How to treat hair mites?

How to treat hair mites? - briefly

Effective control requires a medicated shampoo or lotion containing permethrin or a comparable ectoparasiticide, applied to the scalp and left for the recommended duration. Follow with thorough cleaning of bedding, clothing, and personal items, and repeat the treatment after one week to eradicate any surviving organisms.

How to treat hair mites? - in detail

Hair mite infestations affect the scalp and hair shafts, requiring a systematic approach that combines chemical, mechanical, and environmental measures.

Effective management begins with accurate identification. Microscopic examination of hair samples confirms the presence of Demodex folliculorum or Demodex brevis, the species most commonly associated with scalp irritation.

Chemical control relies on agents proven to eradicate mites without damaging hair. Recommended options include:

  • Topical ivermectin 1 % cream applied to the scalp twice daily for five days, then once daily for an additional week.
  • Permethrin 5 % lotion, left on the scalp for ten minutes before rinsing, repeated every 48 hours for three applications.
  • Tea‑tree oil formulations containing at least 5 % oil, applied in a carrier such as jojoba, left for 15 minutes, then washed out; repeat twice weekly for four weeks.

Mechanical removal supports chemical treatment. Regular combing with a fine‑toothed lice comb dislodges adult mites and eggs. Comb the scalp after each wash, using a detergent‑free conditioner to reduce friction.

Environmental decontamination reduces reinfestation risk. Recommended steps:

  • Wash all bedding, pillowcases, and towels in hot water (≥ 60 °C) and dry on high heat.
  • Vacuum carpets and upholstered furniture, then steam‑clean if possible.
  • Replace personal grooming tools (brushes, combs) after sterilization in boiling water for five minutes.

Adjunctive measures improve scalp health and discourage mite proliferation. Maintain a balanced scalp pH (5.5–6.0) using mild, sulfate‑free shampoos. Limit the use of heavy oils and styling products that create a moist environment favorable to mites.

Monitoring progress involves weekly visual inspection and, if necessary, repeat microscopic sampling. Persistent symptoms after two treatment cycles warrant dermatologist consultation for alternative systemic therapies, such as oral ivermectin or metronidazole.

Implementing the outlined protocol eliminates the infestation, alleviates itching and inflammation, and restores normal scalp condition.