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+androgenetic alopecia
Seborrheic dermatitis/dandruff presents as scaling and itching of the scalp. Increased hair shedding is also a common complaint associated with seborrheic dermatitis/dandruff
For dandruff you can use an antidandruff shampoo e.g either 8X, Protar K OR Sebowash shampoo, which are all good choice antidandruff shampoo. I would suggest that you use either of these, 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 e.g Topisal Or Elocon 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). However since topical steroids cannot be used for ever, therefore after the first 2-4 weeks of either topisal or elocon lotion, I usually ask my patients to use a topical calcipotriol
lotion (calpsor lotion) which is good for dandruff as well as sebopsoriasis. The advantage of calpsor lotion is that it can be used even for a longer period unlike steroids.
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 is also another reason for your hair fall and decreased density, which needs to be treated i.e 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 also the reason for hair fall and decreased hair density.Minoxidil
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. However since minoxidil can itself lead to dandruff, because it has an alcohol base therefore it is not advisable, hence you may use q -sera which is hair serum containing hair growth peptides.
Therefore for androgenetic alopecia in particular, q-sera(once daily at night) and finasteride tablets would be appropriate in your case along with daily or alternate day shampoo(either ketoconazole
based OR 8X OR Protar K shampoo)+topisal or elocon lotion, once daily during the day) for 2-4 weeks followed by calpsor lotion, once daily during the day for maintenance of dandruff free scalp.
Hope this helps