Dimethicone is between 70 and 97% effective with a low rate of side effects, and thus is seen as the preferred treatment. It works by physical means and there is no evidence of pesticide resistance. Ivermectin is around 80% effective, but can cause local skin irritation. Malathion has an effectiveness around 90%, but theres the possibility of toxicity. Pyrethroids such as permethrin, while commonly used, have lower rates of effectiveness due to the resistance among lice. Effectiveness varies from 10 to 80%, depending on the population studied. Medications within a lotion appear to work better than those within a shampoo. Benzyl alcohol appears effective but it is unclear if it is better than standard treatments. Abametapir was approved for medical use in the United States in July 2020.Resistance to several commonly used treatments is increasing worldwide, with patterns of resistance varying by region. Head lice have demonstrated resistance to permethrin, malathion, phenothrin, and carbaryl in several countries around the world. A previous method used to delay resistance included utilizing a rotating list of recommended insecticides by health authorities. The mosaic model is the current recommendation, in which it is advised to use one product for a treatment course, followed by a different insecticide from another substance class if the first treatment fails. Home Remedies
Tea tree oil has been promoted as a treatment for head lice; however, there is no clear evidence of its effectiveness.
High levels of louse infestations have also been reported from all over the world, including Israel, Denmark, Sweden, U.K., France, and Australia.The United Kingdoms National Health Service report that lice have no preference for any type of hair be it clean, dirty, or short. The number of children per family, the sharing of beds and closets, hair washing habits, local customs and social contacts, healthcare in a particular area (e.g. school), and socioeconomic status were found to be factors in head louse infestation in Iran. Other studies found no relationship between frequency of brushing or shampooing. The California Department of Public Health indicates that chronic head lice infestation may be a sign of socioeconomic or family problems. Children between 4 and 13 years of age are the most frequently infested group. In the U.S., African-American children have lower rates of infestation.Head lice (Pediculus humanus capitis) infestation is most frequent on children aged 3–10 and their families. Females get head lice twice as often as males, and infestation in persons of Afro-Caribbean or other black descent could be rare due to difference in hair shape or width. But these children may have nits that hatch and the live lice could be transferred by head contact to other children. Signs and symptoms
Head lice are generally uncomfortable, but typically do not constitute a serious condition. The most common symptom is itching of the head, which normally worsens 3 to 4 weeks after the initial infestation.