Suggest Treatment To Cure Dandruff And Hair Fall

Posted on Fri, 4 Apr 2014

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

Fri, 4 Apr 2014 Answered on

Wed, 30 Apr 2014 Last reviewed on

Question : I lost about 60 / percent hair due to acute dandruff on my scalp. As advised by a leading dermatology doctor in cochin i started using mintop forte every morning AND TOPISOL EVERY NIGHT from 24th March .im prescribed ZINCOVIT TAB .ONE EVERY MORNING AND REILUS TAB ONE EVERY NIGHT FOR TREATING DRYNESS IN MY FACE. I AM ASKED TO MEET DOCTOR AFTER 30 DAYS MEDICATION. I REQUEST YOUR DIRECTION IN THE MEDICINE APPLICATION.ALSO. XXXXXXX AGE 64 YEARS

Answered by Dr. Johny Chacko (48 minutes later)

Brief Answer: Hair fall and Dandruff Detailed Answer: Hello, Welcome to healthcare magic, I understand that you have dandruff and hair fall. Did your doctor confirm that it was dandruff or is it Seborrhoeic dermatitis or Scalp psoriasis ? The reason why I ask is because Topisal lotion is a potent topical steroid and it is usually given for Scalp psoriasis. Even though it gives improvement even in seborrhoeic dermatitis and dandruff, it is not recommended in these conditions because they will cause rebound flare up of disease the moment topisal is stopped. It is always better to avoid steroid in seborrhoeic dermatitis and dandruff. Minoxidil forte 5 %, Zincovit tablet and Revilus tablet are treatments for male pattern hair loss and you may continue it. In my practice I usually give supplements for three months but will continue Minoxidil for long duration. Minoxidil will take time for showing results, a minimum of three months. Personally I would not recommend topisal lotion for dandruff. You may use an anti-dandruff shampoo like Scalpe or Keraglo AD three times a day. Massage it to the scalp during bath and leave it on for 3 minutes and wash off. Hope I have answered your query. Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Johny Chacko (2 hours later)

yes I was asked to continue medicine for three months. I was directed to use sebowash shampoo of cipla alternate days. can I USE THIS SHAMPOO FREQUENTLY? If SO HOW? As advised I am stopping topisal, Thank You.

Answered by Dr. Johny Chacko (12 minutes later)

Brief Answer: Clarification Detailed Answer: Hello XXXXXXX Welcome back, Sebowash contains a very mild steroid called fluocinolone and even I prescribe that for my patients with seborrhoeic dermatitis but only for 15 days, not more than that. Following which plain anti-dandruff shampoo is continued thrice a week. Once you get very good improvement in dandruff which is usually after a month, anti-dandruff shampoo is maintained once a week. Do not stop it completely. It is better to avoid oil on the scalp if you have dandruff as the yeast causing dandruff is lipophilic and likes oil. Hope this helped, Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar