Permethrin Lotion while Breastfeeding

What is Permethrin Lotion used for?

Is Permethrin Lotion usage safe while breastfeeding? If a lactating mother is using it can there be any effect on growth or development of infant?

Permethrin while Breastfeeding

CAS Number: 52645-53-1

Topical pyrethroid pesticide that shows activity against louses, mites and scabies.About 2% of the dose is absorbed through the skin.Do not apply it on the breast, otherwise, clean it thoroughly before feeding at the breast. Permethrin is considered the treatment of choice for scabies in nursing mothers. Permethrin is found in milk samples from women in regions in which it is used massively for agricultural purposes or malaria control. Notwithstanding, limits were found to be below those permitted by the WHO. WHO List of Essential Medicines 2002 states it is compatible with breastfeeding.

Permethrin while Breastfeeding

CAS Number: 52645-53-1

Because less than 2% is absorbed after topical application, rapid metabolism to inactive metabolites and safe application directly on infants' skin, topical permethrin products are acceptable in nursing mothers.[1][2] Extensive exposure, such as from agricultural use or malaria control might have long-term health concerns because residues can be found in breastmilk.[3] Only water-miscible cream, gel or liquid products should be applied to the breast because ointments may expose the infant to high levels of mineral paraffins via licking.[4]

What should I do if already breastfed my kid after using Permethrin Lotion?

I am nursing mother and my doctor has suggested me to use Permethrin Lotion, is it safe?

If I am using Permethrin Lotion, will my baby need extra monitoring?

Who can I talk to if I have questions about usage of Permethrin Lotion in breastfeeding?