U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
Permethrin is a synthetic pyrethrin derivative acts as a neurotoxin by depolarizing the nerve cell membrane. Permethrin disrupts the sodium channel current by which membrane repolarization is regulated resulting in fatal paralysis of the nerves in the exoskeletal respiratory muscles of susceptible arthropods, including lice and mite. Permethrin is sold under brand names NIx and Elimite to treat pediculosis, scabies and demodicidosis.

Originator

Curator's Comment: Permethrin was allegedly developed by US military to protect soldiers from insects in the jungle. (https://www.oammagazine.com/wp-content/uploads/2016/04/Treating%20your%20Clothes%20with%20Permethrin.pdf).

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
ELIMITE

Approved Use

ELIMITE (permethrin) 5% Cream is indicated for the treatment of infestation with Sarcoptesscabiei (scabies).

Launch Date

1989
Curative
NIX

Approved Use

To treat head lice.

Launch Date

1990
Curative
NIX

Approved Use

A synthetic pyrethrin derivative; like natural pyrethrins, acts as a neurotoxin by depolarizing the nerve cell membrane. Disrupts the sodium channel current by which membrane repolarization is regulated resulting in fatal paralysis of the nerves in the exoskeletal respiratory muscles of susceptible arthropods, including lice and mites.

Launch Date

1986
Curative
NIX

Approved Use

A synthetic pyrethrin derivative; like natural pyrethrins, acts as a neurotoxin by depolarizing the nerve cell membrane. Disrupts the sodium channel current by which membrane repolarization is regulated resulting in fatal paralysis of the nerves in the exoskeletal respiratory muscles of susceptible arthropods, including lice and mites.

Launch Date

1986
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
49.46 μg/mL
460 mg/kg single, oral
dose: 460 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
0.6 μg/mL
10 mg/kg bw single, oral
dose: 10 mg/kg bw
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Gallus gallus domesticus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
253 ng/mL
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
615 ng/mL
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
868 ng/mL
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
159 mg × h/L
46 mg/kg single, intravenous
dose: 46 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
PERMETHRIN plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
965 mg × h/L
460 mg/kg single, oral
dose: 460 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
1.95 mg × h/L
10 mg/kg bw single, oral
dose: 10 mg/kg bw
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Gallus gallus domesticus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
16.45 mg × h/L
10 mg/kg bw single, intravenous
dose: 10 mg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Gallus gallus domesticus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
2.73 μg × h/mL
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.26 μg × h/mL
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.67 h
46 mg/kg single, intravenous
dose: 46 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
PERMETHRIN plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
12.37 h
460 mg/kg single, oral
dose: 460 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
5.54 h
10 mg/kg bw single, oral
dose: 10 mg/kg bw
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Gallus gallus domesticus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
4.73 h
10 mg/kg bw single, intravenous
dose: 10 mg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Gallus gallus domesticus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5.08 h
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
4.82 h
143 g single, oral
dose: 143 g
route of administration: Oral
experiment type: SINGLE
co-administered:
PERMETHRIN serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
10%
PERMETHRIN plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1 % 1 times / day multiple, topical
Recommended
Dose: 1 %, 1 times / day
Route: topical
Route: multiple
Dose: 1 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: pediculosis
Age Group: adult
Sex: unknown
Sources:
Other AEs: Skin and subcutaneous conditions NEC...
Other AEs:
Skin and subcutaneous conditions NEC
Sources:
5 % 1 times / day multiple, topical
Recommended
Dose: 5 %, 1 times / day
Route: topical
Route: multiple
Dose: 5 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: scabies
Age Group: adult
Sex: unknown
Sources:
Other AEs: Dystonia...
200 ug/kg 1 times / day multiple, oral
Recommended
Dose: 200 ug/kg, 1 times / day
Route: oral
Route: multiple
Dose: 200 ug/kg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: crusted scabies
Age Group: adult
Sex: unknown
Sources:
AEs

