But it can be used again after seven days if live lice are still present. Use the hot water (at least 130F) cycle. There are three types of lice that infest humans: Lice feed on human blood and cause intense itching in affected areas. Malathion is a synthetic phosphorous compound (organophosphate) approved for topical use to kill head lice and also used off-label for pubic lice infestation that is resistant to other treatments. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Oral prescription drug. It's not clear if it's safe for use in 2- to 6-year-olds. Hence, they are also referred to as head lice. Keep all medications away from children and pets. $ 79.68. You can usually diagnose yourself by thoroughly examining your pubic area. Call your doctor if you notice swelling, skin discoloration, or drainage from wounds. Inhibition of cholinesterase results in the accumulation of acetylcholine, which leads to muscle spasms and death of the lice. Nits may be removed with fingernails or Two applications of treatment with malathion liquid are needed, one week apart. You will be subject to the destination website's privacy policy when you follow the link. WebMalathion lotion 0.5% (also known as Ovide) is a prescription medication that is approved for head lice and can kill some eggs. The lotion is approved for use in adults and children age 6 months or older. In case of eyelash infestation, applying soft paraffin three times daily for 1 to 2 weeks may help. Use two applications of malathion liquid, seven days apart. Malathion should be a portion of a whole household lice removal program, which should include washing or dry cleaning all clothing, hats, bedding, and towels recently worn or used by the patient and washing combs, brushes, and hair accessories in hot soapy water. Test your knowledge of your most amazing organ with the Skin Quiz! Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Goldstein AO, et al. The malathion lotion approved in the United States for the treatment of head Read on to find out which. To receive email updates about this page, enter your email address: For Healthcare Providers, Emergency Consultations, and General Public. Do not use malathion on newborns or infants younger than 2 years old. Severe nervous system reaction with very stiff muscles, high, Allow hair to dry naturally and leave head uncovered, Shampoo hair and use a fine-toothed comb to remove dead lice and eggs, May repeat if lice are present after 7-9 days, Following treatment failure of pediculicides, Excessive topical application of malathion may result in overdose from systemic absorption and can cause cholinergic effects including increased, Overdose from oral ingestion can cause severe respiratory distress requiring artificial, Malathion has no known severe, serious, moderate, or mild interactions with other, Animal reproductive studies do not show evidence of fetal harm with topical use of malathion during. Drug interactions may change how your medications work or increase your risk for serious side effects. Parasites: Pubic "crab" lice. Do not use malathion on newborns or infants younger than 2 years old. Storage. Ivermectin is toxic to lice. If several people in your household have contracted pubic lice, treat everybody at the same time. Make a donation. Do not lie on beds, couches, pillows, carpets, or stuffed animals that have recently been in contact with an infested person. WebPubic lice wont cause long-term health problems, either. In Canada - Call your doctor for medical advice about side effects. Pubic lice usually dont fall off of their host unless theyre dead. Storage. Dry the laundry using the high heat setting for at least 20 minutes. Head lice are common in children but can affect anyone of any age. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Dandruff is not contagious. It is caused by an infestation with a parasite - the scabies mite. Nits may be removed with fingernails or by using a fine-toothed comb. WebMalathion lotion is used to treat head lice (small insects that attach themselves to the skin) in adults and children 6 years of age and older. Always follow your physicians and pharmacists instructions and those contained inside the package or written on the label. Items that are not washable can be dry-cleaned. Malathion should be a portion of a whole household lice removal program, which should include washing or dry cleaning all clothing, hats, bedding, and towels recently worn or used by the patient and washing combs, brushes, and hair accessories in hot soapy water. If over-the-counter lotions or shampoos that have 1% permethrin (Nix) or pyrethrin don't kill your pubic lice, your doctor may prescribe stronger treatments, such as: Malathion. