After treatment, your skin may still itch for a week or more. This is because of your body's reaction to the lice. Follow-up care is a key part of your treatment and safety.
You shouldn't see any crawling head lice after the first treatment if you applied it correctly. If you are still seeing live crawlers, then you may have missed a step or the treatment is not effective against the type of lice your child has.
After Treating with Lice Medicine
Check for lice again in 8 to 12 hours. Use the nit comb to remove dead lice and nits. If some are still present but moving slowly, do not shampoo again. If lice are still active and no dead lice are found, call your health care provider.
One of the most common sources of your head still itching after lice treatment is from a dry or irritated scalp from treatment. All over-the-counter lice treatments contain a variety of irritants – from chemicals to salt-based compounds – that cause irritation and drying on the scalp.
Hair straighteners won't kill the nits on your hair shafts. Even if the high heat does kill any adult lice or nymphs (young lice) that might be on your scalp—which isn't guaranteed—it won't kill the eggs (nits).
Heat Method:
There are recent studies that show that treatment of lice with heat can be quite effective in killing head lice. Products such as Lousebuster are very effective but even a home hairdryer can successfully treat lice.
Permethrin is a synthetic pyrethroid similar to naturally occurring pyrethrins. Permethrin lotion 1% is approved by the FDA for the treatment of head lice. Permethrin is safe and effective when used as directed. Permethrin kills live lice but not unhatched eggs.
Can someone have nits but no lice? It may be possible to have nits but no lice. If a person cannot find any nymphs or adult lice in the scalp and the nits are more than a quarter of an inch from the scalp, these may be dead and from an old infestation.
Formication is the sensation that bugs are crawling on or under your skin when they don't really exist. Causes include mental health conditions such as depression, medical conditions like Parkinson's disease, certain prescription medications, or drug use.
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.
You can be certain that your child is lice free when you have not found any live lice or nits found in clusters on their head for a period of 2 weeks. As said before, even after you have successfully treated your case of lice, routine “head checks” are a key factor in lice prevention.
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.
With effective treatment, head lice will completely go away after two to three weeks. The duration is dependent on how many lice made a home in your hair. Make sure you follow the instructions on your medicated shampoo, lotion or cream to get rid of lice quickly.
Nits may remain after lice have gone. They are empty eggshells and stick strongly to hair. They will eventually fall out. If you prefer, a fine-toothed 'nit comb' can remove them.
Adult head lice can survive for 2 days and nits for around 1 week on a hairbrush. Soaking combs or hairbrushes in hot water of at least 130°F (54.4°C) for 5–10 minutes will kill any lice and nits.
How many head lice are usually found on an infested person? 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.
If they are full then they will be plump and shiny. What does a dead lice egg look like? A dead lice egg will be white or grey. As they are empty, they will be flat and dry.
Children can have a few nits without actually having a case of head lice. Usually children have no more than 10 to 20 live lice. Good lighting is important when you are checking. Head lice move fast and are hard to see.
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.
The head lice may have become resistant to the treatment. If the treatment used does not kill the head lice, your health care provider and pharmacist can help you be sure the treatment was used correctly and may recommend a completely different product if they think the head lice are resistant to the first treatment.
Introduce natural predators (Ladybugs)
Ladybugs can eat 100 lice a day! Plant lice, anyway, but I'm sure it's the same with head lice. COVER YOUR CHILD IN LADYBUGS. You can purchase them at any of those “Brew 'n Grow” type stores where people grow weed by equipment and pretend to grow tomatoes with it.
What repels head lice? Coconut, tea tree oil, lavender, eucalyptus, rosemary, lemon grass, and peppermint are scents popularly believed to repel lice. Using any coconut scented shampoo and conditioner is an easy way to increase your defense. At 1% concentration, tea tree oil killed 100% of head lice after 30 minutes.
Prevention of Head Lice
Weekly head checks and the use of mint spray is your best defense. Mint Spray Recipe: Put 10 drops of mint essential oil into 16 ounces of tap or bottled water in a spray bottle. Spray on hair at least daily.