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Head Lice - Treatment Advice


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  • Confirm the diagnosis by find combing wet hair, with conditioner until you find a living, moving louse.
  • Check all household contacts and all best friends for a living, moving louse.
  • Anybody with a living, moving louse should be treated with a head lice lotion, cream or foam (not a shampoo).
  • Read the manufacturers instructions as to how long the lotion, cream or foam should be left on, before washing out. (Lyclear cream rinse – 10 minutes, Derbac M – 12 hours).
  • You will need about 50mls of lotion per scalp per adult per application and less for smaller children (see manufacturers instructions).
  • Re-treat after seven days to clear any new lice that have hatched out from eggs that survived the first treatment.
  • Re-check all treated scalps two days after the second treatment, to confirm there are no living, moving lice.
  • The itch may take two weeks to subside and the “nits” (empty egg shells) can last a lot longer. Do not retreat unless you find a living, moving louse.
  • “Nits” can be removed by fine-combing or will fall out themselves in time.
  • In resistant cases, fine comb for thirty minutes, once every four days, for two weeks, to physically remove the lice.


Copyright © Dr. David Buckley

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