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Store at room temperature away from open flame. Sunlight exposure and stress reduction can improve the symptoms and signs of dandruff. Subahar R, et al. All rights reserved. Wash off the scalp and hair immediately if malathion causes skin irritation. Seborrheic dermatitis (dandruff) is a chronic condition in which skin on the scalp flakes and sheds. You will still be itchy for a while after successful treatment. You can apply it once to dry hair and then rinse with water after 10 minutes. Upgrade to Patient Pro Medical Professional? Save 69%. Alcoholic lotions not recommended for head lice in children with severe eczema or asthma, or for scabies or crab lice; avoid contact with eyes; children under 6 months, medical supervision required; do not use lotion more than once a week for 3 consecutive weeks; do not use on broken or secondarily infected skin. If you have any questions about the parasites described above or think that you may have a parasitic infection, consult a health care provider. Find out how to identify the symptoms so that you can get. These cookies may also be used for advertising purposes by these third parties. WebMalathion lotion is used to treat head lice (small insects that attach themselves to the skin) in adults and children 6 years of age and older. Most people need only one treatment. Follow the directions closely when using this product. This information is not meant to be used for self-diagnosis or as a substitute for consultation with a health care provider. This drug is typically used when other treatments haven't been effective. Many people using this medication do not have serious side effects. Registered in England and Wales. Lice infestations and fleabites are treatable and typically do not cause long-term problems with proper treatments for home, people, and pets. You do not need to spend a lot of time or money on housecleaning activities. Two applications of treatment with malathion liquid are needed, one week apart. Two applications of treatment with malathion liquid are needed, one week apart. See additional information. Do not wet your hair or scalp before applying malathion. Persons with pubic lice should be evaluated for other sexually transmitted diseases (STDs). If pubic lice are found in eyelashes and eyebrows, you can treat them by carefully applying petroleum jelly with a cotton swab at night and washing it off in the morning. Teach children to avoid types of play and other activities that may spread lice. The information on this page is written and peer reviewed by qualified clinicians. Following treatment, most nits will still be attached to hair shafts. Leave each application on for 12 hours if treating lice, or 24 hours if treating scabies; then wash it off with soap and water. It works by killing lice. Apply enough lotion to completely soak your scalp, including the back of your head and your neck. And no, they do not like dandruff; they love your blood and so, they feed on it. Head lice survive less than 12 days if they fall off a person and cannot feed; nits cannot hatch and usually die within a week if they are not kept at the same temperature as that found close to the human scalp. 015995 GDC DR33 DEA965568. 1996-2021 MedicineNet, Inc. All rights reserved. They are passed on through close body contact, such as when having sex. What is malathion, and what is it used for? WebMD does not provide medical advice, diagnosis or treatment. Common side effects of malathion include: Call your doctor immediately if you experience any of the following symptoms or serious side effects while using this drug: This is not a complete list of all side effects or adverse reactions that may occur from the use of this drug. If live lice still are found after 79 days, a second treatment with malathion lotion may be given. Do not use an electric hair dryer, keep hair uncovered and allow it to dry naturally. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Ask your doctor or pharmacist if you need help. To avoid giving lice to another person or getting them again, all headwear, scarves, coats, and bed linens should be machine-washed with hot water and dried in a dryer (at high setting) for at least 20 minutes, dry cleaned, sealed in a plastic bag for 2 weeks, or sprayed with a disinfectant that kills lice. Malathion is flammable; keep medication and wet hair away from heat sources such as hair dryers, electric curlers, cigarettes, or open flames. BIN PCN Group Member ID. Water-based (aqueous) products are preferred over alcohol-based treatments (which may cause even more skin irritation). This medicine is a colorless, clear, lotion, Select a condition to view a list of medication options. Malathion is a synthetic phosphorous compound (organophosphate) approved for topical use to kill head lice and also used off-label for pubic lice infestation that is resistant to other treatments. WebWash the infested area; towel dry. Persons should avoid sexual contact with their sex partner(s) until both they and their partners have been successfully treated and reevaluated to rule out persistent infestation. These cookies may also be used for advertising purposes by these third parties. If you're pregnant or breastfeeding, talk to your health care provider before using this drug. Common pediatric infestations: Update on diagnosis and treatment of scabies, head lice and bed bugs. The challenge is getting rid of all the nits and avoiding contact with other lice at home or school. Repeat treatment with this or other medication may be necessary. However, if skin irritation occurs, wash the scalp and hair right away, allow the irritation to clear, and try using the medication again. Lice prevention products include sprays that often contain essential oils. Children may get an infestation after sleeping in the same bed as someone who has pubic lice. Seven to 10 days later, the nits hatch into nymphsand start feeding on your blood. This is because sometimes the first insecticide does not work and you may need to use a different one. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Webmalathion 59ml of 0.5%. Special instructions for treatment of lice and nits found on eyebrows or eyelashes: *Use of trade names is for identification purposes only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health and Human Services. Mayo Clinic Staff. You apply this prescription lotion to the affected area and wash it off after eight to 12 hours. 7th ed. They also cant jump from one person to another like fleas. Cutaneous infestations. Directions and precautions for use must be strictly followed. $257. The malathion lotion (Ovide*) available by prescription in the United States can kill some lice eggs. Head lice infestations are very contagious. Permethrin is toxic to lice. Ivermectin (Stromectol), a two-pill dose that you take orally. (2017). Alcoholic lotions not recommended for head lice in children with severe eczema or asthma, or for scabies or crab lice; avoid contact with eyes; children under 6 months, medical supervision required; do not use lotion more than once a week for 3 consecutive weeks; do not use on broken or secondarily infected skin. Learn about 14 possible reasons why your scalp is scabbing. Tea Tree Oil Treatment for Lice: Does It Work? WebComb your pubic hair with a fine-toothed comb to remove eggs (nits). Malathion is an insecticide that has been used to kill insects on farm crops, garden plants, and outdoor spaces, and to kill fleas on pets. Consider treating just before bedtime. However, many of these are based on myths instead of facts. For more information on drug interactions, visit the RxList Drug Interaction Checker. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. You will also need to decontaminate your home. This drug isn't recommended for children younger than age 4. Keep any items of clothing that cannot be washed, in plastic bags for at least 72 hours to contain the mites until they die. We avoid using tertiary references. Symptoms and signs include itching, hair loss, flaking, silvery scales, and red plaques. Learn the reasons for pimples on the scalp, how to treat pimples on the scalp, and how to keep pimples on the scalp from coming back. Treatment for pubic lice consists of decontaminating yourself, your clothes, and your bedding. Wash your hands after applying the medication. You or your doctor can usually confirm a pubic lice infestation through a visual examination of your pubic area. It is not necessary to fumigate living areas or furniture or to treat pets. Carefully follow the instructions in the package or on the label. Ogbuefi N, et al. Both topical and oral ivermectin have been used successfully to treat lice; however, only topical ivermectin lotion currently is approved by the U.S. Food and Drug Administration (FDA) for treatment of lice. Carefully follow the package instructions. Canada residents can call a provincial poison control center. Malathion topical is for use only on your scalp. Make sure that the person supplying this medicine knows about any other medicines that you are taking or using. This shows numerous lice as well as their grayish-white egg capsules (nits) stuck firmly on the hairs in a child. The dark mass in the abdomen of this female body louse is ingested blood, showing she has been feeding on her human What's that all over you? MedicineNet does not provide medical advice, diagnosis or treatment. Learn what medical treatments can help with lice and speed up your lice recovery. Learn what medical treatments can help ease your dry scalp symptoms and speed up your recovery. Malathion has a high alcohol content and is flammable. Possible side effects include eye irritation or redness, dandruff, dry skin, and a burning sensation at the application site. Dandruff is a common condition that causes excess shedding of the skin on your scalp, forehead, and parts of your face. Although CDC states malathion 0.5% may be used for treatment of pediculosis pubis resistant to other pediculicides, the malathion preparation commercially available in the US is formulated in a vehicle containing isopropyl alcohol 78% and should not be used for treatment of pediculosis pubis since the vehicle may cause burning and They feed on blood of the scalp and derive nutrition. Do not start, stop, or change the dosage of any medicines without your doctor's approval. If the medication accidentally comes in contact with your eyes, flush them with water to reduce irritation. A single copy of these materials may be reprinted for noncommercial personal use only. Is there a generic alternative to the medicine you're prescribing? Dandruff treatment and prevention incorporates the regular use of an anti-dandruff shampoo. Division of Parasitic Diseases and Malaria, U.S. Department of Health & Human Services. All hairy areas of the body should be thoroughly checked and treated because lice can move away from treated areas to other hairy parts of the body. They do not flourish if the dandruff is co-existing on the scalp. If any of these effects last or get worse, tell your doctor or pharmacist promptly. You can review and change the way we collect information below. Vacuum the entire house and clean the bathroom with bleach solution. Topical prescription drugs. Head lice are common in children but can affect anyone of any age. They wont go away just because you want them toin fact, if you do nothing, it is, From vinegar and tea tree oil to simple olive oil, numerous home remedies are available that work to get rid of head lice. Elsevier; 2020. https://www.clinicalkey.com. Advertising revenue supports our not-for-profit mission. The two commonly used insecticides to treat pubic lice are malathion lotion and permethrin 5% cream. Are treatment failures with malathion common? Lice can easily survive ordinary soap and water. What is the difference between dandruff and a dry scalp? A lotion containing ivermectin (Sklice) also is available without a prescription. The infected person should be checked by another person for lice and nits. Malathion belongs to a class of drugs known as organophosphates. It is important to always tell your doctor, pharmacist, or health care provider about all prescription and over-the-counter medications you use, as well as the dosage for each, and keep a list of the information. Having head lice does not necessarily mean that the person has poor hygiene. Lice are usually pale gray, but they can darken in color after drinking your blood. What should I know regarding pregnancy, nursing and administering Malathion Lotion to children or the elderly? Treatment for pubic lice consists of decontaminating yourself, your clothes, and your bedding. 9th ed. A health care provider may diagnose head lice after finding a live young or adult louse in the person's hair or on the scalp, or after seeing one or more nits on hair shafts found within 1/4 inch (6 millimeters) of the scalp. Some people may develop a secondary skin infection which may need antibiotic treatment. Wash your hands after applying the medication. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. If you have any questions about the parasites described above or think that you may have a parasitic infection, consult a health care provider. 015995 GDC DR33 DEA965568. Pediculosis capitis. Malathion should only be used in children under the direct supervision of an adult. US residents can call their local poison control center at 1-800-222-1222. Lice treatment involves the application of over-the-counter shampoos that contain permethrin or pyrethrin followed by nit and louse removal with a fine-toothed comb. Marcdante KJ, et al., eds. Infestation with crab lice can cause itching but not everyone affected has symptoms. Treatment for pubic lice consists of decontaminating yourself, your clothes, and your bedding. https://www.cdc.gov/parasites/lice/index.html. MedTerms medical dictionary is the medical terminology for MedicineNet.com. skin health center/skin a-z list/malathion article, Drug Class:Scabicidal Agents;Pediculicides, Topical. These treatments include permethrin lotions: RID, Nix, and A-200. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Do not use malathion more frequently or for more times than is recommended. Wash your hands after applying the medication. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Water-based (aqueous) products are preferred over alcohol-based treatments (which may cause even more skin irritation). Accessed March 30, 2022. Children should stay off school until the first application of treatment for scabies has been completed. Carefully follow the instructions in the package or on the label. This content does not have an Arabic version. Malathion lotion (Ovide*) is both pediculicidal (kills live lice) and partially ovicidal (kills some lice eggs). Both head lice and dandruff have similar signs and symptoms: scalp itching and tiny white material on the hair shafts. Accessed April 5, 2022. Brushes and combs should be soaked in hot water (hotter than 130 degrees F/54 degrees C) for 10 minutes, soaked in alcohol for 1 hour, or thrown away. As well as their grayish-white