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Lice treatment pesticide shampoos and lotions
are not to be used repeatedly, in conjunction with,
or as a follow-up to other chemical formulations.

New industry developed guidelines direct parents and health professionals to over-the-counter pesticide products already documented to be less than 100% effective at best or with documented lice resistance to them. When these treatments fail, the guidelines unfortunately recommend the prescription pesticides malathion and lindane. There are health risks inherent with the use of pesticides on children and these risks increase dramatically when you follow one chemical treatment with another.

The NPA advises parents to discontinue the use of any treatment at the earliest sign of failure and to avoid using other chemicals. Manual removal is the best option whenever possible, especially when treatment products have failed.


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