{"id":14948,"date":"2020-08-17T10:00:41","date_gmt":"2020-08-17T14:00:41","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=14948"},"modified":"2020-08-14T15:28:47","modified_gmt":"2020-08-14T19:28:47","slug":"lice-treatment-for-kids","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/lice-treatment-for-kids\/","title":{"rendered":"How to prevent\u2014and treat\u2014lice in children"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series <a href=\"https:\/\/www.singlecare.com\/blog\/tag\/common-childhood-illnesses\/\">here<\/a>.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"#lice\">What are lice?<\/a> | <a href=\"#symptoms\">Symptoms of head lice<\/a> | <a href=\"#diagnosis\">Diagnosis<\/a> | <a href=\"#treatment\">Lice treatment for kids<\/a> | <a href=\"#remedies\">Home remedies for lice <\/a>| <a href=\"#prevention\">Prevention<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">One afternoon, as the toddlers in my class at the daycare were slowly waking up from naptime, I sat with two sleepy children in my lap as we quietly read stories. This serenity was quickly interrupted when I saw an insect scurrying through one of the children\u2019s hair. I quickly put both children down and double-checked that my eyes had not deceived me. Later that day, a phone call from the child\u2019s mother confirmed my suspicions\u2014the child had lice. So did their sibling in another class. Thus began the occasional daycare phenomenon I like to call \u201clice panic.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While irritating, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/lice-treatment-and-medications\"><span style=\"font-weight: 400;\">lice<\/span><\/a><span style=\"font-weight: 400;\"> are not generally dangerous, but they do cause quite a stir!<\/span><\/p>\n<h2 id=\"lice\"><span style=\"font-weight: 400;\">What are lice?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Head lice are tiny insects that live on human hair and feed on blood from the scalp. They pass easily from person to person, particularly from close contact, but can also be spread from shared objects such as hats and hairbrushes. They do not fly or jump. Head lice are not dangerous and do not spread disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Head lice are different than body lice. As the names suggest, head lice live on the head, and body lice live on the body. They are different parasites with different causes and treatments. For the purposes of this article, \u201clice\u201d will refer to head lice.<\/span><\/p>\n<h3><b>How common are lice?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Approximately <\/span><a href=\"https:\/\/www.cdc.gov\/parasites\/lice\/head\/gen_info\/faqs.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">6 to 12 million<\/span><\/a><span style=\"font-weight: 400;\"> infestations of lice occur each year among children 3 to 11 years of age in the United States.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cOne of the times of year I tend to see a spike in lice cases is toward the end of the summer and early in the school year,\u201d says Erum Ilyas, MD, the founder of <\/span><a href=\"https:\/\/www.montgomery-dermatology.com\/erum-ilyas-md\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Montgomery Dermatology<\/span><\/a><span style=\"font-weight: 400;\"> in Pennsylvania. \u201cMany are linked to camps and the beginning of the school year.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While lice commonly spread through children in places like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/why-kids-get-sick-at-school\/\"><span style=\"font-weight: 400;\">child care centers and schools<\/span><\/a><span style=\"font-weight: 400;\">, adults can catch lice, too\u2014frequently from a family member with lice.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-keep-your-kids-healthy-all-year-long\/\"><b>How to keep kids healthy all year long<\/b><\/a><\/p>\n<h2 id=\"symptoms\"><span style=\"font-weight: 400;\">What do lice look like?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Lice are small (<\/span><a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/from-insects-animals\/Pages\/Signs-of-Lice.aspx\"><span style=\"font-weight: 400;\">about 2-3 mm, the size of a sesame seed<\/span><\/a><span style=\"font-weight: 400;\">) wingless bugs that are usually pale and gray, though their color can vary.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lice lay eggs in casings called nits. The nits are about 0.8 mm long and 0.3 mm wide and are shaped like an oval. The nits remain stuck to the hair after the eggs hatch. They are yellow or white in color and can be hard to spot on some hair colors.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Newly hatched lice, called nymphs, are about the size of a pinhead (1.5 mm), and look like the adult lice they will become in about a week.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of lice infestation include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Itching on the scalp (itching may last for up to a few weeks after the lice are gone)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sensation of something moving in the hair<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty sleeping (head lice are more active in the dark)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sores on the head from scratching\/infections as a result of bacteria from the skin getting into the wounds<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Visible nits or lice\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It may take weeks before itching begins, but nits and lice can be seen on the hair before other symptoms occur, particularly behind the ears and near the neckline at the back of the head. It is <\/span><a href=\"https:\/\/kidshealth.org\/en\/parents\/head-lice.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">more common<\/span><\/a><span style=\"font-weight: 400;\"> to see nits than to see active, adult lice. Lice eggs\/nits are usually found close to the scalp.<\/span><\/p>\n<h2 id=\"diagnosis\"><span style=\"font-weight: 400;\">Do you need to see a doctor for lice?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cYou do not need to see a doctor for lice if a family is confident (from past experience or Doctor Google) that they are dealing with lice,\u201d says <\/span><a href=\"https:\/\/mdmercy.com\/centers-of-excellence\/womens-health\/family-childbirth-and-childrens-center\/our-doctors\/pediatricians\/ashanti-w-woods-md\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Ashanti Woods<\/span><\/a><span style=\"font-weight: 400;\">, MD, a pediatrician at Mercy Medical Center in Baltimore. \u201cIf uncertain if a child or family member is dealing with lice vs. bad dandruff vs. psoriasis, then yes, a physician or medical provider should be seen.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMost cases I see are either treatment-resistant cases, cases that involve spread among numerous family members that results in difficulty getting ahead of it, or recurrent cases,\u201d Dr. Ilyas says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lice are often found during \u201clice checks,\u201d where teachers or the school nurse will check each child\u2019s head for lice after a student at the school has been diagnosed with lice or there is a suspected outbreak.\u00a0<\/span><\/p>\n<h2 id=\"treatment\"><span style=\"font-weight: 400;\">Head lice treatment for kids<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThere are over-the-counter treatments for lice,\u201d says <\/span><a href=\"http:\/\/www.drkormeilidermatology.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Tanya Kormeili<\/span><\/a><span style=\"font-weight: 400;\">, MD, a board-certified dermatologist in Santa Monica, California. \u201cThere are natural, non-pesticide treatments that include various oils and soaps. There are pesticide ones that are FDA approved.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to topical treatment, it is usually necessary to manually remove lice and nits from the hair shafts. \u201cIf you ever wondered about the expression, \u2018nitpicker,\u2019 you will know why it is such a profound statement!\u201d says Dr. Kormeili.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The best course of action is a combination treatment. \u201cTopical treatments (known as pediculicides), manual removal (known as wet combing), and\/or oral treatment (for stubborn cases) are all documented ways of treating lice,\u201d says Dr. Woods. \u201cHome treatments (wet combing) do work, but patients may see a reemergence of their symptoms eventually. Therefore, a topical treatment is often superior to or best used with a home remedy.\u201d<\/span><\/p>\n<h3><b>Over-the-counter lice treatment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Some over-the-counter (OTC) medications approved by the U.S. Food and Drug Administration (FDA) to treat lice include:<\/span><\/p>\n<table class=\" singlecare-table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Medication<\/b><\/td>\n<td><b>Brand name(s)<\/b><\/td>\n<td><b>Get coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Permethrin lotion (1%),<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Nix<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/nix-creme-rinse\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pyrethrin-based products (e.g., lice shampoo or mousse)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">A-200, Licide, R&amp;C, <\/span><span style=\"font-weight: 400;\">RID<\/span><span style=\"font-weight: 400;\">, Pronto, Triple X<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/rid-complete-lice-elimination\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>Prescription lice treatment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Some prescription medications approved by the FDA to treat lice include:<\/span><\/p>\n<table class=\" singlecare-table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Medication<\/b><\/td>\n<td><b>Brand name(s)<\/b><\/td>\n<td><b>Get coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Malathion lotion (0.5%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ovide<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/ovide\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Benzyl alcohol lotion<\/span><span style=\"font-weight: 400;\"> (5%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ulesfia lotion<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/benzyl-alcohol\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Spinosad topical suspension (0.9%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Natroba<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/natroba\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Ivermectin lotion (0.5%)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Sklice<\/span><\/td>\n<td><span style=\"font-weight: 400;\"><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/sklice\">Get coupon<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">To treat lice with medication, use the <\/span><a href=\"https:\/\/www.cdc.gov\/parasites\/lice\/head\/treatment.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">following basic steps<\/span><\/a><span style=\"font-weight: 400;\"> (check with the directions for the individual form of treatment and defer to those directions if there is a conflict in procedure):<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Remove child\u2019s clothing (to the comfort level of the child).<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Apply and rinse the medication with warm water according to the instructions in the box or printed on the label. Pay close attention to how long the treatment needs to stay on.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Have the child put on clean clothes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Check hair in eight to 12 hours\u2014if a few live lice remain, but are moving slower than normal, do not re-treat. It may take longer than 12 hours to kill lice. Instead, use a fine-tooth comb to remove nits, dead lice, and remaining live lice (if any.)