For short hair, you can lightly spray a mixture of equal parts water and white vinegar onto the scalp and gently massage it onto the scalp. This will loosen up the
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.
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. Wetting the hair temporarily stops the lice from moving, and the conditioner makes it easier to get a comb through the hair.
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. Wet the entire scalp and hair from the roots down to the tips, so that you can remove dead lice eggs on hair also.
Removing the dead nits is not essential or urgent. However, it prevents others from thinking your child still has untreated lice. Nits can be removed by backcombing with a special nit comb. You can also pull them out one at a time.
There are no over-the-counter or prescription treatments that totally kill both lice and nits. Nits cannot be washed out or brushed out of the hair. They must be picked or pulled out with a special nit comb or by hand. Various natural remedies exist for treating lice but there is no scientific proof that they work.
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.
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.
It takes several treatments to completely remove lice and nits from your hair. It could take up to three weeks to get rid of all lice and nits. Make sure all members of your household check and receive treatment for head lice if one member of your household has head lice, as lice easily spread from person to person.
Vinegar is one of the classic home remedies for lice. However, if you are trying to find out how to get rid of nits using vinegar, you should know that using vinegar to kill nits or lice eggs is totally ineffective. Vinegar has no negative effect on the lice eggs.
The shampoo, cream rinse, or spray kills the live lice on the head but may not kill the nits. 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.
Lotions and sprays for head lice and nits
There are several different products that can be applied to the scalp and hair to kill head lice, including: dimeticone 4% lotion or lotion spray – applied and left for 8 hours (usually overnight) dimeticone 4% spray gel – applied and left for 15 minutes.
If you do not comb out all the remaining nits, they will hatch and restart the cycle in 7-10 days from that point. That's why we recommend 3 treatments over a 12-day period of time. This stops the life cycle of lice.
Left untreated, head lice can lead to secondary infections, which can be serious. Bacterial infections, such as impetigo, can occur when scratched bites become infected; this can have serious consequences if not treated properly.
The conditioner does not kill lice but stuns them for about 20 minutes enabling easier removal. The long toothed metal comb will remove nits and the stunned head lice. Wipe the comb on a white tissue and check for any lice or nits.
Dead nits are often black in colour and are found well away from the scalp. Nits are laid on the hair shaft within 1cm of the scalp and take about 7-10 days to hatch into head lice.
First off, here's what not to do: don't shave your or your child's head, or coat it with petroleum jelly or mayonnaise or anything else designed to "suffocate" the parasite. You'll probably end up with greasy, smelly, lice-infested hair.
Shaving the head does not cure lice. The itching should go away within a few days, but the medicated treatment will need to be repeated in 5 to 7 days to kill any new lice that may have hatched since the first treatment.
Can someone have nits but no lice? It may be possible to have nits but no lice. If a person cannot find any nymphs or adult lice in the scalp and the nits are more than a quarter of an inch from the scalp, these may be dead and from an old infestation.
New eggs are attached to the hair shaft very close to the scalp. Eggs that still contain a louse embryo are brownish in color, while the empty egg shells are white to grey.
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.
A viable egg (which will hatch) is brown (Figure 2) because there is a developing louse inside the egg. Once the egg hatches, the eggshell (still attached to the hairshaft) will be white, but at this time, there is no living louse inside the egg (Figure 3).
What does a dead lice egg look like? A dead lice egg will be white or grey. As they are empty, they will be flat and dry.
Continue until you can't see any more lice or nits after combing. This will probably take at least half an hour. Repeat every three or four days for at least two weeks so you remove any hatching lice before they have the chance to lay new eggs. You can't remove the eggs by combing, only the lice.