Wet combing
This is one of the easiest ways to remove lice eggs from hair, especially if your hair is dry. Wet your hair, detangle it, and then apply some conditioner. Use a fine-toothed comb.
Removing by hand.
Medicated treatments aren't 100% effective, so removing by hand is also important. To remove lice and nits by hand, use a fine-tooth comb on wet, conditioned hair every 3–4 days for 3 weeks after the last live louse was seen. Go through small sections of hair at a time.
Eggs and nits also stick to the hair shaft, so they don't come off easily. If you try to pull one out of the hair with your fingers, it won't budge—it will move only if you use your nails to get behind it and force it off.
While the nits don't need to be removed from the hair, some people use a comb to remove nits after using lice treatment because they don't like the look of nits in the hair.
Nits that are attached more than ¼ inch from the base of the hair shaft are almost always non-viable (hatched or dead).
It's possible that the nits are leftover from a previous infestation and are no longer viable, which means they are dead and won't hatch. It's difficult to tell the difference, so you should still treat any nits you find, even if there are no lice.
Off the host, adult head lice can live about two to four days at 74 degrees Fahrenheit (F) and one to two days at 86 degrees. Nits will remain alive off the host for up to 10 days; they will not hatch at or below room temperature (68 degrees F).
Lice glue their eggs to the hair strands of their host. However, if a piece of hair with an egg falls out while the lice host is sleeping, an egg could end up on pillows or sheets. Since eggs do not need a host to survive, they will continue to live until a nymph hatches from it.
Sometimes it will be easier to remove the nits if you wet the hair with white vinegar while you are combing the nits out. Vinegar helps loosen the "glue" that holds the nits to the hair. Separate and comb small sections of hair at a time.
Spinosad topical suspension, 0.9%, was approved by the FDA in 2011. Since it kills live lice as well as unhatched eggs, retreatment is usually not needed. Nit combing is not required. Spinosad topical suspension is approved for the treatment of children 6 months of age and older.
Applying vinegar to unglue the lice eggs on hair
Cover the shoulders of your child with a white towel. Wet the entire hair with 6 parts of water plus 3 parts of vinegar. Vinegar dissolves the glue of the lice eggs, so they can easily come off the hair when combed out.
Nits are often confused with other things found in the hair such as dandruff, hair spray droplets, and dirt particles. If no live nymphs or adult lice are seen, and the only nits found are more than ¼-inch from the scalp, the infestation is probably old and no longer active and does not need to be treated.
Avoid sleeping in the same bed as the person with an active lice infestation. Avoid sitting where the person with lice has sat in the past two days. Wash linens and clothing in hot water and dry on high heat. Place stuffed animals, pillows and items that cannot be washed into an airtight bag for two weeks.
After the first treatment, when the egg-laying lice are eliminated, you are no longer contagious. To stop the cycle of lice you must stop the egg laying first, then remove the nits. Timing is everything and you must complete the 3 well-timed treatments to ensure you are lice-free.
Why Do Kids Get Head Lice More than Adults? The answer is pretty straightforward. It's not that the pesky critters prefer children's blood to adult's. It's the simple fact that kids are in closer contact with one another on a daily basis.
Children can have a few nits without actually having a case of head lice. Usually children have no more than 10 to 20 live lice. Good lighting is important when you are checking. Head lice move fast and are hard to see.
Adults are not immune to head lice. In fact, if you have any close contact with children or even parents of children you can be at risk of catching them if they have them. Lice transfer primarily through head to head contact, so you would have to get close to the other person.
Ivermectin (Sklice).
This lotion kills most head lice, even just-hatched lice, with just one use. You don't need to comb out lice eggs (nits). Children ages 6 months and older can use this product.
Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp). Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. Do not share combs, brushes, or towels.
How long does head lice last? With effective treatment, head lice will completely go away after two to three weeks. The duration is dependent on how many lice made a home in your hair. Make sure you follow the instructions on your medicated shampoo, lotion or cream to get rid of lice quickly.
Nits may remain after lice have gone. They are empty eggshells and stick strongly to hair. They will eventually fall out. If you prefer, a fine-toothed 'nit comb' can remove them.
Only one live bug can be produced per nit or egg. After the egg is laid, it takes roughly seven to 10 days for it to hatch. Once the egg hatches, it takes another seven to 10 days to reach maturity and begin laying eggs of its own. An adult louse can lay up to six eggs per day and live for up to 30 days on a host.
A nit comb (Like this one) is a fine-toothed comb that helps to pull out both head lice and their eggs. It's a good product for head lice removal, but even better if you know how to use it most effectively. A metal comb can be more effective, but a plastic comb works well too.