With a single application, maximum-strength Nix® Crème Rinse kills lice and their eggs and prevents reinfestation for up to 14 days after initial application. Wash all hairbrushes and combs in very hot soapy water (above 130 °F) for 5 to 10 minutes and do not share them with other people. Infestation with head lice that seem to be resistant to 1% permethrin cream rinse has been successfully treated by applying the 5% permethrin cream overnight. Permethrin is approved for use on children 2 months of age and older.Resistance to 1% permethrin has been reported, but its prevalence is unknown. You should leave the lotion or cream on for the full recommended time and then wash it off.

If you see live mites 14 days or more after treatment, then you will need to repeat the treatment process.

Clean the house or room by thoroughly vacuuming upholstered furniture, rugs, and floors. The 2-ounce box contains one bottle of Nix® Crème Rinse plus one nit comb. Malathion should be left on for 12 hours (overnight) and then washed off. Having head lice does not mean you are not clean. But it also goes by Lyclear, Elimite and other names. Permethrin may continue to kill newly hatched lice for several days after treatment. Permethrin 5% dermal cream should be left on for 24 hours and then washed off. 15 Therefore, retreatment with permethrin is generally not necessary because of its residual effects. A second treatment often is necessary on day 9 to kill any newly hatched lice before they can produce new eggs. 5% permethrin cream comes under many different names. The dermal cream should be applied for 8-12 hours, while users are instructed to apply the cream rinse for 10 minutes only.

It can be confusing because Elimite makes both 1% and 5% products. The cream should be removed by washing (shower or bath) after 8 to 14 hours. After 8-14 hours have passed, wash off the cream by bathing or showering. Nits are whitish-grey, tan or yellow ovals, about the size of a grain of sand. They stick to the hair close to the scalp and can look like dandruff. Usual Adult Dose for Lice: Permethrin topical 1% kit: Apply lotion/creme rinse to shampooed and towel-dried hair until hair and scalp are saturated (especially behind the ears and on the nape of the neck). 5% is for scabies, 1% is for head lice. This does not mean your treatment did not work. Your skin may be itchy after treatment with permethrin cream.

What do head lice look like? It’s not your fault if you or your child has head lice. Nix® Crème Rinse is available in a 2-ounce box, 4-ounce box and The Complete Lice Treatment Kit. Lice have 3 stages – the egg (nit), the nymph and the adult.

Head lice do not spread disease.
The distance nits or hatched eggs are from the scalp can be used as an indicator of how long the person has ... lice. In the USA it is just called “Permethrin Cream, 5%”. Permethrin topical 5% cream: Thoroughly massage into the skin from the neck to the soles of the feet. Just check and make sure whatever you buy is 5%, not 1%. The more potent permethrin, unlike pyrethrins, remains active for 2 weeks. 5,6 However, there are other explanations for treatment failure related to the product used.

As far as I know they are all basically the same thing. Leave the cream on your skin for 8-14 hours.

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