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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Hair Fall Caused By Flaky Dandruff Be Dealt With?

Hi Dr,

Doctor recently I have experienced lots of dandruff on my head even the flaks are deposited on the head scalp to which is creating lots of irritation and itching. Normally i have experienced that the itching and irritation starts when I am having food or when I am moving on sunny day. There is lots of visible flaks on my heady its really disappoint me lot. Recently i have also experienced lots of hair fall now the hair falls is under control with use of ayurvadic oil. but condition of dandruff is worst. plz advice me some good shampoo or something else so that i come up with this worst situation. plz help me so that my dandruff problem can be controlled without damaging my hair.
Tue, 15 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Dandruff/seborrheic dermatitis is an important cause of hair fall. Once your dandruff is controlled with an antidandruff shampoo you could use it once or twice weekly for maintenance.

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. Other shampoos which you are already using e,g sebowash OR 8X shampoo are equally good.

If that seems insufficient then I would suggest that you see a dermatologist. Your dermatologist might prescribe you a topical steroid lotion, to be applied twice daily for 2 weeks.

The topical steroid lotion can be stopped once the dandruff is significantly controlled and thereafter the improvement can be sustained with just an antidandruff lotion.

regards
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Can Hair Fall Caused By Flaky Dandruff Be Dealt With?

Hello and welcome to healthcaremagic Dandruff/seborrheic dermatitis is an important cause of hair fall. Once your dandruff is controlled with an antidandruff shampoo you could use it once or twice weekly for maintenance. 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. Other shampoos which you are already using e,g sebowash OR 8X shampoo are equally good. If that seems insufficient then I would suggest that you see a dermatologist. Your dermatologist might prescribe you a topical steroid lotion, to be applied twice daily for 2 weeks. The topical steroid lotion can be stopped once the dandruff is significantly controlled and thereafter the improvement can be sustained with just an antidandruff lotion. regards