What should you buy at the pharmacy for treating children's lice? - briefly
Buy a pediculicide shampoo or lotion with 1 % permethrin (or 0.5 % malathion as an alternative) and a fine‑tooth nit comb; add an antipruritic cream or soothing lotion if scalp irritation occurs.
What should you buy at the pharmacy for treating children's lice? - in detail
When addressing head‑lice infestation in a child, the pharmacy should provide the following essential items.
- 1 % permethrin lotion or shampoo – the most widely studied over‑the‑counter pediculicide; apply to dry hair, leave for the time specified on the label (usually 10 minutes), then rinse and repeat after 7–10 days to eliminate newly hatched nymphs.
- Pyrethrin‑based spray or lotion – an alternative for children who cannot tolerate permethrin; follow the same treatment schedule, noting that resistance rates are higher.
- Dimethicone (silicone‑based) lotion – a non‑neurotoxic option that coats lice and suffocates them; leave on hair for 8–12 hours before washing, with a second application 7 days later.
- Fine‑toothed lice comb – metal or plastic comb with 0.2 mm spacing; comb through damp hair after each treatment to remove dead insects and eggs.
- Anti‑itch lotion or cream containing pramoxine or calamine – provides symptomatic relief from scalp irritation; apply as needed, avoiding contact with eyes.
- Laundry detergent designed for hot‑water cycles – use to wash bedding, clothing, hats, and towels at ≥ 60 °C; if hot water is unavailable, seal items in a plastic bag for two weeks to kill lice.
- Vacuum cleaner with HEPA filter – vacuum carpets, upholstery, and car seats to remove stray nits; discard the vacuum bag or clean the canister afterward.
Additional considerations:
- Verify the child’s age before selecting a product; many formulations are labeled for use in children six months and older, while others require a minimum age of two years.
- Check for contraindications such as known allergy to pyrethrins, permethrin, or silicone compounds.
- For persistent infestations after two treatment cycles, obtain a prescription medication such as malathion 0.5 % or oral ivermectin, administered under medical supervision.
By acquiring these specific products and following the outlined application schedule, a caregiver can effectively eradicate head lice and minimize reinfestation risk.