How to get rid of subcutaneous lice? - briefly
Apply a topical pediculicide such as permethrin or ivermectin and wash skin, bedding, and clothing in water ≥ 60 °C. If lice remain, obtain a prescription‑strength treatment from a healthcare professional.
How to get rid of subcutaneous lice? - in detail
Eliminating subcutaneous lice requires a systematic approach that combines pharmacological intervention, personal hygiene, and environmental decontamination.
Pharmacological measures focus on agents that penetrate the skin and reach the larvae embedded beneath the surface. Recommended options include:
- Topical ivermectin 1 % cream applied to the affected area once daily for three consecutive days; repeat after one week if live lice persist.
- Oral ivermectin 200 µg/kg single dose; a second dose after 7 days increases efficacy against residual parasites.
- Benzyl benzoate 25 % lotion applied for 12 hours, then washed off; repeat after 48 hours.
All medications must be prescribed by a qualified health professional, with dosage adjusted for age and weight. Monitoring for adverse reactions such as pruritus, rash, or gastrointestinal upset is essential.
Personal hygiene practices reduce reinfestation risk:
- Wash clothing, bedding, and towels in hot water (≥ 60 °C) and dry on high heat for at least 30 minutes.
- Vacuum carpets, upholstered furniture, and vehicle seats; discard vacuum bags immediately.
- Bathe daily with antimicrobial soap; gently exfoliate skin to dislodge remaining lice.
Environmental decontamination complements medical treatment:
- Seal non‑washable items in airtight bags for 72 hours, preventing lice development.
- Apply residual insecticide spray to cracks, crevices, and baseboards in infested rooms; follow manufacturer instructions.
- Perform a thorough cleaning of personal items (hairbrushes, combs) by soaking in hot water (≥ 50 °C) for 10 minutes.
Follow‑up evaluation should occur 2 weeks after the initial regimen. Inspect skin for live lice or new lesions; repeat treatment if necessary. Documentation of outcomes assists in preventing future outbreaks within households or communal settings.