AEs

AESignificanceDosePopulation
Skin and subcutaneous conditions NEC
1 % 1 times / day multiple, topical
Recommended
Dose: 1 %, 1 times / day
Route: topical
Route: multiple
Dose: 1 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: pediculosis
Age Group: adult
Sex: unknown
Sources:
Dystonia
5 % 1 times / day multiple, topical
Recommended
Dose: 5 %, 1 times / day
Route: topical
Route: multiple
Dose: 5 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: scabies
Age Group: adult
Sex: unknown
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



Drug as perpetrator​Drug as victim
PubMed

PubMed

TitleDatePubMed
Radiosynthesis and metabolism in rats of the 1R isomers of the insecticide permethrin.
1976 Mar-Apr
Purification and preliminary characterization of permethrinase from a pyrethroid-transforming strain of Bacillus cereus.
1993 Jul
High performance liquid chromatographic determination of diazinon, permethrin, DEET (N, N-diethyl-m-toluamide), and their metabolites in rat plasma and urine.
2001 Jun
A solid phase extraction reversed-phase HPLC method for the simultaneous determination of methoprene, permethrin and selected metabolites in rat plasma and urine.
2001 Nov
Thermal decomposition and isomerization of cis-permethrin and beta-cypermethrin in the solid phase.
2002 Feb
Neonatal exposure of newborn mice to pyrethroid (permethrin) represses activity-dependent c-fos mRNA expression in cerebellum.
2002 Jul
[Inhibitory effect of zinc on beta-hexosaminidase release from RBL-2H3 cells by synthetic chemicals].
2004 Apr
Determination of solid-liquid partition coefficients (K(d)) for diazinon, propetamphos and cis-permethrin: implications for sheep dip disposal.
2004 Aug 15
Identification, expression, and purification of a pyrethroid-hydrolyzing carboxylesterase from mouse liver microsomes.
2004 Jul 9
Effectiveness of residual spraying of peridomestic ecotopes with deltamethrin and permethrin on Triatoma infestans in rural western Argentina: a district-wide randomized trial.
2004 Mar
Separation and aquatic toxicity of enantiomers of synthetic pyrethroid insecticides.
2005
Identification of amino acid residues in the insect sodium channel critical for pyrethroid binding.
2005 Feb
Enantioselectivity in environmental safety of current chiral insecticides.
2005 Jan 18
Rapid analysis of pyrethroids in whole urine by high-performance liquid chromatography using a monolithic column and off-line preconcentration in a restricted access material cartridge.
2005 May
Lessons learned for the assessment of children's pesticide exposure: critical sampling and analytical issues for future studies.
2005 Oct
Purification and characterization of a novel pyrethroid hydrolase from Aspergillus niger ZD11.
2005 Sep 21
Laboratory and scaled up evaluation of cis-permethrin applied as a new ultra low volume formulation against Aedes aegypti (Diptera: Culicidae).
2006 Jan
An intervention to reduce residential insecticide exposure during pregnancy among an inner-city cohort.
2006 Nov
Method of analysis of a selected group of pyrethroids in soil samples using off-line flow-through extraction and on-column direct large-volume injection in reversed phase high performance liquid chromatography.
2006 Sep
Permethrin may disrupt testosterone biosynthesis via mitochondrial membrane damage of Leydig cells in adult male mouse.
2007 Aug
