Resmethrin belongs to a group of insecticides called pyrethroids. Pyrethroids are human-made chemicals that are similar to pyrethrins, a natural insecticide made from chrysanthemum flowers. Resmethrin is generally used in and around homes and industrial and food-handling facilities, and on pets or livestock to control flying or crawling insects. Resmethrin is also used by professional pesticide applicators in mosquito control programs. Resmethrin is a colorless to yellow-brown liquid that has an odor similar to chrysanthemum flowers. Resmethrin was first registered for use in the United States in 1967.

Resmethrin is used in a wide variety of pesticide products, including ready to use sprays, concentrated liquids, and aerosol solutions. There are currently more than 200 registered products that contain resmethrin.

Resmethrin kills insects by direct contact. Resmethrin works by interfering with the normal function of the nervous system. Resmethrin is more toxic to insects than mammals due to the lower body temperature of insects.

There are four ways that people can be exposed to chemicals: contacting their skin, contacting their eyes, breathing them in, or eating them. Resmethrin can be breathed in when sprays or foggers are used in indoor spaces. Direct contact to the skin or eyes can happen while spraying resmethrin, or if direct exposure occurs during mosquito control efforts. It may also be possible to swallow resmethrin if the hands are not washed after a skin exposure. Exposure to resmethrin can be limited by reading the product label and following all of the directions.

Pyrethroids are effectively taken into the body when eaten or breathed in. Pyrethroids in general are poorly absorbed into the body when they get on the skin. However, some pesticide formulations known as "emulsifiable concentrates" may increase absorption through the skin.

Pyrethroids are not expected to build up and remain in the body. When researchers fed resmethrin to rats it was broken down in the body and excreted within 2-3 days. Breakdown products from resmethrin are less toxic than resmethrin itself.

Resmethrin is classified by the United States Environmental Protection Agency (U.S. EPA) as "likely to be carcinogenic to humans." This classification is based on tests that showed increased liver tumors among female rats and male mice when they were fed resmethrin in their diet for two years. Additional long-term studies with mice and rats that were fed resmethrin in their diet showed no evidence of resmethrin causing cancer.

In long-term feeding studies with rats, the liver was the organ most sensitive to the effects of resmethrin. Researchers also fed resmethrin to rats and rabbits during pregnancy and observed effects only at the highest doses tested. Effects included decreased maternal and offspring weight gain in rats, and increased abortion and stillborn offspring, and skeletal abnormalities in rabbits.

While children may be especially sensitive to pesticides compared to adults, there are currently no data to suggest that children have increased sensitivity specifically to resmethrin.

Resmethrin is considered highly toxic to honeybees. Resmethrin is very highly toxic to fish and water creatures that do not have backbones (invertebrates), such as pink shrimp and water fleas. The way that resmethrin behaves in the environment, including failure to mix well with water and rapid break down when exposed to sunlight, reduces the possible impact to fish and water invertebrates. Resmethrin is low to moderately toxic to birds depending on the amount and length of time of exposure.