Hello. Thank you for writing to us at healthcaremagic
Dandruff is certainly one of the cause of increased hair shedding but there can be other concomitant factors too responsible for hair fall in males e.g androgenetic alopecia is the most common cause of hair fall and thinning in males and could be a possibility in you as well.
Treatment of androgenetic alopecia is with topical minoxidil and oral antiandrogens like
finasteride.
Therefore, I suggest you to visit a
dermatologist for a visual assessment of the extent and reasons for hair fall and appropriate prescription
Dandruff is recurrent. Antidandruff shampoo are advisable to be used regularly in those who have dandruff. They can be used either every alternate days Or even daily depending on the severity of dandruff. Once significant Improvement has been achieved it can be maintained with twice weekly antidandruff shampoo.
OTC antidandruff shampoo may not be totally effective and therefore you may require a prescription antidandruff shampoo for better results e.g those which contain newer antifungals like
climbazole, piroctone olamine and
ciclopirox olamine are far effective than OTC shampoos and may be tried.
They are also available as overnight leave on preparations. Overnight leave-on preparations being more effective because of the longer contact time.
Another option in patients with resistant dandruff is to use a moderately potent
topical steroid e.g mometasone furoate lotion at scalp skin overnight along with an antidandruff shampoo.
Seborrheic
dermatitis is a steroid responsive
dermatosis and therefore topical steroid lotions bring about a remarkable improvement in about 2 weeks when they can be discontinued and the improvement maintained with just antidandruff shampoo.
I suggest that you visit a dermatologist for more details regarding dandruff, androgenetic alopecia and appropriate treatment.
Regards