Brief Answer: Anti-dandruff shampoo & lotions; de-stress Detailed Answer: Hi there XXXXXXX Dandruff is one pesky problem & stress plays a major role in this. I presume there have been more stressors of late be it financial, physical, emotional, sexual or any other type. Shampooing twice a week is fine. Leave the anti-dandruff shampoo i recommend for at least 15-20 mts contact time on a wet scalp (not hair). To begin with, start with a milder shampoo eg. 2% ketoconazole (Nizoral) or Danclear plus scalp shampoo. If in two weeks, this does not help much, shift to a coal tar preparation applied the same way as suggested. I prefer the galderma product Ionax-T or Ionil-T scalp shampoo. If in 1 mth, it is all clear, we are on the right track & all is well. If not, we need to go in for some stronger remedies & this will need the supervision of a dermatologist nearest you. In addition to the shampoo, if the itch is severe, you may want to try & use 2 lotions..mix 1:1 & apply together as drps on your scalp at bedtime & leave it on overnight. Candid lotion & Clop-S lotion are the 2 i have in mind. After 1 week, stop the Clop-S & continue the Candid lotion applied at bedtime for a further week. With this topical regime, am certain you will have good results. Do take a holiday if you can & this may help ease the stress & get the dandruff under control faster! Good Luck & Godspeed! Dr Praveen Rodrigues MD

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