Brief Answer:
Hair fall treatment

Detailed Answer:
Hello and Welcome to healthcaremagic

I am Dr, Kakkar. I have gone through your concern and I have understood it.

Your main concern is dandruff and hair shedding.

Seborrheic dermatitis/dandruff presents as scaling and itching of the scalp. Increased hair shedding is also a common complaint associated with seborrheic dermatitis/dandruff

KZ lotion is 2% ketoconazole shampoo, which is a good choice antidandruff shampoo. I would suggest that you use thrice weekly OR even daily, for 2-4 weeks. Since dandruff is bound to recur, therefore rather than using a regular shampoo, people with dandruff should use an antidandruff shampoo (twice weekly for maintenance) to keep dandruff under check.

However if in case this proves insufficient in providing relief from dandruff then I usually ask my patients to use a topical steroid lotion (Mometasone is available as a lotion formulation) at the scalp skin twice daily for 2 weeks and once the dandruff is controlled I usually stop it and ask my patients to continue with just antidandruff shampoo for maintenance(twice weekly).

Dandruff related hair fall is reversible and usually patients with purely dandruff related hair fall don't complain of a decreased hair density or hair volume.

Though controlling dandruff effectively would control your hair fall problem, however there might be another reason for your hair fall and decreased density, which needs to be evaluated after examining e.g Androgenetic Alopecia is the most common cause of gradually progressive hair thinning and hair fall from the scalp. Usually there is a positive family history.

Seborrheic dermatitis and androgenetic alopecia are commonly found together and while patients may attribute hair fall to dandruff, androgenetic alopecia is the actual reason for hair fall and decreased hair density.

Minoxidil and finasteride are FDA approved for androgenetic alopecia related hair loss and hair thinning. These drugs are available on prescription from a doctor and hence I recommend you visit a doctor before trying them.

Hope this helps

Regards

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Brief Answer:
Dandruff treatment

Detailed Answer:
Hi.

Shampooing can be done daily. Once it is controlled, you can reduce the frequency of shampoo to thrice weekly or twice weekly for maintenance of improvement.

Though ketoconazole present in KZ lotion can cause dryness. However, many ketoconazole preparations that are available are already fortified with conditioners to counter this side effect of ketoconazole. My choice of a ketoconazole shampoo is 'Scalpe lotion' (marketed by gracewell/ glenmark), which contains 3 different conditioners and does'nt cause dryness or hair damage.

Regards

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