What can be used during breastfeeding to fight lice? - briefly
A dimethicone‑based lice lotion or shampoo, which is non‑neurotoxic and approved for nursing mothers, can be applied safely while breastfeeding; accompany treatment with hot‑water washing of clothing, bedding, and towels. Avoid organophosphate or pyrethrin products, as they may be transferred through breast milk.
What can be used during breastfeeding to fight lice? - in detail
Lice infestations in nursing mothers require treatments that do not expose the infant to harmful chemicals through breast milk. Safe options include:
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Physical removal: Use a fine‑toothed lice comb on damp hair, moving from scalp to tip every 2–3 days for two weeks. Comb after each wash and clean the comb in hot, soapy water.
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Petroleum jelly: Apply a thick layer to the scalp, cover with a shower cap, and leave overnight. The occlusive barrier suffocates lice and nits. Wash thoroughly in the morning and repeat for three consecutive nights.
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Silicone‑based products (dimethicone): Over‑the‑counter lotions or sprays containing 100 % dimethicone coat the hair, immobilizing lice. Follow the manufacturer’s instructions, typically a 10‑minute exposure before rinsing. Dimethicone is minimally absorbed and considered safe for lactating women.
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Tea tree oil (diluted): A 2–3 % solution mixed with a carrier oil can be applied to the scalp. Limited evidence suggests efficacy, and the low concentration reduces the risk of irritation. Use caution; avoid excessive application and monitor for allergic reactions.
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Prescription options: Oral ivermectin may be prescribed for resistant cases. Studies show low milk transfer, but the drug is classified as pregnancy‑category C. Use only under medical supervision after weighing benefits and risks.
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Environmental control: Wash all bedding, clothing, and towels in hot water (≥60 °C) and dry on high heat. Seal non‑washable items in a sealed bag for two weeks. Vacuum carpets and upholstery to remove stray nits.
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Follow‑up: Re‑examine the scalp after treatment. If live lice persist after two weeks, repeat the chosen method or seek professional advice.
These measures provide a comprehensive approach that protects both mother and infant while effectively eliminating head lice.