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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Dandruff Along With Red And Itchy Scalp

I have redness, itching and dandruff on my scalp and a doctor prescribed me diprovate plus location. When i apply this lotion for 3 4 days my scalp redness, itching and dandruff is gone but as i stop using in 5 6 days it come back again. some doctors say its seboric dermatitis and some says scalp psoriasis. I am using this lotion for long time nitow as I know its a steroid and harmful but do i stop using. kindly guide me better solution.. how to stop using this lotion and get rid of redness and itching.
Thu, 16 Apr 2020
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Pediatrician 's  Response
Hi,

Redness, itching and scaling of scalp usually indicates seborrheic dermatitis as your doctor said. For such cases, I used to give anti-fungal lotions/shampoo like ketaconazole twice a week for 2 months. After initial control, I advise them to continue once weekly for few more months (sometimes even years) to prevent recurrence, as this is a chronic disease. This can be done without much side effects.

Steroid lotions are sometimes needed for cases with severe inflammation and itching. For this, I uses mild-moderately potent steroids like desonide or fluocinolone. This need to be applied once daily for 3-4 weeks for sustained relief. High potency steroids like diprovate are better avoided for this purpose. Kindly discuss with your doctor.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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Suggest Medication For Dandruff Along With Red And Itchy Scalp

Hi, Redness, itching and scaling of scalp usually indicates seborrheic dermatitis as your doctor said. For such cases, I used to give anti-fungal lotions/shampoo like ketaconazole twice a week for 2 months. After initial control, I advise them to continue once weekly for few more months (sometimes even years) to prevent recurrence, as this is a chronic disease. This can be done without much side effects. Steroid lotions are sometimes needed for cases with severe inflammation and itching. For this, I uses mild-moderately potent steroids like desonide or fluocinolone. This need to be applied once daily for 3-4 weeks for sustained relief. High potency steroids like diprovate are better avoided for this purpose. Kindly discuss with your doctor. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician