How do you treat a hair mite?

How do you treat a hair mite? - briefly

Apply a medicated shampoo or lotion containing permethrin, pyrethrin, or benzyl benzoate to the scalp, leave it on for the instructed period, then rinse and repeat after 7‑10 days. Wash all bedding, clothing, and personal items in hot water or dry them on high heat to eliminate remaining mites.

How do you treat a hair mite? - in detail

Treatment of hair mites begins with accurate identification. Microscopic examination of plucked hairs or skin scrapings confirms the presence of Demodex species. Once confirmed, a multi‑step protocol is recommended.

  • Topical agents

    • 1% tea‑tree oil lotion applied twice daily for two weeks reduces mite density.
    • 0.1% ivermectin cream, applied once daily for ten days, targets adult mites and larvae.
    • 5% permethrin cream, left on the scalp for ten minutes before rinsing, eliminates surface populations.
    • Metronidazole gel, used twice daily for three weeks, provides anti‑inflammatory relief and mite suppression.
  • Oral medications

    • Ivermectin 200 µg/kg body weight, administered as a single dose, may be repeated after one week for refractory cases.
    • Doxycycline 100 mg twice daily for four weeks offers both antimicrobial and anti‑inflammatory effects, useful when secondary bacterial infection coexists.
  • Adjunctive measures

    • Daily shampoo with 2% ketoconazole helps control fungal overgrowth that can accompany mite infestation.
    • Warm compresses applied to the scalp for five minutes before treatment increase skin permeability and improve drug absorption.
    • Regular laundering of bedding, hats, and hair accessories at 60 °C eliminates residual mites and eggs.
    • Avoidance of oil‑based hair products reduces the lipid environment that favors mite proliferation.
  • Monitoring

    • Re‑examine hair samples after two weeks of therapy; a reduction of more than 90 % indicates successful eradication.
    • If mite counts remain high, extend topical treatment by another week and consider adding oral ivermectin.
    • Document any adverse reactions, especially skin irritation from essential‑oil preparations, and adjust the regimen accordingly.

Effective management combines targeted pharmacologic action with strict hygiene practices. Consistent application of the outlined steps typically resolves infestation within four to six weeks.