You must refer to the pharmacist, if in your conversation you discover that your patient:

  • Has used a treatment without confirming the presence of live head lice.

  • Has used a treatment incorrectly, such as not repeating the treatment after a week – this is necessary as the treatments do not necessarily kill the eggs, and these may hatch and restart an infestation.

  • The patient has used a treatment correctly, but it has not eradicated the head lice – this can be because of resistance to that treatment by the head lice, meaning an alternative that is different to the treatment first tried, must be recommended.

  • If the patient, or a family member is under 12 months of age, or is pregnant, breastfeeding or has sensitive skin.

When to refer to the Pharmacist