A parent calls the pediatric clinic asking for advice on treating lice. The child has already been treated once with lindane (Qwell). Which advice from the nurse is the most appropriate?
A.
"Be sure you are cleaning your house and linens well."
B.
"Qwell is usually effective after two or three treatments."
C.
"Switch to malathion (Ovide) and see if that works better."
D.
"There are some oral medications your child can try."
ANS: C
Ovide is a safe, nontoxic lice shampoo that is very efficacious. The mother should not be told to use Qwell again; the FDA has a black box warning against using this as a first-line drug and the American Academy of Pediatrics no longer recommends it at all. There are oral medications that can be used on resistant lice, but the parent needs to try another shampoo first. Cleaning is important, but not as important as treating the lice.
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