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Drug side effects

permethrin Side Effects

The reactions most often reported to the FDA for permethrin (also sold as Elimite, Nix), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

1,707
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2004 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of permethrin come from 1,707 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 1,707 reports to the FDA Adverse Event Reporting System (FAERS) for permethrin (Elimite): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

1,707

Reports Mentioning Death

59

3.5% of reports — not proof the medicine caused the death

Hospitalizations

228

13.4% of reports

Top Indication

Lice Infestation

Most Reported Adverse Reactions

PRURITUS
139
PAIN
92
RASH
78
HEADACHE
75
NAUSEA
74
DRY SKIN
71
ALOPECIA
69
ANXIETY
69
CHRONIC KIDNEY DISEASE
67
DIARRHOEA
54
FATIGUE
53
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
51
INAPPROPRIATE SCHEDULE OF DRUG ADMINISTRATION
49
DYSPNOEA
48
EMOTIONAL DISTRESS
48
ERYTHEMA
48
RENAL FAILURE
45

Who Reports Side Effects

Gender Distribution

Female 975 (68%)
Male 462 (32%)
Unknown 5

Age Distribution

0-17 156 (16%)
18-44 245 (25%)
45-64 354 (37%)
65-74 108 (11%)
75+ 102 (11%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 59 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 28
VISION BLURRED 12
FATIGUE 10
CELLULITIS 6
CONSTIPATION 6
HEADACHE 6
INCORRECT ROUTE OF PRODUCT ADMINISTRATION 6
RENAL FAILURE 6
SKIN INFECTION 6
URINARY TRACT INFECTION 6
ACARODERMATITIS 5
CHRONIC KIDNEY DISEASE 5
COMPLETED SUICIDE 5
PULMONARY MASS 5
ACUTE KIDNEY INJURY 4
END STAGE RENAL DISEASE 4
LYMPHOEDEMA 4
METASTASES TO CENTRAL NERVOUS SYSTEM 4
NEPHROGENIC ANAEMIA 4
DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS 3

Reactions in Hospitalization Reports

Top reactions in 228 reports where hospitalization was an outcome.

Reaction Reports
PAIN 23
DYSPNOEA 22
ACUTE KIDNEY INJURY 21
ANXIETY 19
RENAL FAILURE 18
VOMITING 17
ASTHENIA 16
CHRONIC KIDNEY DISEASE 14
PAIN IN EXTREMITY 13
HYPERTENSION 12
PYELONEPHRITIS 12
RASH 12
DEPRESSION 11
HEADACHE 11
NAUSEA 11
CHOLECYSTITIS CHRONIC 9
DIARRHOEA 9
INSOMNIA 9
PAPULE 9
PRURITUS 9

Compare permethrin vs adapalene →

What the FAERS Data Reveals About permethrin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 1,707 voluntary reports linked to permethrin and its brand equivalents (Elimite, Nix), spanning 2004 through 2025. Of those, 59 (3.5%) listed death as an outcome and 228 (13.4%) involved hospitalization. The most common indication reported alongside adverse events was Lice Infestation.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 68% were female and 32% male; age distribution skews toward 45-64, with 354 reports in that bracket. The single most reported reaction is pruritus with 139 submissions, followed by pain and rash.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.