“Over-the-counter products like permethrin are unlikely to offer much relief because many lice are now resistant to that chemical and others. And certain other prescription pesticide treatments, like Malathion and Lindane, can have concerning side effects,” warned Roberts.
“One of the best methods for treating lice is combing them from wet hair as long as your child can tolerate it. If not, also effective are prescription topicals Spinosad and Natroba, and over-the-counter topical Ivermectin,” Roberts said. “The space in the metal comb has to be small enough for a single hair to go through but not an egg,” Roberts added.
You’ll want to repeat the same process every three to four days for several weeks. That’s because the eggs may still hatch for up to a week. A good rule to follow is to continue combing for two weeks after the last adult insect is found.
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