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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For The Dandruff And Itching On The Scalp?

my scalp has really bad dandruff and i have never suffered with this problem before. it is really itchy to the point my head starts to bleed and i get really bad scabs. also have a small build up of what i can only describe as extra skin flakes around my nose area and inside my ears
Tue, 27 May 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Seborrheic dermatitis or dandruff varies in severity in different individuals. The underlying cause is scalp inflammation and overgrowth of malasezzia furfur yeasts, however the exact role of the yeast is unknown. Nevertheless, antifungal shampoos and overnight lotions e.g ketoconazole, sertaconazole, oxiconazole, piroctone olamine, climbazole etc all have beneficial effects in seborrheic dermatitis.

Since dandruff is bound to recur again, therefore it should be followed by once or twice weekly use of antidandruff shampoo for maintenance.

However, if using a shampoo alone proves insufficient/inadequate, you would benefit from using a topical steroid solution at the scalp skin, once or twice daily along with an antidandruff shampoo.

Steroid lotion can be stopped once your dandruff is relieved, thereafter you may continue with the shampoo for maintenance.

regards
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What Is The Treatment For The Dandruff And Itching On The Scalp?

Hello and welcome to healthcaremagic Seborrheic dermatitis or dandruff varies in severity in different individuals. The underlying cause is scalp inflammation and overgrowth of malasezzia furfur yeasts, however the exact role of the yeast is unknown. Nevertheless, antifungal shampoos and overnight lotions e.g ketoconazole, sertaconazole, oxiconazole, piroctone olamine, climbazole etc all have beneficial effects in seborrheic dermatitis. Since dandruff is bound to recur again, therefore it should be followed by once or twice weekly use of antidandruff shampoo for maintenance. However, if using a shampoo alone proves insufficient/inadequate, you would benefit from using a topical steroid solution at the scalp skin, once or twice daily along with an antidandruff shampoo. Steroid lotion can be stopped once your dandruff is relieved, thereafter you may continue with the shampoo for maintenance. regards