Suggest Treatment For Itchy Scalp In An Elderly Person

Posted on Tue, 24 Oct 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 24 Oct 2017 Answered on

Wed, 22 Nov 2017 Last reviewed on

Question : i am a 91 year old guy , active , and in good health..what can i do for itchy scalp? thanks

Answered by Dr. Ilyas Patel (49 minutes later)

Brief Answer:
Scalp prurigo or seborrheic dermatitis most probably

Detailed Answer:
Hi,

Welcome to HCM..

It seems that most probably you may be having scalp prurigo. It may be due to anxiety,tension or worries. The other possibility may be seborrheic dermatitis. But, in that case,you may be having dandruff on scalp. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.

I would suggest...

- oral steroid in tapering dose
- antihistaminics like levocetirizine 5 mg daily
- antifungal like fluconazole 400 mg per week
- apply mild steroid with antifungal lotion like candid B lotion
- cleanse the scalp with shampoo containing ketoconazole like nizral shampoo daily
- anxiolytic drug like fluoxetine 10 mg daily at night
- relax,avoid worries and tension

I hope the above tips may be helpful. You may continue treatment under guidance of your doctor.

Thanks.

Dr.Ilyas Patel MD

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. Kampana