Hello,
Treatment for
head lice is recommended for individuals diagnosed with an active infestation, and prophylactic therapy is recommended for bedmates and immediate members of the household of the infested index patient. All close contacts should be examined, and those with evidence of an active infestation should also be treated.
The treatment options are Permethrin 1% cream rinse (Nix): apply to damp hair after shampooing, leave on 10 minutes, rinse. Repeat in 7–10 days. Pyrethrins 0.33% shampoo, lotion (Rid, Pronto, A-200): apply to dry hair, leave on 10 minutes, rinse. Repeat in 7–10 days. Benzyl alcohol 5% lotion (Ulesfia): apply to dry hair, leave on 10 minutes, rinse. Repeat in 7 days.
Malathion 5% lotion (
Ovide): apply to dry hair, leave on 8–12 hours, rinse. Repeat in 7–10 days. To be used in > 6 yrs old kids.
Ivermectin 3 mg/6 mg tablets (
Stromectol): single oral dose of 200 mcg/kg. Repeat in 7–10 days. Trimethoprim-
sulfamethoxazole (
Bactrim): 8–10 mg/kg/day divided BID for 10 days.
With the above treatment options, I'm sure you will get rid of the lice infestations. Caution is that you shouldn't use all the solutions at a time. You first try one if it doesn't work, go for the other. They may cause mild irritation to the
scalp and little hair loss.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist