What can be used to remove lice and nits from a child's long hair?

What can be used to remove lice and nits from a child's long hair? - briefly

A fine‑toothed nit comb used together with an FDA‑approved pediculicide shampoo (e.g., 1% permethrin) efficiently eradicates lice and their eggs in long hair. Repeat combing after each wash for several days to guarantee complete removal of nits.

What can be used to remove lice and nits from a child's long hair? - in detail

Effective removal of head‑lice and their eggs from long hair requires a combination of chemical or physical treatments, proper combing technique, and post‑treatment care.

A suitable pediculicide, such as a 1 % permethrin lotion or a 0.5 % malathion solution, kills live insects. Apply the product according to the label, leave it on for the recommended time, then rinse thoroughly. For families preferring non‑chemical options, a dimethicone‑based lotion suffices; it coats lice and prevents them from breathing, leading to their death without toxicity concerns.

After the initial application, use a fine‑toothed nit comb (often 0.2 mm spacing) on wet, conditioned hair. Divide the hair into sections, start at the scalp, and pull the comb slowly toward the ends. Rinse the comb after each pass to remove captured insects. Repeat the combing process every 2–3 days for at least two weeks to capture newly hatched nits.

Additional measures enhance success:

  • Wash bedding, hats, brushes, and hair accessories in hot water (≥ 60 °C) or seal them in a plastic bag for two weeks.
  • Vacuum carpets and upholstered furniture to eliminate stray lice.
  • Avoid sharing personal items such as combs, hats, or hair accessories during treatment.

If symptoms persist after two full treatment cycles, consult a healthcare professional for alternative prescription options, such as oral ivermectin. Continuous monitoring of the scalp for live insects and empty egg shells ensures complete eradication.