Hello and Welcome to healthcaremagic
I have gone through your concern and I have understood it.
Your main concern is dandruff and hair shedding.
Seborrheic dermatitis/dandruff presents as scaling and itching of the scalp. Increased hair shedding is also a common complaint associated with seborrheic dermatitis/dandruff
For dandruff I would suggest you to use a
ketoconazole shampoo, thrice weekly for 2-4 weeks. Since dandruff is bound to recur, therefore rather than using a regular shampoo, people with dandruff should use an antidandruff shampoo (twice weekly for maintenance) to keep dandruff under check.
However if in case this proves insufficient in providing relief from dandruff then I usually ask my patients to use a
topical steroid lotion (
Mometasone is available as a lotion formulation) at the scalp skin twice daily for 2 weeks and once the dandruff is controlled I usually stop it and ask my patients to continue with just antidandruff shampoo for maintenance(twice weekly).
Dandruff related
hair fall is reversible and usually patients with purely dandruff related hair fall don't complain of a decreased hair density or hair volume.
Though controlling dandruff effectively would control your hair fall problem, however there might be another reason for your hair fall and decreased density, which needs to be evaluated after examining e.g Androgenetic
Alopecia is the most common cause of gradually progressive hair thinning and hair fall from the scalp. Usually there is a positive family history.
Seborrheic dermatitis and androgenetic alopecia are commonly found together and while patients may attribute hair fall to dandruff, androgenetic alopecia is the actual reason for hair fall and decreased hair density.
Minoxidil and
finasteride are FDA approved for androgenetic alopecia related hair loss and hair thinning. These drugs are available on prescription from a doctor and hence I recommend you visit a doctor before trying them.
Hope this helps
Regards