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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Dandruff Problems With Scaly Scalp

Hi, my husband is having severe dandruff problem. If we touch itself lot of dandruff falls down. In the front part of head its more. I oil his hair once in 2 days alternatively with sesame oil and coconut oil but no results. Its too severe. We tried using nizral shampoo. It seems to be having no effect. The scalp seems to be scaly and sometimes wounded because of scratching too much....Please help on this
posted on Mon, 3 Aug 2015
Twitter Tue, 25 Aug 2015 Answered on
Twitter Wed, 26 Aug 2015 Last reviewed on
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General & Family Physician,  's  Response
Hello
According to you this is dandruff so I am writing or advising accordingly :
Wash hairs with lukewarm water , wet these ,now apply permethrine soap , rinse , leather , keep as such for 2 minutes , wash with water ( This is in the morning ).
Now for evening .
Wash with lukewarm water as above , apply ketoconazole soap for 5 minutes , rinse very well , keep it for 3 -4 minutes , wash .
Morning step only for 3 days .
For fourth day use ketoconazole shampoo in the morning , while in the evening soap .
This is for 7 days .
Also take ketoconazole 200 mg , once in a week for 4 weeks .
This is complete treatment for dandruff .
If other problem like dermamtitis or eczema ,then consult a dermatologist and get his opinion.
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Suggest Treatment For Severe Dandruff Problems With Scaly Scalp

Hello According to you this is dandruff so I am writing or advising accordingly : Wash hairs with lukewarm water , wet these ,now apply permethrine soap , rinse , leather , keep as such for 2 minutes , wash with water ( This is in the morning ). Now for evening . Wash with lukewarm water as above , apply ketoconazole soap for 5 minutes , rinse very well , keep it for 3 -4 minutes , wash . Morning step only for 3 days . For fourth day use ketoconazole shampoo in the morning , while in the evening soap . This is for 7 days . Also take ketoconazole 200 mg , once in a week for 4 weeks . This is complete treatment for dandruff . If other problem like dermamtitis or eczema ,then consult a dermatologist and get his opinion.