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. 2022 Jul 29;14(8):1587. doi: 10.3390/pharmaceutics14081587

Table 7.

Descriptive characteristics of included interventional/observational lice studies (n = 5).

Study Design Study Participants Intervention Description Outcome Measure(s) Treatment Outcome(s) Quality Score
Barker and Altman, 2010 [110], Australia Randomised assessor-blind controlled trial Individuals with headlice (n = 132, Age range: 4–12 years) Test group I (n = 43): Received TTO (10% w/v) and lavender oil (LO, 1% w/v) (TTO/LO, NeutraLice®) lotion applied three times on Days 1, 7, and 14
Test group II (n = 45): Received Suffocation product (Benzyl alcohol, NeutraLice Advance®) applied three times on Days 1, 7, and 14
Control (n = 44): Received Pyrethrins (1.65 mg/g) and Piperonyl butoxide (16.5 mg/g) (P/PB, Banlice Mousse® product) applied twice on Days 0 and 7
Cure rate (% of louse free participants) at Day 15 (test products) and Day 8 (Control)
(AEs) occurrence
Cure rate: 95.4% (41/43) in TTO/LO group vs. 88.9% (40/45) in suffocation group vs. 22.7% (10/44) in Control group (p < 0.0001)
AEs: 25 individuals with mild (n = 22) and moderate (n = 3) AEs) (n = 13 or 30.2% with stinging, n = 8 or 18.6% with flaky scalp/dry scalp and n = 4 or 9.3% with erythema among these, n = 3 moderate AEs (n = 1, stinging of the eyes; n = 1, stinging of the neck; and n = 1, skin erythema) in TTO/LO group vs. 3 (6.7%) individuals with mild AEs (flaky scalp/dry scalp) in Suffocation group vs. 4 (6.8%) individuals with mild AEs (flaky scalp/dry scalp and erythema, 1 subject (2.3%) in P/PB group
5 (High)
Barker and Altman, 2011 [111], Australia Ex vivo Randomised assessor-blind controlled trial (ovicidal study) Individuals with headlice (n = 92, Age range: 4–12 years) Test group I (n = 31): Received TTO (10% w/v) and LO (1% w/v) (TTO/LO, NeutraLice®) lotion applied once on Day 1
Test group II (n = 31): Received Suffocation product (Benzyl alcohol, NeutraLice Advance®) applied once on Day 1
Control (n = 30): Received eucalyptus oil (11% w/w) and lemon tea tree oil (1% w/w) pediculicide (EO/LTTO, MOOV®) applied once on Day 1
Ovicidal rate (Per cent ovicidal efficacy) after 14 days
AEs occurrence
Ovicidal rate (%) (SD): 44.4% (23%) in TTO/LO group vs. 68.3% (38%) in Suffocation group vs. 3.3% (16%) in EO/LTTO group (p < 0.0001)
Aes: 4 (12.9%) individuals with mild Aes (n = 3 stinging and n = 1 redness) in TTO/LO group vs. 0% in Suffocation group vs. 6 (20%) individuals with mild Aes (n = 2 stinging and n = 4 redness) in EO/LTTO group
5 (High)
McCage et al., 2002 [103], USA Cohort study Individuals with headlice (n = 16, Age: not reported) Test (n = 16): Received a shampoo formulation (containing 0.5% TTO, 1.0% thymol and 0.5% Paw Paw extract) applied three times eight days apart
Control: None
Cure rate Cure rate:
100% (16/16)
(no p-value is reported)
6 (Medium)
Novelo, 2015 [105], USA (Patents) Case study Individuals with body lice (n = 1, Age: not reported) Test (n = 1): Received a body wash (3.7 mL) containing TTO (6%), Cinnamon oil (8%), Oregano oil (14%), Lavender oil (40%), Peppermint oil (10%), Citronella oil (5%), Orange oil (7%), and Rosemary oil (6%) daily for two days
Control: None
Cure rate Cure rate:
100% (1/1)
3 (Low)
Whitledge, 2002 [106], USA Case study An individual with headlice (n = 1, Age: 8 years) Test (n = 1): Received a shampoo containing TTO (9%), Anise oil (7%), Lemon oil (4%), SD alcohol (50%), water (28%), and fragrance (2%) applied once for 10–15 min
Control: None
Cure rate
AEs occurrence
Cure rate:100% (1/1)
AEs: No reports of sensitivity or adverse reactions
7 (High)