What to use to treat children for lice and nits at home? - briefly
Use an over‑the‑counter pediculicide such as 1 % permethrin shampoo, applied according to the package instructions and followed by thorough combing with a fine‑tooth nit comb. A dimethicone‑based lotion provides a non‑insecticidal alternative for families preferring a physical‑action treatment.
What to use to treat children for lice and nits at home? - in detail
Treating head‑lice infestations in children at home requires a combination of safe topical agents, meticulous mechanical removal, and environmental decontamination.
A topical pediculicide applied according to label instructions is the first line of defense. Options include:
- Permethrin 1 % shampoo or lotion, applied to dry hair, left for 10 minutes, then rinsed; repeat after 7–10 days.
- Pyrethrin‑based products combined with piperonyl‑butoxide, used similarly; repeat after 7 days.
- Dimethicone 4 % lotion, a silicone‑based agent that suffocates insects; leave for 8–10 hours before washing; repeat after 7 days.
When chemical treatment is contraindicated or parental preference favors non‑chemical methods, wet combing proves effective. Procedure:
- Saturate hair with warm water and a generous amount of conditioner.
- Use a fine‑tooth lice comb, starting at the scalp and pulling straight to the tip.
- Divide hair into sections, repeat combing every 2–3 days for two weeks.
Adjunctive substances may enhance removal but lack robust evidence; common choices are:
- Mineral oil or olive oil applied to hair for 30 minutes, then combed to loosen nits.
- Tea‑tree oil diluted to 2 % concentration, applied for 30 minutes before combing; avoid in children under 2 years due to irritation risk.
Environmental control prevents reinfestation:
- Wash all bedding, clothing, and towels used within the previous 48 hours in water ≥ 60 °C; dry on high heat.
- Seal non‑washable items in sealed plastic bags for two weeks.
- Vacuum carpets, upholstered furniture, and car seats; discard vacuum bags promptly.
Monitoring for treatment success involves visual inspection of the scalp and hair at 48 hours, then weekly for three weeks. Persistent live lice after two treatment cycles warrant consultation with a healthcare professional for alternative prescription options.