Synergism between cis-permethrin and benzoyl phenyl urea insect growth regulators against Aedes aegypti larvae.
2007 Mar
Efficacy of permethrin cream and oral ivermectin in treatment of scabies.
2007 Oct
Pyrethroids: cytotoxicity and induction of CYP isoforms in human hepatocytes.
2008
Multimedia measurements and activity patterns in an observational pilot study of nine young children.
2008 Jan
Pesticides and atopic and nonatopic asthma among farm women in the Agricultural Health Study.
2008 Jan 1
Induction of hepatic estrogen-responsive gene transcription by permethrin enantiomers in male adult zebrafish.
2008 Jun 23
High-resolution melt analysis for the detection of a mutation associated with permethrin resistance in a population of scabies mites.
2008 Mar
Neurobehavioral toxicology of pyrethroid insecticides in adult animals: a critical review.
2008 Mar-Apr
Cross-induction of detoxification genes by environmental xenobiotics and insecticides in the mosquito Aedes aegypti: impact on larval tolerance to chemical insecticides.
2008 May
The effect of insecticide synergists on the response of scabies mites to pyrethroid acaricides.
2009
Ability of four emergent macrophytes to remediate permethrin in mesocosm experiments.
2009 Aug
Pyrethroid insecticides: isoform-dependent hydrolysis, induction of cytochrome P450 3A4 and evidence on the involvement of the pregnane X receptor.
2009 May 15
Rhinitis associated with pesticide use among private pesticide applicators in the agricultural health study.
2010
Estrogenic pyrethroid pesticides regulate expression of estrogen receptor transcripts in mouse Sertoli cells differently from 17beta-estradiol.
2010
Estrogenic activities of two synthetic pyrethroids and their metabolites.
2010
Time-dependent integrity during storage of natural surface water samples for the trace analysis of pharmaceutical products, feminizing hormones and pesticides.
2010 Apr 19
Assessing hormone receptor activities of pyrethroid insecticides and their metabolites in reporter gene assays.
2010 Jul
Splice variant specific increase in Ca2+/calmodulin-dependent protein kinase 1-gamma mRNA expression in response to acute pyrethroid exposure.
2010 May-Jun
Body mass index, agricultural pesticide use, and cancer incidence in the Agricultural Health Study cohort.
2010 Nov
Pesticide use modifies the association between genetic variants on chromosome 8q24 and prostate cancer.
2010 Nov 15
A simple HPLC method for determination of permethrin residues in wine.
2010 Oct
Stereoselective biotransformation of permethrin to estrogenic metabolites in fish.
2010 Oct 18
Fetal exposure to chlordane and permethrin mixtures in relation to inflammatory cytokines and birth outcomes.
2011 Feb 15
Comparative study of human and mouse pregnane X receptor agonistic activity in 200 pesticides using in vitro reporter gene assays.
2011 Feb 27
Permethrin treatment of head lice with knockdown resistance-like gene.
2011 Jan 27
Antiplasmodial and antitrypanosomal activity of pyrethrins and pyrethroids.
2011 Sep 14
The impact of early life permethrin exposure on development of neurodegeneration in adulthood.
2012 Jan
Permethrin exposure during puberty has the potential to enantioselectively induce reproductive toxicity in mice.
2012 Jul
Early life permethrin exposure induces long-term brain changes in Nurr1, NF-kB and Nrf-2.
2013 Jun 17
Early life permethrin treatment leads to long-term cardiotoxicity.
2013 Oct
Patents

