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How to Treat Pillows for Head Lice: Washing, Drying, and Environmental Control

Decontaminating Pillows and Bedding After Lice

Lice survive ≤24–48 hours off the head (no blood meal). Nits need scalp heat to hatch. Focus on items used in last 48h.

Step-by-Step

  1. Pillowcases & Protectors: Machine wash HOT (≥130°F / 54°C) ≥30 min. Dry HIGH HEAT ≥30 min.
  2. Pillows (non-washable):
    • Option A: Dryer HIGH HEAT 30–40 min (check label).
    • Option B: Seal in plastic bag 72 hours (suffocation).
    • Option C: Vacuum thoroughly (upholstery attachment), then bag.
    • Option D: Lice-killing spray (permethrin/pyrethrin) labeled for bedding – follow instructions; air out.
  3. Mattress & Surroundings: Vacuum mattress, box spring, bed frame, headboard, carpet, upholstered furniture. Discard vacuum bag/seal canister.
  4. Bedding Change: Fresh linens post-treatment. Wash daily until cleared.
  5. Personal Items: Brushes/combs → soak in ≥130°F water 10 min or freeze 24h. Hats, scarves, hoodies → wash/dry hot or bag 72h.
  6. Repeat & Monitor: Recheck heads daily × 2 weeks. Retreat per product schedule (usually day 9–10).

Don't Overdo

  • No need for professional extermination (lice don't infest homes).
  • No insecticidal foggers/bombs (toxic, ineffective).
  • Focus on heads – that's where lice live.

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