Which scabicide is known to be associated with neurotoxicity in infants and young children?

Lindane, commonly known by its brand name Kwell, is the scabicide that is associated with neurotoxicity, particularly in infants and young children. It is a chlorinated hydrocarbon that can be absorbed through the skin and can lead to serious side effects, including seizures and other neurological issues, especially in vulnerable populations such as young children whose nervous systems are still developing.

Due to its potential for neurotoxic effects, the use of lindane is more restricted today, and healthcare providers often recommend alternative treatments that have a better safety profile. On the other hand, other scabicides listed, like crotamiton, sulfur ointment, and permethrin, are not known to carry the same risks of neurotoxicity, making them safer options for treating scabies in sensitive populations. Permethrin, in particular, is frequently used as a first-line treatment due to its efficacy and safety record.

This understanding of lindane's associated risks underscores the importance of choosing the appropriate treatment based on safety profiles, especially in pediatric patients.