Advise Reapplying Nix in 7 to 10 Days Even if Labels Say Otherwise

September 2015

New guidelines will help head off old concerns about head lice.

Continue to suggest OTC permethrin 1% (Nix, etc) or pyrethrins (Rid, etc) first, plus REtreatment on day 9...even if labels say otherwise.

If lice persist, suggest benzyl alcohol (Ulesfia) for kids 6 months and older...or malathion (Ovide, etc) in kids 2 years and up.

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Table of Contents

Influenza Don't Automatically Give the Live Intranasal Vaccine to Kids
NSAIDs Advise Limiting NSAIDs in Patients With Cardiovascular Disease
Cardiology Don't Routinely Recommend Praluent for High Cholesterol
Cardiology Save Entresto for Persistent Heart Failure Symptoms
Lice Advise Reapplying Nix in 7 to 10 Days Even if Labels Say Otherwise
Pharmacogenetics Be Aware of Situations Where Pharmacogenetic Testing Makes Sense
Gastroenterology Explain That Any Risk of Heart Attack With PPIs Is Very Small
Infectious Diseases Dispel the Myth That Discolored Nasal Mucus Always Means a Bacterial Infection
Antipsychotics Check Patients Get At Least 4 Months of Invega Sustenna BEFORE Invega Trinza
Stroke Don't Suggest Jumping to Clopidogrel if Patients Have a GI Bleed on Aspirin
Otics Consider Alternatives for A/Band Unapproved Otics
Practice Be ready when DEA brings back National Rx Drug Take-Back Day
Sleep Disorders Don't Recommend Hetlioz for Most Insomnia Patients