Head lice (Is your skin crawling?). Two new treatments.

Good people get head lice.  It is especially rampant in schools where coats may hang next to each other (and the lice essentially jump from one household to another).  Head lice are becoming more resistant to over-the-counter rinses.  There are two reasonably effective therapies to kill the head lice.  Both are non-pesticide and non-neurotoxic therapies that asphyxiate the Pediculosis humanis capitis.  Ick!

  • Ulesfia lotion.  It’s a benzyl alcohol/mineral oil product that stuns the lice spiracles (breathing holes) so the lice drown in the mineral oil vehicle.  (Too much information?)  It can be used in patients older than 6 months.  It needs to be used in a quantity to fully saturate the hair.  Rinse after 10 minutes.  It may not kill the eggs, so repeat one week later.
  • Cetaphil gentle skin cleanser.  Cetaphil is applied to hair and scalp.  2 minutes later comb (not wash) out.  Eight hours later the hair is washed with regular shampoo.  This treatment is repeated once weekly for 3 weeks.

Cure rates for either treatment is 85-97%.  Clothes and bedding should be heated in a hot dryer for 10 minutes and combs washed in isopropyl alcohol for 10 minutes.

Other home remedies like mayonnaise, olive oil, butter, Vaseline, and vinegar were not found to be nearly as effective.

Hope this helps.

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About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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