Brief Answer: Hair fall and scalp itching Detailed Answer: Hello and welcome to healthcaremagic. I am Dr, Kakkar. I have gone through your concern and I have understood it. You seem to suffer from dandruff/seborrheic dermatitis of the scalp. Dandruff or seborrheic dermatitis is an important cause of scalp itching and increased hair shedding. Dandruff is bound to recur again, therefore people with dandruff should use an antidandruff shampoo to keep the dandruff under check, rather than using a regular shampoo. If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo, thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution. Sometimes a shampoo alone seems insufficient. In that case you should consult a dermatologist. Your dermatologist might prescribe you a topical steroid lotion(clobetasol or mometasone lotion), to be applied twice daily for 2 weeks. The topical steroid lotion can be stopped once the dandruff is well controlled and thereafter the improvement can be sustained with just an antidandruff lotion/shampoo. Controlling dandruff would improve your hair fall problem too. You could try using a hair tincture containing ingredients like benzyl nicotinate, Vit K etc(Marketed by the name of Folica medicinal hair tincture). You can initially begin with alternate night application on the scalp skin for a few weeks, followed by twice weekly for maintenance. It is helpful in controlling hair fall as well as regrows new hair. Besides you could take a biotin supplement e.g follihair tablet, once daily. regards

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