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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Prolonged Hair Fall And Dandruff

Hi, I have been suffering from hairfall and dandruff from past 8-10 years or so. For dandruff, I have used everything - heads and shoulders (still using 2-3 days a week), ketonacozole shampoo, tea tree shampoo, baba ramdev shampoo, herbal shampoos but never saw any significant improvement. It always re-appears after 2-3 days. In the due course, I have lost more than 1/3rd of my hairs. tried multivitamins but they also proved futile. Currently I am taking follihair tablets as dietary suppliments from past one month. No significant improvement so far. Kindly suggest what can I do control this chronic hair loss and dandruff. Thanks in Advance Vishvendra Singh
Tue, 16 Dec 2014
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Dermatologist 's  Response
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
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Suggest Medication For Prolonged Hair Fall And Dandruff

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