egg capsules ( nits ) drug class: Scabicidal Agents ; Pediculicides topical! A single copy of these are based on myths instead of facts aqueous ) products preferred.: Update on diagnosis and treatment of head Read on to find out which Providers, Emergency Consultations and... Update on diagnosis and treatment of head Read on to find out which with the skin on scalp! Or treatment on it scalp, forehead, and a dry scalp dandruff ; they love blood... Your blood used when other treatments have n't been effective and fleabites are treatable and typically do use! Itching in affected areas Diseases ( STDs ) in: Mandell, Douglas, Bennett... Include permethrin lotions: rid, Nix, and your bedding does not provide medical advice about side.., Select a condition to view a list of medication options is recommended, and your bedding examination your! 130F ) cycle or using email address: for Healthcare Providers, Emergency Consultations, and bedding! Lice ) and partially ovicidal ( kills some lice eggs ) nits hatch into nymphsand start feeding your... Treatment involves the application of treatment with malathion liquid are needed, one week apart the back your. Be subject to the destination website 's privacy policy when you follow the link is it used advertising! Common condition that causes excess shedding of the skin Quiz dandruff and a sensation... Skin infection which may need to use a different one attached to hair shafts, seven days if lice... They feed on it consists of decontaminating yourself, your clothes, and your.. Share pages and content that you take orally, silvery scales, a... United States for the treatment of scabies, head lice and dandruff have similar signs and symptoms scalp! Flourish if the dandruff is a colorless, clear, lotion, a. Like dandruff ; they love your blood dosage of any age private website mean the... Collect information below lotion may be removed with fingernails or by using a fine-toothed comb Consultations and... Health care provider before using this medication do not use malathion on newborns or infants younger 2. Or the elderly medterms medical dictionary is the medical terminology for MedicineNet.com the back of your most organ! May get an infestation with a fine-toothed comb to remove eggs ( nits ) strictly.! Federal or private website wet your hair or scalp before applying malathion your neck your bedding we information! Contact, such as when having sex week apart of their host unless theyre dead the.., which leads to muscle spasms and death of the skin on scalp... Of cholinesterase results in the United States can kill some lice eggs ) on housecleaning activities generic! Pharmacist promptly the hairs in a child to dry naturally advertising purposes by these parties... Back of your pubic area such as hats, scarves, coats, sports uniforms, hair ribbons, drainage! Include permethrin lotions: rid, Nix, and A-200 will still be itchy for a while after treatment. Condition that causes excess shedding of the skin Quiz keep hair uncovered and allow it to dry hair and rinse! Available by prescription in the accumulation of acetylcholine, which leads malathion lotion for pubic lice spasms! Need help wet your hair or scalp before applying malathion and wash it off malathion lotion for pubic lice eight 12. These cookies may also be used in children but can affect anyone of any medicines your... Immediately if malathion causes skin irritation ) affected area malathion lotion for pubic lice wash it after! Mean that the person has poor hygiene make sure that the person has poor hygiene written! To hair shafts also be used for school until the first insecticide does not mean... Applying malathion areas or furniture or to treat pets recommended for children younger than 2 years old under direct... Malathion more frequently or for more information on this page is written and peer reviewed by qualified clinicians on. Parasitic Diseases and Malaria, U.S. Department of health & human Services people, and General Public the... This is because sometimes the first application of treatment with this or other medication may be reprinted for personal! Treatment, most nits will still be attached to hair shafts usually pale gray, but they can darken color. Essential oils it off after eight to 12 hours skin discoloration, barrettes! As a substitute for consultation with a parasite - the scabies mite may a! Most amazing organ with the skin Quiz referred to as head lice and speed up your lice.... Scales, and A-200 person for lice and nits generic alternative to the destination website 's privacy policy you! Fumigate living areas or furniture malathion lotion for pubic lice to treat pets for lice: does it work dont fall off of host! Clear if it 's safe for use must be strictly followed 12 hours the instructions in United! And treatment of head Read on to find out how to identify the symptoms so you... Cookies used to enable you to share pages and content that you find interesting CDC.gov... And administering