Preservative

Permethrin

INCI: PERMETHRIN

Reviewed by Kate · Last updated 20 Jul 2026

A topical purifying agent used to treat mite-related skin infestations

Best For Skin Types

All

Addresses

Parasitic infestation, Inflammatory skin conditions, Itching

Effective Concentrations

5%

Usage Frequency

As directed by healthcare provider

What Is Permethrin?

Permethrin is a synthetic pyrethroid insecticide derived from natural compounds found in chrysanthemum flowers. In skincare, it functions as a topical antimicrobial agent specifically designed to target parasitic mites that burrow into or colonise the skin.

The ingredient works by disrupting the nervous system of mites, rendering them unable to survive on the skin. It is not used for general skincare purposes but rather as a targeted treatment for specific mite-related skin conditions that require professional medical guidance.

How It Works

Permethrin acts as a neurotoxin to parasitic mites. It disrupts the sodium channels in the mite's nervous system, causing paralysis and death. This mechanism is selective enough to affect mites whilst having minimal impact on human cells when used topically at appropriate concentrations.

The ingredient requires proper application technique and timing to be effective. Current clinical guidance indicates that permethrin is considered first-line treatment for scabies, often applied as a topical cream or lotion to affected areas and sometimes the entire body, depending on the condition being treated.

Clinical Evidence & References

Research supports permethrin as the primary topical treatment for scabies, with clinical practice guidelines from dermatology and public health experts recommending it as first-line therapy. It is also evaluated for treating Demodex-associated inflammatory skin conditions, though evidence for this application is less established than for scabies treatment.

Treatment outcomes depend significantly on correct application technique and adherence to medical guidance. Some cases of scabies may require combination therapy with systemic treatments for optimal results, particularly in more severe or resistant presentations. As with any antimicrobial agent, dermatological assessment is essential before use.

How to Use

Permethrin should only be used under medical guidance. Application instructions vary depending on the condition being treated and the specific formulation prescribed. Typically, the cream or lotion is applied to clean skin, allowed to dry, and left on the skin for a specified duration before washing off. Retreatment may be necessary after 7–14 days. All household members and close contacts may require treatment simultaneously to prevent reinfestation. Clothing, bedding, and personal items should be washed in hot water as part of the treatment protocol.

Safety & Precautions

Permethrin is generally well-tolerated when used as directed. Mild localised irritation, burning or itching may occur at the application site. It should not be used on infants or very young children without medical supervision, and pregnant or breastfeeding individuals should consult their healthcare provider before use.

If you’re pregnant or breastfeeding, please check with us first — [email protected].

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