Sample Use Guides

Scabies: Thoroughly massage permethrin 5% cream into the skin from the head to the soles of the feet. Usually 30 grams is sufficient for an average adult. The cream should be removed by washing after 8 to 14 hours. Infants should be treated on the scalp, temple, and forehead. 1 application is generally curative. Lice: completely saturate the hair and scalp with the drug. Begin to apply it behind the ears and at the back of the neck. Leave the shampoo on the hair for 10 minutes, but no longer, rinse with warm water, towel dry hair and comb out tangles. If live lice are seen seven days or more after the first treatment, a second treatment should be given.
Route of Administration: Topical
In Vitro Use Guide
Unknown
Substance Class Mixture
Created
by admin
on Sat Dec 16 19:22:38 GMT 2023
Edited
by admin
on Sat Dec 16 19:22:38 GMT 2023
Record UNII
509F88P9SZ
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
PERMETHRIN
HSDB   INCI   INN   ISO   MART.   MI   ORANGE BOOK   USAN   VANDF   WHO-DD  
USAN   INN   INCI  
Official Name English
Permethrin [WHO-DD]
Common Name English
PERMETHRIN [ISO]
Common Name English
permethrin [INN]
Common Name English
PERMETHRIN [JAN]
Common Name English
M-PHENOXYBENZYL (±)-3-(2,2-DICHLOROVINYL)-2,2-DIMETHYLCYCLOPROPANECARBOXYLATE
Systematic Name English
PERMETHRIN [HSDB]
Common Name English
MIXTURE OF CIS AND TRANS PERMETHRIN ISOMERS
Common Name English
PERMETHRIN [MI]
Common Name English
PERMETHRIN [VANDF]
Common Name English
CYCLOPROPANECARBOXYLIC ACID, 3-(2,2-DICHLOROETHENYL)-2,2-DIMETHYL-, (3-PHENOXYPHENYL)METHYL ESTER
Common Name English
PERMETHRIN [EMA EPAR VETERINARY]
Common Name English
PERMETHRIN [MART.]
Common Name English
PERMETHRIN COMPONENT OF VECTRA 3D
Brand Name English
(±)-3-PHENOXYBENZYL 3-(2,2-DICHLOROVINYL)-2,2-DIMETHYLCYCLOPROPANECARBOXYLATE
Systematic Name English
ELIMITE
Brand Name English
ACTIVYL TICK PLUS
Brand Name English
PERMETHRIN [INCI]
Common Name English
PERMETHRIN [IARC]
Common Name English
NSC-760105
Code English
PERMETHRIN [ORANGE BOOK]
Common Name English
COMPONENT OF ACTIVYL TICK PLUS
Common Name English
NIX
Brand Name English
ACTIVYL TICK PLUS COMPONENT PERMETHRIN
Common Name English
VECTRA 3D COMPONENT PERMETHRIN
Brand Name English
PERMETHRIN [USAN]
Common Name English
Classification Tree Code System Code
WHO-VATC QP53AC04
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
WHO-ATC P03AC04
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
WHO-ATC P03AC54
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
WHO-ESSENTIAL MEDICINES LIST 13.5
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
EMA VETERINARY ASSESSMENT REPORTS ACTIVYL TICK PLUS (AUTHORIZED)
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
NCI_THESAURUS C29727
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
NDF-RT N0000175847
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
NDF-RT N0000006014
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
EMA VETERINARY ASSESSMENT REPORTS VECTRA 3D [AUTHORIZED]
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
EPA PESTICIDE CODE 109701
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
Code System Code Type Description
DAILYMED
509F88P9SZ
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
PUBCHEM
40326
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
ALANWOOD
permethrin
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
FDA UNII
509F88P9SZ
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
NSC
760105
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
MESH
D026023
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
LACTMED
Permethrin
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
CHEBI
34911
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
SMS_ID
100000091844
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PRIMARY
EPA CompTox
DTXSID8022292
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
DRUG CENTRAL
4152
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
MERCK INDEX
m8564
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY Merck Index
NCI_THESAURUS
C29354
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
INN
5510
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PRIMARY
DRUG BANK
DB04930
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
WIKIPEDIA
PERMETHRIN
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
ChEMBL
CHEMBL1525
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
USAN
U-105
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
HSDB
6790
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
ECHA (EC/EINECS)
258-067-9
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
CAS
52645-53-1
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
EVMPD
SUB09734MIG
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY
RXCUI
33199
Created by admin on Sat Dec 16 19:22:39 GMT 2023 , Edited by admin on Sat Dec 16 19:22:39 GMT 2023
PRIMARY RxNorm
All of the following components must be present:
Related Record Type Details
TARGET -> INHIBITOR
Related Record Type Details
METABOLITE -> PARENT
METABOLITE -> PARENT
METABOLITE -> PARENT
METABOLITE -> PARENT
Related Record Type Details
ACTIVE MOIETY
Definition References