Shampoo, Combing, or Haircuts? The Best Ways to Treat Kids’ Head Lice ✂️

Friday, October 31, 2025

SAEDNEWS: Most mothers reach for anti-lice shampoos when their child gets lice, but many use them incorrectly, leaving the infestation untreated.

Shampoo, Combing, or Haircuts? The Best Ways to Treat Kids’ Head Lice ✂️

According to the Family Service of Saed News, citing Nini Site, Dr. Sabaghi recommends using head lice shampoos as follows:

1. Dampen the Child’s Hair
The mother should make the child’s hair damp enough so that the shampoo can coat all strands evenly.

2. Comb Thoroughly
Next, the mother should comb the child’s hair carefully using the comb included in the shampoo box or a fine-toothed comb used for parting hair. For better results, she can thread invisible sewing threads through the comb’s teeth, which helps lice eggs (nits) catch onto the comb. Combing should start at the roots, as nits are usually attached close to the scalp. Areas behind the ears, the back of the head, and the temples are most commonly affected. This step is critical—children’s hair must be combed carefully and thoroughly.

3. Leave Shampoo on for 8–10 Minutes
During this time, the mother should comb the child’s hair again. It’s best to do this in the shower so the eggs can be rinsed away. Shampoo labels usually recommend a 7-day to 2-week interval between treatments—ideally 10 days. The shampoo should not be used more than directed, as excessive absorption can increase toxin levels in the child’s body.

4. Use Vinegar Between Treatments
During the 10-day to 2-week interval between shampoos, mothers can use a comb with vinegar or spray vinegar onto the hair before combing. Patience is key—combing may take up to half an hour. Afterward, the vinegar must be thoroughly rinsed to prevent skin irritation.

5. Dilute Vinegar If Sensitive
If the child’s scalp is sensitive, vinegar can be diluted with water. Vinegar can be applied two to three times a day safely, provided the hair is rinsed thoroughly afterward.


Second Stage of Treatment

If lice persist after two applications of permethrin shampoo, it indicates resistance. In this case, mothers should use a 4% dimethicone solution (such as Dai-Lice). This solution, similar in texture to mayonnaise, should remain on the scalp for 8 hours. Apply it to the hair and cover with plastic wrap or a special cap. After 8 hours, comb and wash thoroughly.

It is important to comb the hair while it is coated with shampoo, vinegar, or dimethicone, as the substance helps remove the lice. If permethrin fails, cutting the hair short may be necessary. Short hair allows the comb to pass more easily from root to tip, removing lice effectively. While many families resist cutting long hair, short hair is easier to wash, inspect, and treat, and it allows doctors to identify lice more quickly. However, very few parents have the patience to inspect their child’s hair thoroughly each week.