If you miss any
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.
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.
Not only can the buildup of nits, lice, and debris cause bacteria, but they can also damage hair. Lice eggs, nits, feed on keratin. This draws nourishment from your hair and can eventually cause severe damage.
Generally, if no live crawling insects are seen three weeks after the treatment, it's safe to assume that they are gone. Nits would have hatched by that time if they were alive. Nits and their shells may remain in the hair for some time but won't be viable.
Head lice survive less than one or two days if they fall off the scalp and cannot feed. Head lice eggs (nits) cannot hatch and usually die within a week if they do not remain under ideal conditions of heat and humidity similar to those found close to the human scalp.
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. These are nits at different stages and a louse.
Head lice sometimes go away on their own because there are not enough insects to maintain the infestation, or they may persist for an indefinite period without treatment. With proper treatment, the infestation usually goes away within about two weeks.
If you think you have lice and see a small, oval blob on a strand of hair, it's probably a nit. If nits are yellow, tan, or brown, it means the lice haven't hatched yet. If the nits are white or clear, the lice have hatched and just the egg remains. Lice eggs hatch within 1 to 2 weeks after they're laid.
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. However, the lice could be in hiding.
Lice eggs are so small you would never know if they hatched or not. The only way to prevent them from hatching would be to remove them with a good metal nit comb, or your fingernails. Nits are laid by the mother and attached with a glue she formulates, to sit on the hair shaft in the perfect spot to incubate and hatch.
If treatment does not work
do not represent treatment failure, they are usually dead or hatched eggs. Dead nits are dark/black in colour.
There is no way to look at a nit with the naked eye and determine if it is dead or alive. And although some people claim it does, popping them does not prove that one way or the other either. They are just too small. The only proof is when they don't hatch 7-10 days later.
Live lice eggs are small brown or tan coloured dots on hair shafts close to the scalp. These can be incredibly difficult to spot. Broken egg shells, or nits, are easier to spot. It's common for parents to mistake nits for dandruff.
Lifespan of Lice
Off the scalp, nits (eggs) can't survive over 2 weeks. Adult lice survive 3 weeks on the scalp or 24 hours off the scalp.
You Have to Treat Them
Head lice will not go away on their own. If you think your child has an infestation, there are several steps you should take right away. Call your doctor to confirm the diagnosis. Notify your child's day care or school so other students can be checked.
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.
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.
It's essential to wash all bedding after a head lice treatment. The heat from a hot water cycle will ensure that no surviving lice can find a host again.
Do not use a conditioner. It can keep the lice medicine from working. Rinse well with warm water and towel dry. Do not use the towel again until it has been laundered.
It is important to note, after the first successful lice generation, the females mate only one time and lay nits for the remainder of her lifespan. The louse lifespan is usually between 30-33 days, and females can lay up to 10 nits (eggs) a day.
Lice eggs (nits).
These look like tiny yellow, tan, or brown dots before they hatch. Lice lay nits on hair shafts close to the scalp, where the temperature is perfect for keeping warm until they hatch. Nits look a bit like dandruff, but aren't removed by brushing or shaking them off.