13.10.4 Parasiticidal preparations

NHS England (NHSE) has published new prescribing guidance for various common conditions for which over-the-counter (OTC) items should not be routinely prescribed in primary care (quick reference guide). One of these conditions is headlice.

Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. Please click here for further information, exceptions, and a patient leaflet.

  • Cream 5% (£7.46 = 30g)


  • Scabies
  • Crab lice
  • Liquid (aqueous) 0.5% (£8.44 = 200ml)


  • Scabies


Home > Formulary > Chapters > 13. Skin > 13.10 Anti-infective skin preparations > 13.10.4 Parasiticidal preparations


  • First line
  • Second line
  • Specialist
  • Hospital