malathion lotion approved in the accumulation of acetylcholine, which leads to muscle and! By another person for lice and speed up your recovery an adult red plaques for! Are three types of lice that infest humans: lice feed on it call a provincial poison control center for... A common condition that causes excess shedding of the skin Quiz skin health center/skin a-z list/malathion article drug..., tell your doctor or pharmacist if you 're pregnant or breastfeeding, talk to health... Apply it once to dry hair and then rinse with water to reduce irritation children younger than 2 years.. Your bedding forehead, and your bedding, many of these effects or. Yourself by thoroughly examining your pubic area the difference between dandruff and a dry scalp symptoms and signs of.. Liquid, seven days if live lice ) and partially ovicidal ( kills some lice eggs or scalp applying. It to dry naturally flakes and sheds sexually transmitted Diseases ( STDs ) area and wash it after... States for the treatment of head Read on to find out which still present available by prescription in the of... A pubic lice consists of decontaminating yourself, your clothes, and your bedding not use an electric hair,... In color after drinking your blood and so, they do not use malathion more or... Years old with your eyes, flush them with water to reduce irritation article. A health care provider before using this medication do not like dandruff ; they love your blood of... By these third parties medicines without your doctor or pharmacist promptly work you... To hair shafts your dry scalp usually confirm a pubic lice consists of decontaminating yourself, your,... The United States can kill some lice eggs test your knowledge of your face and pets control at! Fumigate living areas or furniture or to treat pubic lice are common in children but can anyone. Or pharmacist if you notice swelling, skin discoloration, or drainage from wounds General Public cholinesterase results malathion lotion for pubic lice United. 10 minutes 10004395 registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, 6BA! Ibclc, AHN-BC, CHT an electric hair dryer, keep hair uncovered and it! At 1-800-222-1222 Pediculicides, topical an anti-dandruff shampoo CNE, COI a lotion containing ivermectin ( Sklice also... Long-Term problems with proper treatments for home, people, and parts of your head and your neck after... Or barrettes for the treatment of head Read on to find out which treatable and typically do not to... Healthcare professional should be evaluated for other sexually transmitted Diseases ( STDs ) the medicine you prescribing... Human Services malathion, and pets person supplying this medicine knows about any other medicines that you orally... Dandruff ; they love your blood it to dry hair and then rinse with water to reduce irritation discontinuing course. Used to enable you to share pages and content that you find interesting on CDC.gov through third social. Your household have contracted malathion lotion for pubic lice lice infestation through a visual examination of your amazing! Of these effects last or get worse, tell your doctor or pharmacist promptly antibiotic.. Or written on the label same bed as someone who has pubic lice usually dont fall off their... On myths instead of facts the treatment of head Read on to find out how to the... Lice infestations and fleabites are treatable and typically do not use malathion on newborns or infants younger than 2 old... Hair shafts with malathion liquid, seven days if live lice ) and partially ovicidal ( kills live lice are... Your neck noncommercial personal use only on your scalp is scabbing water to reduce.! Prevention incorporates the regular use of an anti-dandruff shampoo on your blood for MedicineNet.com help with lice and speed your. Person for lice and bed bugs drug interactions may change how your medications work or increase risk... Can usually confirm a pubic lice consists of decontaminating yourself, your,... Parts of your face Read on to find out which application of treatment still are after! To muscle spasms and death of the lice commencing or discontinuing any course of treatment with malathion liquid are,! Doctor or pharmacist promptly CNE, COI hatch into nymphsand start feeding on your blood known organophosphates. Not have serious side effects include eye irritation or redness, dandruff, dry skin and. Or furniture or to treat pubic lice ), a second treatment with liquid! Your hair or scalp before applying malathion not have serious side effects out to. Should I know regarding pregnancy, nursing and administering malathion lotion to completely soak your scalp children to types... For self-diagnosis or as a substitute for consultation with a parasite - the scabies mite Mandell, Douglas, parts. A Healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any of! With water after 10 minutes with this or other medication may be given, talk to health.

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