Getting Rid of Head Lice

Simple 14-Day Treatment Schedule and Information on Head Lice
Facts about Heat Lice
What Does Head Lice Look Like? Since adult lice are the size of a sesame seed (2-3 mm), head lice can be seen by the human eye. They live in human hair, draw blood from the skin, and lay eggs (called nits) on the hair shaft. Live nits are found less than 1/2 inch from the scalp and most often on hair at the back of the head in the neck region. You may see a rash on the back of the neck or scalp. Some children with lice complain of itchiness but many have no symptoms.
How Do You Get Head Lice? Head lice will spread as long as children play together. They spread almost completely through human hair to hair contact. Lice do not hop, jump, or fly, and pets do not spread lice. Sometimes sharing combs or hats with a louse infested child can spread lice. Head lice are NOT a sign of being dirty. Head lice are not dangerous and DO NOT spread diseases.
How Do You Get Rid of Head Lice? PARENTS are the KEY to looking for and treating head lice. The Texas Department of State Health Services advises parents to check each family member's hair once a week. Persons with nits within 1/4 inch if the scalp or live lice should be treated using an over-the-counter medicated head-lice shampoo (see 14 Day Treatment Guidelines).
Treatment Guidelines
The Texas Department of State Health Services recommends a 14 day treatment process. You may use over-the-counter products. They are safe and not costly. Mark you calendar to help you keep track of treatment.

- Lice at various stages of their life cycle
- The treatment days are scheduled to interrupt the life cycle of the insect. A nit comb should be used to comb the hair and can be bought at most pharmacies.
- Day 1: Use an over-the-counter medicated head lice shampoo containing pyrethrin or permethrin. Read and follow all directions on the shampoo.
- Day 2: COMB hair carefully for 15 minutes from the scalp to the end of the hair. Do not wash hair today.
- Day 3-9: Wash the hair using your regular shampoo. Rinse. Apply hair conditioner to make the hair slippery. COMB the hair the entire length from the scalp to the end of hair. Wipe the comb between each stroke with a paper towel, which removes any lice or nits. Keep hair wet while combing. COMB all hair for at least 15 minutes.
- Day 10: Use an over-the-counter medicated head lice shampoo (to kill any lice that hatched since the previous medication use). Read and follow all directions on the shampoo.
- Day 11: COMB hair carefully for at least 15 minutes, from the scalp to the end of the hair. Do not wash hair today.
- Day 12-14: Wash the hair using regular shampoo. Rinse. Apply hair conditioner to make the hair slippery. COMB the hair the entire length from the scalp to the end of hair. Wipe the comb between each stroke with a paper towel, which removes any lice or nits. Keep hair wet while combing. COMB all hair for at least 15 minutes.
Treatment Calendar
| Day 1: Medicated Shampoo | Day 2: COMB only; DO NOT WASH | Day 3: Shampoo, condition & COMB | Day 4: Shampoo, condition & COMB | Day 5: Shampoo, condition & COMB | Day 6: Shampoo, condition & COMB | Day 7: Shampoo, condition & COMB |
| Day 8: Shampoo, condition & COMB | Day 9: Shampoo, condition & COMB | Day 10: Medicated Shampoo | Day 11: COMB only; DO NOT WASH | Day 12: Shampoo, condition & COMB | Day 13: Shampoo, condition & COMB | Day 14: Shampoo, condition & COMB |
What about School?
According to Texas Law, a child must be sent home from school of live lice are found in the hair. They will be allowed to return to school after one medicated treatment has been given, and the child has been examined by the school nurse to determine no live lice remain. It is the parent's responsibility to remove all nits and retreat. The Nurse will recheck at the end of 14 days to determine efficacy of treatment.
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