Treatment for Pubic Lice (Cont.)

Specific Suggestions for Getting Rid of Pubic Lice

One you have chosen a medicine, follow these steps for the treatment of pubic lice (except for treating lice near the eyes):
 
  • Wash the infested area; towel dry.
     
  • Thoroughly saturate hair with lice medication. If using permethrin or pyrethrin, leave medication on for 10 minutes; if using lindane, leave on for only 4 minutes. Thoroughly rinse off medication with water. Dry off with a clean towel.
     
  • Following treatment, most nits will still be attached to hair shafts. Nits may be removed with fingernails.
     
  • Put on clean underwear and clothing after treatment.
     
  • To kill any lice or nits attached to hairs that may be left on clothing or bedding, machine-wash those washable items that the infested person used during the two to three days before treatment. Use the hot water cycle (130°F). Dry laundry using high heat for at least 20 minutes.
     
  • Dry-clean clothing that is not washable.
     
  • Inform any sexual partners that they are at risk for infestation.
     
  • Do not have sex until treatment is complete.
     
  • Do not have sex with infected partners until they have been treated and infestation has been cured.
     
  • Repeat treatment in seven to ten days if lice are still found.
     
To treat nits and lice found on eyebrows or eyelashes:
 
  • If only a few nits are found, it may be possible to remove live lice and nits with your fingernails or a nit comb.
     
  • If additional treatment is needed for pubic lice nits found on the eyelashes, applying an ophthalmic-grade petrolatum ointment (available only by prescription) to the eyelids twice a day for ten days is effective. Vaseline® is a kind of petrolatum, but is likely to irritate the eyes if applied.
     

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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD