Brief Answer:
Minoxidil lotion, hair serum, biotin tablets

Detailed Answer:
Hello XXXXXXX
Thank you for writing to HCM.
I can understand your concern regarding hairfall.

From keen review of your history I can think of two probable reasons for your hairloss:

1. Firstly, as you have mentioned receded hairline, it clearly indicates that you have a pattern of hairloss called androgenetic alopecia or male pattern baldness. It is a progressive patterned hairloss due to testosterone hormone.

2. Second likely possibility is that as you have mentioned the history of dandruff, it can also lead to severe hairloss.

I dont think there is any relation to tablets for cold and throat infection to your hairfall.

While dandruff or pityriasis capitits on one hand is pretty amenable to treat but androgentic alopecia is progressive and thus to halt the progression and to bring about growth you need to take medications for period of years all together.

If I were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.

I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals on regular basis for atleast 6-8 months.

Also, I would put you on solution/foam containing 10% minoxidil once a day in morning and a hair serum containing peptides for hair growth at night.(Q sera etc).

Finateride/Dutasteride can be used in selected patients after thorough counselling. Finasteride/dutasteride inhibits metabolism of testosterone at hair root level and thus improves the condition. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the drug.

For the associated dandruff, I would recommend you a short course of oral antifungal drugs like ketoconazole/itraconazole and an application of lotion containing clotrimazole and betamethasone twice a day over scalp for few weeks. Use a medicated shampoo containing ketoconazole and salicyclic acid twice a week and a gentle shampoo and conditioner on regular basis.
Take antihistaminics as required for itching. Avoid excessive use of hair oil.


I would advise you use of and use of coconut oil twice a week.

Avoid combing in wet hair and let them dry by wrapping in towel.
Avoid blow dryers and hair-color/dyes.
Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.

Hope this answer was useful.

Let me know if you require any more assistance fro my side.

Thank you and Take care
Dr Hardik Pitroda

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