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Suggest Treatment For Dandruff Along With Severe Hair Loss
Question: I have dandruff issues since 2 yrs,severe hair loss happened because of that.The problem described still persists ,hair has become very very thin because of severe hair loss issue since 2 yrs due to dandruff.Ketosh shampoo is not providing much relief.Please suggest me medication to stop dandruff and for regrowing hair.
Brief Answer:
Dandruff and hair fall treatment
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic
I am Dr. Kakkar. I have gone through your query.
Dandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.
The shampoo which you are using contains 2% ketoconazole, which is a common ingredient of antidandruff shampoos.
However, in some cases a ketoconazole based antidandruff shampoo alone may not be totally effective specially if dandruff is excessive.
In such cases there are various options available to more effectively control dandruff:
-Seborrheic dermatitis is a steroid responsive dermatoses, therefore we have an option of using topical steroids lotion
I usually ask my patients to use a topical steroid lotion (Mometasone furoate Or Clobetasol propionate lotion) once daily at night for a short period of 2 weeks
-Another factor responsible for resistant dandruff is because the contact time of a shampoo is just 5-7 minutes Or even lesser (recommended is 10-15 minutes for ketoconazole based shampoo) and the active ingredient does'nt remain in contact with the scalp for a sufficient period of time. Therefore using an overnight leave-on antidandruff preparation/lotion would be more effective as compared to a shampoo.
-Alternative shampoos can be tried and are usually more effective e.g a coal tar+salicyclic acid based shampoo is an alternative as are other antidandruff shampoo containing ingredients, for which a shorter contact time (3-4 minutes) is good enough like ciclopirox olamine, piroctone olamine, sertaconazole etc.
You may add a biotin supplement. Biotin would be an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair.
Minoxidil too can be added as a hair growth promoter.
These are all prescription products (topical steroid lotions, shampoo, over night leave-on lotions, Biotin and Minoxidil).
I would suggest that you seek another appointment with your dermatologist. Your dermatologist would tell you more about these in detail and advice accordingly.
Regards
Dandruff and hair fall treatment
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic
I am Dr. Kakkar. I have gone through your query.
Dandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.
The shampoo which you are using contains 2% ketoconazole, which is a common ingredient of antidandruff shampoos.
However, in some cases a ketoconazole based antidandruff shampoo alone may not be totally effective specially if dandruff is excessive.
In such cases there are various options available to more effectively control dandruff:
-Seborrheic dermatitis is a steroid responsive dermatoses, therefore we have an option of using topical steroids lotion
I usually ask my patients to use a topical steroid lotion (Mometasone furoate Or Clobetasol propionate lotion) once daily at night for a short period of 2 weeks
-Another factor responsible for resistant dandruff is because the contact time of a shampoo is just 5-7 minutes Or even lesser (recommended is 10-15 minutes for ketoconazole based shampoo) and the active ingredient does'nt remain in contact with the scalp for a sufficient period of time. Therefore using an overnight leave-on antidandruff preparation/lotion would be more effective as compared to a shampoo.
-Alternative shampoos can be tried and are usually more effective e.g a coal tar+salicyclic acid based shampoo is an alternative as are other antidandruff shampoo containing ingredients, for which a shorter contact time (3-4 minutes) is good enough like ciclopirox olamine, piroctone olamine, sertaconazole etc.
You may add a biotin supplement. Biotin would be an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair.
Minoxidil too can be added as a hair growth promoter.
These are all prescription products (topical steroid lotions, shampoo, over night leave-on lotions, Biotin and Minoxidil).
I would suggest that you seek another appointment with your dermatologist. Your dermatologist would tell you more about these in detail and advice accordingly.
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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