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Check hair, and comb with a nit comb (fine-tooth comb) every two to three days for two to three weeks to reduce the chance of a recurrence. Sometimes a second treatment may be necessary.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">How to do \u201cwet combing\u201d:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wet the child\u2019s hair.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Comb through the child\u2019s hair with a fine-tooth comb, one small section at a time. Special combs made specifically for nit-removal are available\u2014check with pharmacies or online. Flea combs for pets are also effective.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">After each comb-through, wipe the comb on a wet paper towel. Carefully check the comb, the child\u2019s scalp, and the paper towel.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Repeat combing and checking until all of the hair has been combed.<br \/>\n<\/span><\/span>\n<\/li>\n<\/ol>\n<h3 id=\"remedies\"><b>Home remedies for lice<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Natural remedies are available, but they may not be as effective. These involve suffocating the lice with things like mayonnaise, petroleum jelly, margarine, or olive oil.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Essential oils such as ylang ylang or tea tree oil are not recommended as they can cause allergic skin reactions. Never use chemicals such as gasoline or kerosene (as a treatment for lice or anything else).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201c[Treating lice] is time consuming and psychologically hard,\u201d Dr. Kormeili says. \u201cYou may feel itchy all over, and that is normal, because anyone who thinks about lice can feel itchy all over. It doesn&#8217;t mean you are infected everywhere!\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some schools have a \u201cno-nit\u201d policy in which children who are being treated for lice cannot return until there are no signs of lice left, sometimes requiring a note from someone qualified to deem the child lice-free. Most doctors disagree with this policy, recommending instead that the child be treated at home for lice and return the next day.<\/span><\/p>\n<h2 id=\"prevention\"><span style=\"font-weight: 400;\">Lice prevention<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Contrary to popular misconception (and schoolyard taunts), lice have no preference for dirty or clean hair. Hygiene habits have no influence on head lice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cBecause lice are spread by direct contact (head to head contact as in hats and helmets, sharing of combs, etc.), parents should emphasize the importance of keeping one\u2019s hair and headgear to him or herself,\u201d says Dr. Woods. \u201cAlso, children should avoid other children who are known to have lice as the condition is quite contagious.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.cdc.gov\/parasites\/lice\/head\/prevent.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">other steps<\/span><\/a><span style=\"font-weight: 400;\"> to help prevent the spread of lice include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Combs and brushes used by an infested person should be soaked in hot water (at least 130 degrees Fahrenheit) for five to 10 minutes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid laying on couches, beds, or pillows that have recently been used by an infected person.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Don\u2019t share personal items such as combs, brushes, towels, hats, and stuffed animals.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Machine wash and machine dry (using high heat) any clothing, bedding, or items used by an infested person during the two days before treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dry clean anything that is not machine washable, or place it in a sealed bag for at least two weeks.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Large items that cannot be removed or washed may be treated with a home lice spray, such as Permethrin 0.5% home spray<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vacuum the floor and furniture. Throw away the bag afterwards.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Check other family members. Ask your healthcare provider to see if they recommend treating the entire family as a precaution.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">While the internet is filled with suggestions for products that claim to repel and prevent lice, their efficacy and safety is questionable and not widely recommended.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent&#8217;s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series here. What are lice? | Symptoms of head lice | Diagnosis | Lice treatment for [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":14954,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[19608],"coauthors":[8622],"class_list":["post-14948","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-common-childhood-illnesses","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lice treatment for kids: What to do if your child has head lice<\/title>\n<meta name=\"description\" content=\"Head lice are not dangerous and don\u2019t spread disease, but they are unpleasant. 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Read this guide.\" \/>\n<meta property=\"og:description\" content=\"They&#039;re not dangerous and don\u2019t spread disease, but they are unpleasant\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/lice-treatment-for-kids\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-17T14:00:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2020\/08\/Blog_081720_Lice-treatment-for-kids.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Heather M. 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