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What to do for lice and nits ??
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Skin & Hair Concerns
Question #10600
308 days ago
412

What to do for lice and nits ?? - #10600

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
200 INR (~2.35 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
308 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
308 days ago
5

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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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
307 days ago
5

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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