Usually transmitted during intimate body contact, such as during sexual intercourse. Treatment must therefore include the patient's partner.
Permethrin 1% lotion shampoo (if >2 months old)
Wash hair with non-conditioned shampoo
Apply Permethrin for 10 min and rinse
Repeat on day 9
Pyrethrin lotion
Apply to affected areas and wash off after 10 min
Repeat in 7 days
Dimethicone therapy
First, apply the product to dry hair, then wait 10 min. Next, with product still in the hair, separate hair into small sections and comb hair to remove lice and eggs. Use a lice comb to remove lice and their eggs from hair. Finally, shampoo hair thoroughly with regular shampoo and warm water. Repeat as needed.
Wash hair with non-conditioned shampoo
Apply Permethrin for 10 min and rinse
Repeat on day 9
Apply to affected areas and wash off after 10 min
Repeat in 7 days
First, apply the product to dry hair, then wait 10 min. Next, with product still in the hair, separate hair into small sections and comb hair to remove lice and eggs. Use a lice comb to remove lice and their eggs from hair. Finally, shampoo hair thoroughly with regular shampoo and warm water. Repeat as needed.
Reserved for failed OTC treatment
Spinosad 0.9% topical suspension (if >6 months old)
Apply to scalp and air and wash off after 10 min.
Repeat in 10 days
Malathion 0.5% lotion (if >6 years old)
Applied to affected areas and wash after 8 hrs
Repeat in 7 days
Benzyl Alcohol 5% lotion (> 6 months old)
Apply to dry hair and wash off after 10 min
Repeat in 7 days
Ivermectin 400mcg/kg PO
Once on day 1 THEN once in 7 days
Reserved for patients failing topical treatment
Lindane therapy
Only consider if patient has failed two prior prescription treatments
Avoid in children <50 kg due to seizure association
Apply to scalp and air and wash off after 10 min.
Repeat in 10 days
Applied to affected areas and wash after 8 hrs
Repeat in 7 days
Apply to dry hair and wash off after 10 min
Repeat in 7 days
Once on day 1 THEN once in 7 days
Reserved for patients failing topical treatment
Only consider if patient has failed two prior prescription treatments
Avoid in children <50 kg due to seizure association
Apply ophthalmic petroleum jelly q12hrs x 10 days
Wet combing is an alternative to medical therapy
Pediculosis
Bed bugs
Glenohumeral instability
Lice
Phimosis
Scabies 
Dental subluxation
Ticks