How to get rid of lice in a pillow?

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How to get rid of lice in a pillow? - briefly
Wash the pillow cover in hot water (≥ 130 °F) and dry it on high heat for at least 30 minutes; then heat‑treat the pillow itself in a dryer on high or replace it if it cannot be safely heated. Use a lice‑killing spray or steam for any remaining infestations before re‑covering.

How to get rid of lice in a pillow? - in detail
Lice infestations in bedding require a systematic approach because the insects can survive for several days away from a host. The following steps eliminate them from a pillow and prevent re‑infestation.

Isolate the pillow

Place the item in a sealed plastic bag immediately after detection.
Keep the bag closed for at least 48 hours; lice cannot survive beyond this period without a blood meal.

Apply heat

Transfer the pillow to a dryer set to high heat (minimum 130 °F / 54 °C).
Run the cycle for 30 minutes; heat kills both adult lice and nymphs.
If the pillow cannot be machine‑dried, use a portable heating pad or a steam cleaner, ensuring the surface temperature reaches the same threshold for at least 10 minutes.

Use a suitable insecticide

Choose a product labeled for lice on fabrics (e.g., permethrin‑based spray).
Lightly mist the pillow, avoiding oversaturation that could damage the filling.
Allow the spray to dry completely according to the manufacturer’s instructions before handling.

Vacuum thoroughly

Employ a vacuum equipped with a HEPA filter.
Run the nozzle over all seams, folds, and the exterior of the pillow for several minutes.
Immediately discard the vacuum bag or empty the canister into a sealed container.

Wash removable covers

If the pillow has a washable case, launder it in hot water (≥130 °F) and dry on high heat.
For non‑removable covers, repeat the steam or heat treatment on the surface.

Inspect and repeat

After the initial treatment, examine the pillow under bright light for any remaining nits or live insects.
Perform a second heat or insecticide cycle 24 hours later to address any survivors that may have hatched.

Prevent future infestations

Store pillows in airtight containers when not in use.
Maintain regular laundering of pillowcases and surrounding bedding.
Conduct routine visual checks, especially after contact with potentially infested environments (e.g., schools, gyms).

By isolating the pillow, applying sustained heat, using an approved lice treatment, vacuuming, and following up with thorough inspection, the infestation can be eradicated without compromising the pillow’s integrity.