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Spinosad acts on the nervous system of parasites. It causes excessive neuronal stimulation, followed by paralysis and death of lice and mites.
When applied to the skin or scalp, only a very small amount of spinosad is absorbed into the bloodstream. Most of the medicine remains on the treated surface, where it acts directly against the parasites. Blood levels are generally very low or undetectable after topical application, including in children. Because systemic absorption is minimal, significant distribution, metabolism, and elimination through the body are not expected.
For external use only. Do not swallow or use in the eyes or vagina.
For Scabies
- Shake the bottle thoroughly before use.
- Apply the suspension generously over the entire body from the neck down to the soles of the feet.
- People with a bald or sparsely haired scalp should also apply it to the scalp, hairline, temples, and forehead as directed.
- Allow the medicine to remain on the skin long enough to dry, usually about 10 minutes, before putting on clothing.
- Avoid bathing for at least 6 hours after application.
- Follow the treatment instructions provided by your doctor.
For Head Lice
- Shake the bottle well before application.
- Apply the suspension thoroughly to dry hair and scalp, ensuring that the entire scalp is adequately covered.
- Leave the medicine on for approximately 10 minutes.
- Rinse the hair thoroughly with warm water.
- If live lice are still present 7 days after the first application, a second treatment may be required as advised by your doctor.
Use in Children
Scabies: Safety and effectiveness have not been established in children below 4 years of age.
Head lice: Spinosad topical suspension may be used for head lice in children aged 6 months and older, when appropriate.
Freescab contains benzyl alcohol and should not be used in neonates or infants younger than 6 months unless specifically directed by a healthcare professional.