DIAGNOSIS:  LICE are grayish-brown, crawling insects less 1/8 to 1/4 inch long that live on or near the scalp.  They can be seen moving quickly when you part the hair.  They lay their eggs, or nits, on the hair shafts.  They only crawl (they do NOT jump or fly) and are transmitted by direct contact with an infested person or other contaminated items.  NITS are tiny grayish-white eggs attached to the hair, near the scalp, especially behind the ears and at the nape of the neck.  They look like dandruff but are unable to be shaken off. 

SYMPTOMS:  Itchy head, frequent scratching, bite marks that look like pimples or sores.

TREATMENT: 
1.Check all other family members to see if they are infested.  Any family member with evidence of head lice must also be treated.  
2.Treat with over-the-counter NIX Creme Rinse – follow directions on package.  
3.Comb out nits (eggs) with the NIX nit removal comb – follow directions on package.  This is the MOST IMPORTANT step, spend most of your time doing this.  There is no pediculicide product that kills all the eggs, and unfortunately a few missed lice or eggs can start the infestation all over again.  
4. Clean home and personal items – everything that may have touched the head in last 72 hours (ie hats, gloves, hair ribbons, scarves, coats, bed linens, clothes, towels, blankets, pillows, bed spreads, sleeping bags, backpacks, stuffed animals, cloth toys).

  • Machine wash in hot water and dry on hot cycle for at least 20 minutes.
  • Non-washable items (stuffed animals, headphones, etc.) should be dry cleaned or sealed in a plastic bag for at least 2 weeks.  
  • Soak combs and brushes in hot soapy water (above 130 deg, F) for 10 minutes.
  • Vacuum all carpets, rugs, pillows, mattresses, upholstered furniture, car/car seats. Discard the vacuum bag promptly.  
  • Repeat the above cleaning daily until no nits are found, then again in 7 days.

CYCLE:
1.Cycle must start with a LIVE louse, one cannot “catch nits”.  They have a 30-day life cycle on the scalp.
2.Lice need human blood to survive, cannot survive more than a day or so if separated from a person.
3.Females lay about 10 eggs a day.  Once eggs are laid, it takes 7-10 days for the egg to hatch.  

TIPS:
•Check the hair daily for at least 2 weeks after treatment.
•Head lice survive only on humans and do not affect family pets.
•Be sure to notify anyone who has had close contact:  school, day care, sports teams, friends, relative, playmates, babysitters.
•You can use NIX again (7 days later) if you are still finding live lice. 
•Other home remedies include:  olive oil, Vaseline, mayo and shower cap to smother lice/eggs; vinegar can be used to loosen nits


You can view a printable version of this page for your convenience here: Lice Instructions.pdf