When Lice Come Back (2024)

You carefully combed out the nits (lice eggs), applied and reapplied lice treatment as directed, and washed all the bedding and clothes. You thought your home was (finally) lice-free. Yet, the pesky mites keep coming back.

There are two reasons for a recurrent lice infestation:

  • The lice treatment you used didn’t work.
  • You or someone in your family came in contact with lice again.

Treatment Didn’t Work

Treatments might not work for a couple of reasons. First, studies have shown that lice can be resistant to pesticide treatments that have been used in some geographical areas.

Second, female adult lice lay up to eight eggs a day. Over-the-counter lice treatments and prescription ones kill live lice and their eggs (nits), but they might not catch all of them. Because of the life cycle of lice, over-the-counter and prescription treatments may require two treatments, 7-9 days apart. If you don’t reapply the product within the correct number of days, lice eggs can lurk behind and hatch later.

To be most effective, follow up prescription or over-the-counter treatment by combing through the hair for two weeks to rid the head completely of lice.

Someone or Something Else Gave Lice Back to You

You can get rid of lice on your head and in your home only to have it crawl back onto you or your child at daycare, school, or the gym. You might not be able to control the environment outside your home, but these tips can help keep lice away:

  • Avoid head-to-head and hair-to-hair contact. This is the way head lice most commonly spread. Think about events like kids’ slumber parties, sleepover camps, and sporting events such as wrestling.
  • Don’t share hats, scarves, hoodies, or other clothing.
  • Don’t share hair ribbons, barrettes, combs or brushes. (Studies suggest girls are more likely to get lice than boys).
  • Don’t share towels.
  • Don’t share beds, sofas, rugs, pillows, or stuffed animals with someone who has or recently had lice.

How to Keep Lice from Coming Back

The CDC and FDA say you don’t need to spend a lot of time and money cleaning the house after a lice outbreak. Head lice are bloodsuckers. Once they fall off the body, they only survive for a day or two.

The chances that you’ll catch them from sitting on the sofa or laying on the floor is quite small. But follow these simple steps to help prevent another lice attack:

  • Wash and dry bedding, clothing, and stuffed toys using hot water (130 F) and high heat.
  • If the items can’t be washed, seal them in a plastic bag for 3 weeks. Dry cleaning also kills lice.
  • Vacuum upholstered furniture and rugs.

Lice room sprays or fumigants are toxic if inhaled or absorbed through the skin. The FDA says that if you or someone in your family has head lice, you don’t need these products.

If lice keep returning, ask a doctor about the best treatment options for your family. You’ll also want to find the exact source of the mites.

But don’t blame your pet. Your furry friends don’t spread head lice.

When Lice Come Back (2024)

FAQs

What to do when lice keep coming back? ›

How to Keep Lice from Coming Back
  1. Wash and dry bedding, clothing, and stuffed toys using hot water (130 F) and high heat.
  2. If the items can't be washed, seal them in a plastic bag for 3 weeks. Dry cleaning also kills lice.
  3. Vacuum upholstered furniture and rugs.
Mar 10, 2024

Does lice usually come back? ›

With 2 treatments, all lice and nits should be killed. If lice come back, it can mean another contact with an infected person. It can also be that the shampoo wasn't left on for 10 minutes. It may also mean that hair conditioner was used.

How do I know if I got rid of all the lice? ›

Generally, if no live crawling insects are seen three weeks after the treatment, it's safe to assume that they are gone. Nits would have hatched by that time if they were alive. Nits and their shells may remain in the hair for some time but won't be viable.

How do I make sure all my lice are gone? ›

How to Get Rid of Lice in Your Home
  1. Use heat. Wash any items used or worn by the person in hot water, and dry them on high heat. ...
  2. Bag items in plastic. If you can't toss the items into the washer and dryer, seal them in a plastic bag for 2 weeks.
  3. Vacuum. ...
  4. Clean hair tools. ...
  5. Don't use insecticide fogs or sprays.
Jan 30, 2024

How do you keep super lice away? ›

Avoid sharing anything that touches another head; including brushes, combs, hats or helmets. Comb nits out of the hair with a fine metal comb with narrow teeth after treating the scalp nightly for at least a week with an over the counter product.

How do you get rid of lice permanently? ›

Start by wetting the hair and lubricating it with hair conditioner or olive oil. Comb the entire head from the scalp to the end of the hair at least twice during a session. The process typically should be repeated every 3 to 4 days for several weeks — at least two weeks after no more lice are found.

Do dead lice fall out of hair? ›

The female louse secretes this glue-like substance when she lays her eggs to protect them until they hatch. The glue hardens upon secretion and does not dissipate when a nit dies. For that reason, dead lice remain cemented onto the hair shaft until you manually or chemically remove them or the hair grows out.

How long until lice is fully gone? ›

It takes several treatments to completely remove lice and nits from your hair. It could take up to three weeks to get rid of all lice and nits. Make sure all members of your household check and receive treatment for head lice if one member of your household has head lice, as lice easily spread from person to person.

How to break lice life cycle? ›

Then use a fine toothed “lice comb” to systematically work through the hair and remove adult lice. Regularly wiping the comb on tissues or paper towel will reveal the dispatched lice. This approach works but must be repeated twice, about a week apart, to break the life cycle of the head lice.

How to tell how long someone has had lice? ›

If they're one-quarter inch or more away from the scalp, they have already hatched, and your infestation is of a longer duration. If you see nits and nymphs but no adult lice, you may have had lice for around 2 weeks. Adult lice are the size of sesame seeds.

What kills head lice instantly? ›

What kills head lice instantly? No methods have been found to instantly kill lice, though tea tree and lavender oil combinations in carrier oils have proven to be effective and time-efficient.

How fast do lice multiply? ›

Adult louse. An adult louse can multiply fast and lay up to 10 eggs a day. It takes about only 12 to 14 days for newly hatched eggs to reach adulthood.

When are you considered lice free? ›

After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2-3 days may decrease the chance of self- re-infestation. Continue to check for 2-3 weeks to be sure all lice and nits are gone.

Why do I still see live lice after treatment? ›

Lice do not survive the Lice Attack Solution when it's done properly. However, if you don't follow the instructions (for example, if the treated hair was wet, very knotty, or not completely saturated with the Solution) lice could survive.

What happens if you leave lice too long? ›

In actuality, untreated head lice may degrade the scalp and affect its health. It will also affect your hair's health as well. If the hair follicles become blocked, then hair loss may occur. It is hard to have well-conditioned hair if it is covered in head lice, lice eggs, and bacteria.

How to break head lice cycle? ›

Medicated lotions and sprays

Head lice should die within a day. Some lotions and sprays come with a comb to remove dead lice and eggs. Some treatments need to be repeated after a week to kill any newly hatched lice. Check the pack to see if they're OK for you or your child to use, and how to use them.

How do you get rid of long term lice? ›

Most people successfully get rid of body lice infestations by regularly bathing with soap and warm water and washing their clothes. Try to bathe daily until you no longer see body lice or nits on your body, clothes, bedding or other fabric items, like towels.

How do you get rid of constant head lice? ›

If the initial treatments have failed and live lice are still being removed with the conditioner and comb treatment, see your doctor for a referral to a dermatologist for specialist treatment. A dermatologist may prescribe ivermectin . This is a tablet taken twice, 7 days apart.

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