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MAXIMUM STRENGTH Lice Killing Shampoo is a safe, fast-acting and effective treatment for killing lice. It comes with a comb included and works as a shampoo and conditioner in one. The Active ingredients are Piperonyl butoxide and Pyrethrins extract, which are meant to treat lice on your scalp and other affected areas. The shampoo must be left in for at least ten minutes, and the hair must be slightly damp throughout combing. Take care to remove all remaining lice and eggs by hand or with a special comb. There are detailed instructions and warnings that should be read carefully before use. This product is distributed by CVS Pharmacy and is made in the U.S.A.*