5% cream

Brand Alternatives

  • Permite
  • Scabper

📊 Comparison with Similar Medicines

[{"medicine":"Permethrin","effectiveness":"High","safety":"Good","cost":"Moderate"},{"medicine":"Lindane","effectiveness":"Moderate","safety":"Caution","cost":"Low"},{"medicine":"Crotamiton","effectiveness":"Moderate","safety":"Good","cost":"Moderate"}]

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