1. Over-the-Counter Shampoos and Lotions
If your child is over the age of 2, your doctor will likely begin by recommending an over-the-counter shampoo to kill the lice. The directions on the package must be followed carefully, and you may have to repeat the treatment in 7 to 10 days. Although the shampoo will likely kill the lice immediately, it can take several days for the itching to stop.
2. Use Vinegar to Remove Nits
After you have used the shampoo, you can use vinegar to aid in the removal of the nits. Using a washcloth that has been soaked in vinegar, hold a lock of your child's hair and wipe downward. Do this to his entire head of hair. If you find this too difficult, another method is to wash your child's hair with vinegar and leave it in for a few minutes before combing. This may seem unpleasant, but it is an effective way of removing nits.
3. Prescription Shampoo for Tougher Cases
If your child does not respond to an over-the-counter shampoo, your doctor can prescribe a stronger shampoo or lotion. It is important that you follow the directions, as applying too much may cause your child's skin to become red and irritated.
4. Try a Nit Comb
If your child is under the age of 2, your doctor may recommend that you start by combing through her wet hair with a nit comb or another fine-toothed comb. You will need to do this every 3 or 4 days for at least 2 weeks. Even if you are using other methods of removing lice, it is still a good idea to use this combing strategy. Wetting the hair helps to immobilize the lice temporarily, making it easier to remove them.
5. Disinfect Hair-Care Items
Any item used for hair, including brushes, barrettes, combs and headbands, should be soaked in rubbing alcohol or medicated shampoo for 1 hour. You can also wash them in very hot, soapy water. If you can't soak or wash an item, you should throw it out instead.
