Investigating the Efficacy of Sumac Topical Solution Against Permethrin-resistant Human Head Lice

Background: The present study aimed at determining the efficacy of applying Rhus coriaria (Sumac) solution for the treatment of Permethrin-resistant head louse in patients, who used permethrin for at least 2 consecutive periods, but have not been cured.

Methods: This study is a before-after clinical trial performed on 100 patients with pediculosis aged between 2 and 50 years old and both sexes. All patients had used Permethrin at least twice consecutively (with at least 14 days interval) according to correct instructions (on the first and 7th day), but they have not been cured. Each patient received 60ml of Rhus coriaria solution for 3 consecutive days, and the treatment was repeated again for another 3 days; then, the patients were followed-up on the 4th, 10th, and14th days after the treatment.

Results: The results showed a significant difference in the severity of head lice infection and itching before the treatment and 14 days after the treatment (P<0.001).

Conclusion: Rhus coriaria solution was more effective in eliminating head-louse infestations on 4, 10, and 14 days after the treatment and itching disappeared in most of the patients, while negligible complications were observed.