Why head lice treatments fail to work. For years, parents have been buying these non-prescription shampoos and cream rinses. Because the active ingredients have remained the same all these years, new generations of head lice have become immune to them. Once lice become immune, the product no longer works.
The head lice may have become resistant to the treatment. If the treatment used does not kill the head lice, your health care provider and pharmacist can help you be sure the treatment was used correctly and may recommend a completely different product if they think the head lice are resistant to the first treatment.
If, after 8–12 hours of treatment, no dead lice are found and lice seem as active as before, the medicine may not be working. Do not retreat until speaking with your health care provider; a different pediculicide may be necessary.
After Treating with Lice Medicine
If some are still present but moving slowly, do not shampoo again. If lice are still active and no dead lice are found, call your health care provider. These lice may be resistant to the medicine.
After treatment, your skin may still itch for a week or more. This is because of your body's reaction to the lice. Follow-up care is a key part of your treatment and safety.
DO NOT over treat. Some louse shampoos can be neurotoxic and overuse can damage the nervous system. Wear gloves when treating more than one person with head louse shampoo. If more than two treatments are required to control an infestation, talk to the School Nurse(s) or the Health Department about alternative methods.
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.
Adult lice can live up to 30 days on a person's head. They must feed on blood several times a day to survive and will die within 1-2 days off of the host. What are the symptoms of head lice infestation?
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.
Repeat treatment every day or every other day for 2 weeks. Some lice eggs (nits) survive head lice treatments. The only way to be sure that lice won't come back is to pick out all nits. Nits left on the hair can hatch and cause a new case of head lice.
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.
The life cycle of the louse starts with a female laying her eggs, which are known as nits. Nits are minuscule, smaller than the head of a pin. They're hardy too, attaching on the hair shaft close to the scalp with a glue-like adhesive. This is what makes it so tough to get rid of head lice permanently.
Adult head lice can survive for 2 days and nits for around 1 week on a hairbrush. Soaking combs or hairbrushes in hot water of at least 130°F (54.4°C) for 5–10 minutes will kill any lice and nits.
Head lice should not be considered as a medical or public health hazard. Head lice are not known to spread disease. Head lice can be an annoyance because their presence may cause itching and loss of sleep.
A preventative shampoo and spray can break the life cycle. A shampoo that kills lice before they can lay eggs is critical for closing the “bridge” from one head to another. Ladibugs experts recommend parents seek effective, pesticide-free options.
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.
Coconut, tea tree oil, lavender, eucalyptus, rosemary, lemon grass, and peppermint are scents popularly believed to repel lice. Using any coconut scented shampoo and conditioner is an easy way to increase your defense. At 1% concentration, tea tree oil killed 100% of head lice after 30 minutes.
From the #1 Pediatrician & Pharmacist recommended brand comes Nix Ultra® Lice Treatment Hair Solution, designed to treat head lice and eggs, including hard-to-kill superlice. Just treat and wash out with regular shampoo!
Pyrethrin (Rid)
Rid kills living lice and is “safe and effective when used as directed,” according to Dr. Kanthula. She says there's no residual lice-killing activity after the product is rinsed off, so it also requires a second treatment.
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.
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.
Not everyone feels lice moving around on their scalp, but some people do. Dr. Garcia says that most of her patients say they “don't feel anything,” but others may get a creepy, tickling sensation as lice move around their head.
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.