Use drugs that treat lice only as directed. Applying too much can cause red, irritated skin.
DO NOT over treat. Some louse shampoos can be neurotoxic and overuse can damage the nervous system. Wear gloves when treating more than one person with head louse shampoo. If more than two treatments are required to control an infestation, talk to the School Nurse(s) or the Health Department about alternative methods.
Many lice medicines recommend a second treatment in 9 to 10 days. This will kill any new nymphs that have hatched since the first treatment. Do not treat a person more than 2 times with the same medicine without talking to your doctor.
No. The two treatments 9 days apart are designed to eliminate all live lice, and any lice that may hatch from eggs that were laid after the first treatment. Many nits are more than ¼ inch from the scalp.
A second treatment is recommended 9 to 10 days after the first treatment to kill any newly hatched lice before they can produce new eggs.
If you begin to find that the nits are further away from the scalp, they may not be viable. Using a magnifying lens will make it easier to search for nits close to the scalp. You'll want to make sure that there are no clusters of nits close to your child's scalp for at least two weeks before you are in the clear.
Generally, if no live crawling insects are seen three weeks after the treatment, it's safe to assume that they are gone. Nits would have hatched by that time if they were alive. Nits and their shells may remain in the hair for some time but won't be viable.
Therefore, an appropriately timed second treatment is usually necessary to kill nymphs after they hatch but before they become adult lice. Some studies suggest that re-treating 7 to 9 days after the first treatment is the ideal time for a second treatment, but other re-treatment schedules exist.
If a head lice treatment that you can buy without a prescription fails to work, the CDC recommends that you see a health care provider. Highly effective prescription treatments that you apply to the scalp are available.
First, wash the hair with a regular shampoo. Then, towel dry it before using the anti-lice creme. Do not use a conditioner or creme rinse after shampooing. Reason: It will interfere with Nix.
With the hair wet and full of conditioner, it is difficult to see whether any lice or nits have been removed. However, dry combing, which is easier to do, allows success of louse removal to be seen and has been successful in ten out of ten separate infestations.
Adult lice can't live longer than 24 hours or so on nonhuman surfaces like carpets, hardwood floors, clothing, furniture, sports helmets, headphones, or hair accessories. However, if you have identified lice in your home, isolate and wash those items and areas within at least 72 hours.
Typically, 10–15 head lice are found. The number of lice often depends on personal hygiene, for example, how often the person bathes, shampoos, or changes and washes his/her clothing.
There will be some menthol-tingling on the scalp, and if left in too long, you can do some unnecessary damage to your hair.
There are over-the-counter (OTC) lice treatments that are effective at getting rid of lice, including Rid and Nix. If lice return, a doctor may prescribe the shampoo Lindane, (which the American Academy of Pediatrics warns against using as a first treatment in children), or lotions such as Sklice, Ulesfia, or Ovide.
You Have to Treat Them
Head lice will not go away on their own. If you think your child has an infestation, there are several steps you should take right away. Call your doctor to confirm the diagnosis. Notify your child's day care or school so other students can be checked.
But unfortunately, the nits will not simply fall out your hair. The lice themselves take 7 to 11 days to hatch, so after that what is attached to the hair is the empty eggshell or the dead nit. These will stay attached to the hair and as the hair grows you will find them further and further down the hair shaft.
Lice are tiny, but you can still see them — though it's not always easy. An adult louse is grayish white or tan and about the size of a small sesame seed. Lice move fast, so you're actually more likely to see their eggs than the lice themselves. Louse eggs are called nits.
It takes several treatments to completely remove lice and nits from your hair. It could take up to three weeks to get rid of all lice and nits.
If you see sesame-seed-shaped objects, those are the nits and lice, which can be brown or grey and stand out against the white paper towel. “The nits may look like they have tails that stick out the back,” says Faulkner.
Nits are often confused with other things found in the hair such as dandruff, hair spray droplets, and dirt particles. If no live nymphs or adult lice are seen, and the only nits found are more than ¼-inch from the scalp, the infestation is probably old and no longer active and does not need to be treated.
The conditioner does not kill lice but stuns them for about 20 minutes enabling easier removal. The long toothed metal comb will remove nits and the stunned head lice. Wipe the comb on a white tissue and check for any lice or nits. Keep combing until no more appear on the tissue.
Nits that are attached more than ¼ inch from the base of the hair shaft are almost always non-viable (hatched or dead). Head lice and nits can be visible with the naked eye, although use of a magnifying lens may be necessary to find crawling lice or to identify a developing nymph inside a viable nit.
Periodically look at the comb for evidence of lice or nits (eggs) - If you're not certain, an easy way to see what the comb has picked up is to bang the comb onto a paper towel and run your thumb nail along the teeth to loosen the debris. Lice are 2-4 mm in length and vary in color from grayish white to brown.
The peak season for lice infestation is August through October and again in January. Head lice are tiny parasitic insects that feed on human blood. Lice come in three forms: nits (eggs), nymphs (baby lice), and adults. Nits are white or yellowish-brown and about the size of a poppy seed.