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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Seborrehic Dermatitis On Scalp?

I have seborrehic dermatitis on scalp and lost many scalp hairs. I have started applying a paste of neem leaves+lemon juice for a period of 20 minutes before bath on advice of a Patanjali's doctor. Would it help in getting rid of this disease and getting the hairs back. Also, suggest after how much time I could see the new hairs on scalp?
Fri, 25 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Dandruff or seborrheic dermatitis is an important cause of scalp itching and increased hair shedding. Dandruff is bound to recur again, therefore people with dandruff should use an antidandruff shampoo to keep the dandruff under check, rather than using a regular shampoo.

I wont advocate the treatment that you have been using. I would rather suggest that you consult a dermatologist and get a proper treatment rather than trying out home remedies/ayurvedic remedies. They are messy to use and may not prove effective in most cases and moreover cause side effects like scalp irritation

If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo, thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution.

However sometimes a shampoo alone seems insufficient. In such a case one should always see a dermatologist to rule out scalp psoriasis as it can present as resistant dandruff. Your dermatologist might choose to prescribe a coal tar+salicylic acid based shampoo for resistant/persistent dandruff. Your dermatologist might also prescribe you a topical steroid lotion(clobetasol or mometasone lotion), to be applied twice daily for 2 weeks.

The topical steroid lotion can be stopped once the dandruff is well controlled and thereafter the improvement can be sustained with just an anti-dandruff lotion/shampoo.

Controlling dandruff would improve your hair fall problem too.

regards
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How To Get Rid Of Seborrehic Dermatitis On Scalp?

Hello and welcome to healthcaremagic Dandruff or seborrheic dermatitis is an important cause of scalp itching and increased hair shedding. Dandruff is bound to recur again, therefore people with dandruff should use an antidandruff shampoo to keep the dandruff under check, rather than using a regular shampoo. I wont advocate the treatment that you have been using. I would rather suggest that you consult a dermatologist and get a proper treatment rather than trying out home remedies/ayurvedic remedies. They are messy to use and may not prove effective in most cases and moreover cause side effects like scalp irritation If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo, thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution. However sometimes a shampoo alone seems insufficient. In such a case one should always see a dermatologist to rule out scalp psoriasis as it can present as resistant dandruff. Your dermatologist might choose to prescribe a coal tar+salicylic acid based shampoo for resistant/persistent dandruff. Your dermatologist might also prescribe you a topical steroid lotion(clobetasol or mometasone lotion), to be applied twice daily for 2 weeks. The topical steroid lotion can be stopped once the dandruff is well controlled and thereafter the improvement can be sustained with just an anti-dandruff lotion/shampoo. Controlling dandruff would improve your hair fall problem too. regards