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What to do for lice and nits ??
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Skin & Hair Concerns
Question #10600
1 year ago
492

What to do for lice and nits ??

Farida

I have gotten lice and nits lots and having itching because of its what I can do for it can you please share what I can do and it is lot of nits and lice. I am very fed up this doctor please help

Age: 20
Chronic illnesses: No
$5
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Doctors' responses

RX 1) Permethrin 1% lotion Dosage: Apply thoroughly to washed and towel-dried hair and scalp, covering from root to tip. Instructions: Leave on for 10 minutes, then rinse with lukewarm water. Comb hair with a fine-toothed lice comb (nit comb) to remove dead lice and nits. Repeat after 7 days to kill newly hatched lice.

2) tab levocet 5 mg 1 tab at bedtime for 5 days

When to Consult Again If itching persists beyond 2 weeks after treatment. If there are signs of secondary infection (pus, red swollen scalp). If lice return after two proper treatments.

Follow up soon Thank you

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Hello dear See kindly follow below instructions Ointment scabex topically for 1 week Tablet levocetrizine or avil accordingly In case of no improvement consult general physician Regards

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Farida ji use Permethrin 1% lotion (like Perlice or Scabper) Ivermectin lotion (e.g. Ivrea 1%)

Apply to dry scalp and all over hair, especially roots and behind ears

Leave for 30–45 minutes

Comb through with a fine-toothed lice comb to remove lice/nits

Wash hair with mild shampoo

Repeat every 7 days (total 2–3 times) to kill newly hatched lice

For hair Apply coconut oil + tea tree oil mixture before bed — this suffocates lice and reduces itching.

Mix:

3 tbsp coconut oil

5–10 drops tea tree oil (antifungal + anti-lice) Massage into scalp and hair → Cover with shower cap → Wash next morning

Hygiene Precautions (Important) You must do these to avoid reinfection:

Boil or wash pillow covers, towels, combs, bed sheets in hot water

Do not share combs, towels, hair ties

Disinfect your lice comb daily in hot water

Vacuum your mattress or sun-dry it

lice load is too much and lotions don’t help:

Ivermectin 6 mg tablet – 1 tablet once a week × 2 weeks Follow up

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To address lice and nits effectively, you’ll want to start with a combination of topical treatments and thorough combing. Your first step is generally to use an over-the-counter treatment like permethrin lotion or pyrethrin-based products. These are designed to kill live lice. Follow the instructions on the product label carefully; usually, you’ll need to apply it to dry hair and rinse it off after a specified time. While they’re good at killing adult lice, nits (lice eggs) are more resilient. Use a fine-toothed nit comb, which often comes with lice treatment kits, to painstakingly comb through your hair section by section. This can be tedious, but it’s necessary to physically remove nits before they hatch. Do this on wet or conditioned hair as it makes the process smoother and more effective. Vacuum your living space and wash your bedding, hats, and stuffed toys in hot water (at least 130°F) and dry on high heat to kill any stray lice. Be aware that some households lice have grown resistant to certain over-the-counter products. If you’ve followed instructions and still struggle, see your doctor for prescription treatments like ivermectin or spinosad, which may be more effective. Avoid alternative treatments lacking evidence, like essential oils, as they may not be a reliable solution. Make sure to check and treat household members and close contacts as lice spread through head-to-head contact. Self-treating without ensuring everyone around is clear can lead to reinfection. If after all this, the infestation persists, engage a healthcare provider. They can suggest advanced treatments tailored to your needs. Don’t delay addressing it since lice can be stubborn if not dealt with comprehensively.

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