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MD comments on Kwell[R].

COUNTRYSIDE: While reading the May/ June issue, I came across a short paragraph (p. 18) by Catherine who mentioned a lotion called "quill." The instructions she wrote are accurate however.

Kwell[R] has been used for as long as I have been involved with the field of medicine (which dates back to the late 1960s when I was a Navy Hospital Corpsman with the Marines in Vietnam). We used it mainly for short-term treatment of pubic lice and scabies in the Marines, who are adults rather than children. I don't recommend it for use in children for reasons noted below.

A quick search of the University of Nebraska website resulted in this paragraph. I direct your attention to the fact that Kwell[R] is made from Lindane.

"It has been used in the U.S. for lice for about 50 years ... Kwell[R] should be used with extreme caution--neurotoxic reactions, carcinogenicity in lab animals and blood disorders have been reported as d result of using lindane shampoos."--Source: "UNL Extension UNL Extension-Lancaster County Pests & Wildlife Head Lice Management O18"

"Lindane lotion is used topically to treat scabies; lindane shampoo is used to treat head and pubic lice. They are used in situations where treatment with other drugs has failed or cannot be tolerated by the individual."


(1.) Podstawka U, Grabarczyk M, Kopec-Szlezak J. Vitamin E protects human leucocytes against toxic effects of lindane in vitro. Mater Med Po11991;23:285-9.

(2.) Dich J, Zahn SH, Hanberg A, Adami HO. Pesticides and cancer. Cancer Causes Control 1997; 8:420-43.

(3.) Sifton DW, ed. Physicians Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 504-5.

I hope this has been helpful. By the way, I subscribe to very few publications, most of which are however, devoted to the concept of homesteading and self-sufficiency. I am homesteading on a small farm in South Dakota to which I have added a hybrid "off grid" power system which powers a geothermal heating system.

COUNTRYSIDE & SMALL STOCK JOURNAL is the only magazine I have ever consistently read from cover to cover. I enjoy your approach and willingness to publish what people write, rather than have a large staff of "experts" who write things they learn about from the people who actually "do it."--David C. Kleinberg, M.D., South Dakota
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Title Annotation:Country conversation & feedback
Author:Kleinberg, David C.
Publication:Countryside & Small Stock Journal
Article Type:Letter to the editor
Date:Sep 1, 2012
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