My head itches from lice, what to do?

My head itches from lice, what to do? - briefly

Apply a lice‑killing shampoo as directed, then comb the hair thoroughly with a fine‑toothed nit comb to eliminate nits; repeat treatment after seven days. Wash clothing, bedding, and personal items in hot water and vacuum the environment to prevent re‑infestation.

My head itches from lice, what to do? - in detail

Scalp irritation caused by lice requires prompt identification and treatment. Confirmation involves visual inspection for live insects and nits attached to hair shafts close to the scalp. A fine‑tooth nit comb, used on wet, conditioned hair, reveals the presence of parasites.

Effective treatment options include:

  • Over‑the‑counter pediculicides containing permethrin (1 %) or pyrethrin with piperonyl‑butoxide; apply according to package instructions, leave on for the recommended duration, then rinse.
  • Prescription agents such as malathion (0.5 %) or ivermectin lotion for resistant cases; follow medical guidance for dosage and repeat application after 7–10 days.
  • Manual removal using a nit comb after chemical treatment to eliminate remaining eggs; repeat combing every 2–3 days for two weeks.

Environmental control reduces reinfestation risk:

  • Wash bedding, clothing, and towels in hot water (≥ 60 °C) and tumble‑dry on high heat.
  • Seal non‑washable items in a sealed plastic bag for at least 48 hours.
  • Vacuum carpets, upholstery, and car seats to capture stray lice.

Preventive measures minimize future outbreaks:

  • Prohibit sharing of hats, hairbrushes, headphones, or pillowcases.
  • Conduct weekly scalp checks in school‑age children, especially after contact with known cases.
  • Educate caregivers about early signs and proper treatment protocols.

Following these steps eliminates the infestation, alleviates itching, and prevents recurrence.