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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How should dry skin with dandruff, scales and itching be treated?

I am 38 years old, male working with an MNC. Dandruff is my problem for last 10 yrs.which makes life more complicated. presence of scales, itching and many more problems. my skin is dry type. Tried allopathy, ayurveda but all are temp. solutiions, if i discontinue the medicine, the same will restart. Is there a permanent solution?
Fri, 16 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Dandruff or seborrheic dermatitis is quite common and is a common cause of scalp itching.
Since dandruff is bound to recur, therefore rather than using a regular shampoo, you should use an antidandruff shampoo to keep dandruff under check.
My choice for an antidandruff shampoo is 2% ketoconazole shampoo, thrice weekly OR even daily, for 2-4 weeks.
Nizoral is a ketoconazole based shampoo and is available OTC. It is marketed by Johnson & Johnson.
However sometimes a shampoo alone is insufficient in taking complete control of dandruff.
In such a case dermatologists may choose to prescribe a topical steroid lotion (Mometasone lotion 0.1%), to be applied once daily at night, at the scalp skin for 2 weeks.
Seborrheic dermatitis is a steroid responsive condition.
Topical steroid lotion is a prescription product and a dermatologist would normally prescribe it for difficult to treat dandruff.
The topical steroid lotion may be stopped once the dandruff is well controlled and thereafter the improvement can be sustained with just an anti-dandruff lotion/shampoo, twice weekly.
You may try the shampoo first, it that seems insufficient you may visit a dermatologist in your region for the needful.

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