Step by step
Remove it as soon as you find it. Speed matters more than technique, but the right technique keeps the mouthparts from breaking off.
- Use fine-tipped tweezersPointed tweezers or a tick-removal tool. Blunt household tweezers squeeze the body.
- Grasp as close to the skin as you canGet the head and mouthparts, not the swollen body.
- Pull straight up with steady, even pressureDon't twist or jerk. It can take several seconds as the barbed mouthparts release.
- If mouthparts stay in the skinRemove them with tweezers if easy. If not, leave them alone and let the skin heal.
- Clean the bite and your handsRubbing alcohol, or soap and water.
- Save the tickPut it in a sealed bag or a small container (alive or dead), or tape it to an index card. Write the date and where you picked it up. You may want it identified or tested.
- Watch the spot for 30 daysTake a photo of the bite. Note any rash, fever or aches.
Don't do this
Folk remedies irritate the tick and may make it inject more saliva while you wait.
After a deer-tick bite
If you live in a high-Lyme area and the tick was a blacklegged tick attached 36 hours or more (it looks swollen), call your doctor. A single preventive dose of doxycycline started within 72 hours of removal can lower the chance of Lyme. Only a clinician can prescribe it.
Getting tested
There are two different things to test: the tick, and you. Testing the tick tells you your exposure risk. Only testing you, with a doctor, can diagnose an infection.
Testing the tick
- TickReport (UMass Amherst Laboratory of Medical Zoology, tickreport.com). Mail the tick in a plastic bag, whole or partial. Results are emailed in 1–3 business days. Panels run from about $50 to $200 and test for up to about two dozen pathogens; viral testing such as Powassan costs more.
- State and university programs. Connecticut Agricultural Experiment Station (residents, through local health departments); University of Maine Tick Lab (subsidized for Maine residents); New Jersey and UConn veterinary labs; Ticknology (Colorado). Many towns subsidize TickReport tests for residents. Check your county health department first.
- Photo identification. TickEncounter (University of Rhode Island) identifies ticks from a clear photo. Knowing the species tells you which diseases matter.
- Insurance doesn't cover tick testing; it's considered informational, not diagnostic.
Testing you
- Don't test right after the bite. Lyme blood tests look for antibodies, which take 2–4 weeks to form. A test the day after a bite will be negative even if you're infected.
- A bull's-eye rash after a bite in Lyme country is enough for doctors to diagnose and treat Lyme without a blood test.
- Lyme: two-step antibody testing (screening test, then confirmation).
- Anaplasmosis, ehrlichiosis, babesiosis: PCR blood tests and a blood smear work early in illness; blood counts often show low platelets and white cells.
- Spotted fever: treatment should start on suspicion, before results come back.
- Alpha-gal syndrome: blood test for alpha-gal IgE antibodies, ordered by an allergist or your doctor.
- Powassan: specialized antibody tests on blood or spinal fluid through state labs.
A positive tick result doesn't mean you're infected, and a negative one doesn't rule it out (you may have had other bites you didn't notice). Use symptoms, not the tick report, to decide when to see a doctor.
TickPrevention.org is an educational resource and does not give medical advice. Follow CDC, EPA and university extension guidance, and see a clinician about any bite or symptoms.
