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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Severe Hair Loss And Dandruff Issue

Hi, I have major Hair Loss problem & Dandruff problem. I have met few doctors but I am not satisfied with the answers. In past I had suffered from Typhoid, thrice in 1 n half year, & Jaundice ( once). My hairs are quite rough & curly. Cannot wash my hairs without oiling. But Dr. told me not to do the oiling ever. I dont have a itching scalp. Even 1 doctor was not able to see the Dandruff on my scalp. My hair fall is severe. I have increased my Protein diet. But would we helful if anybody can suggest me something to reduce the hair fall. ( Any lotion or any diet plan etc) Thanks
Fri, 30 Aug 2019
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General Surgeon 's  Response
Hello,

Dandruff or seborrheic dermatitis is an important cause of scalp itching and increased hair shedding.

Since dandruff is bound to recur, therefore rather than using a regular shampoo, people with dandruff should use an anti-dandruff shampoo to keep dandruff under check.

If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo.

My choice for an antidandruff shampoo is 2% ketoconazole shampoo, thrice-weekly OR even daily, for 2-4 weeks.

Nizoral is a ketoconazole based shampoo and is available OTC. It is marketed by XXXXXXX & XXXXXXX.

However, sometimes a shampoo alone seems insufficient. In such a case dermatologists choose to prescribe a topical steroid lotion (Mometasone lotion 0.1%), to be applied once daily at night, at the scalp skin for 2 weeks.

Topical steroid lotion is a prescription product and a dermatologist would normally prescribe it for resistant or difficult to treat dandruff.

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, twice weekly.

You may try the shampoo first, it that seems insufficient you may visit a dermatologist in your region for the needful.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Remedies For Severe Hair Loss And Dandruff Issue

Hello, Dandruff or seborrheic dermatitis is an important cause of scalp itching and increased hair shedding. Since dandruff is bound to recur, therefore rather than using a regular shampoo, people with dandruff should use an anti-dandruff shampoo to keep dandruff under check. If I was your treating doctor I would have asked you to use an antidandruff lotion/shampoo. My choice for an antidandruff shampoo is 2% ketoconazole shampoo, thrice-weekly OR even daily, for 2-4 weeks. Nizoral is a ketoconazole based shampoo and is available OTC. It is marketed by XXXXXXX & XXXXXXX. However, sometimes a shampoo alone seems insufficient. In such a case dermatologists choose to prescribe a topical steroid lotion (Mometasone lotion 0.1%), to be applied once daily at night, at the scalp skin for 2 weeks. Topical steroid lotion is a prescription product and a dermatologist would normally prescribe it for resistant or difficult to treat dandruff. 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, twice weekly. You may try the shampoo first, it that seems insufficient you may visit a dermatologist in your region for the needful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon