RESEARCH ARTICLE


Dimeticone-Based Pediculicides: A Physical Approach to Eradicate Head Lice



Jorg Heukelbach*, 1, 2, Fabiola A. Oliveira2, 3, Joachim Richter4, Dieter Haussinger4
1 Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, Brazil
2 Anton Breinl Centre for Public Health and Tropical Medicine; School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Australia
3 Health Department of the City of Cologne, Counselling Center for Sexually Transmitted Diseases/AIDS, Cologne, Germany
4 Clinic of Gastroenterology, Hepatology and Infectiology, University Heinrich Heine, Düsseldorf, Germany


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Creative Commons License
© 2010 Heukelbach et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará, Rua Prof. Costa Mendes 1608, 5. Andar, Fortaleza CE 60430-140, Brazil; Tel: ++55-85-33668045; Fax: ++55-85-33668050; E-mail: heukelbach@web.de


Abstract

Resistance of head lice to insecticides with a neurotoxic mode of action, such as permethrin and malathion, is increasing in incidence and geographic extent. As a consequence, physically acting pediculicidal products have emerged. Dimeticones are synthetic silicone oils of low surface tension and can therefore coat most surfaces, thus also killing head lice (Pediculus humanus capitis) by physical means. Considering this mode of action, the development of head lice resistance in the future is very unlikely. In this review, ex vivo and clinical evidence on the efficacy of dimeticones against head lice is presented. Besides the high adulticidal and excellent ovicidal ex vivo efficacy, clinical efficacy of high concentrated dimeticone has been shown. We conclude that dimeticone-based products are a safe and effective option for those patients who prefer not to use pediculicides with a neurotoxic mode of action, especially in areas where resistances of head lice against permethrin and malathion-based products have been reported, or are suspected.

Keywords: Dimeticone, head lice, pediculosis, physical mode of action, treatment.