Brief Answer:
Antidandruff shampoo twice or thrice weekly
Detailed Answer:
Hi. Thanks for posting your concern at XXXXXXX
Hair loss can be due to various reasons:
--Androgenetic Alopecia
--
Telogen effluvium (Post stress i.e medical, surgical, psychological)
--Alopecia Areata
--Secondary to various disease of the scalp like Seborrheic Dermatitis,
Lichen Planus,
Discoid Lupus Erythematosus.
Scalp hair grows (Anagen phase) for 2-3 years and is then shed (Telogen or Resting phase) to make way for new hair growth cycle. Normally 15-50 hairs (Telogen hairs) are shed daily as part of normal hair cycling process.
Dandruff or Seborrheic Dermatitis is common cause of hair fall. Dandruff if controlled effectively by anti-dandruff shampoo/lotion also reduces the hair fall consequent of dandruff.
Hair oils which are traditionally applied by Indians actually has no role in controlling dandruff and hair fall resulting from it. It actually worsens dandruff and can also lead to scalp
folliculitis. So, I advice my patients of Seborrheic dermatitis to avoid all oily, greasy products and hair oil on scalp. The goal is to keep the scalp as clean as possible.
Seborrheic dermatitis/dandruff is because of 2 main causes: Yeast (Malassezia fungus) and Inflammation. Therefore, any therapy which targets either or both of these is effective in seborrheic dermatitis and thus the resultant hair fall.
OTC antidandruff shampoos contain 1% to 2%
ketoconazole and can be used twice or thrice weekly. Ketoconazole is anti-fungal as well as anti-inflammatory and is usually effective in controlling mild to moderate dandruff. Lather it and allow it to act on your scalp for at least 5-7 minutes and then rinse it with water.
If you do not benefit from ketoconazole based shampoo or it makes the hair fall worse then i would advice that you visit a dermatologist. Your dermatologist might ask you to use a different anti-dandruff shampoo containing various new generation anti-fungal and anti-inflammatory ingredients like Ciclopirox olamine, piroctone olamine, Climbazole etc.
It is also advisable to
consult a dermatologist if your dandruff does'nt respond to conventional anti-dandruff shampoos because severe/ resistant dandruff could also be because of an underlying condition like
Scalp Psoriasis.
Hope this information helps you.
take care
regards