What Is The Treatment For Dandruff And Hair Fall?

Hello. Thanks for writing to us at healthcaremagic Dandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too. You probably also have androgenetic alopecia, as can be judged from your prescription which contains, Minoxidil. The shampoo which you are using contains 2% ketoconazole, which is a common ingredient of antidandruff shampoos. However, in some cases a ketoconazole based antidandruff shampoo alone may not be totally effective specially if dandruff is excessive. In such cases there are various options available to more effectively control dandruff: -Seborrheic dermatitis is a steroid responsive dermatoses, therefore we have an option of using topical steroids lotion I usually ask my patients to use a topical steroid lotion (Mometasone furoate Or Clobetasol propionate lotion) once daily at night for a short period of 2 weeks -Another factor responsible for resistant dandruff is because the contact time of a shampoo is just 5-7 minutes Or even lesser (recommended is 10-15 minutes for ketoconazole based shampoo) and the active ingredient does nt remain in contact with the scalp for a sufficient period of time. Therefore using an overnight leave-on antidandruff preparation/lotion would be more effective as compared to a shampoo. -Alternative shampoos can be tried and are usually more effective e.g a coal tar+salicyclic acid based shampoo is an alternative as are other antidandruff shampoos, containing ingredients for which a shorter contact time (3-4 minutes) is good enough like ciclopirox olamine, piroctone olamine, sertaconazole etc. Apart from Minoxidil, I would also like to add Oral Finasteride which is specific for androgenetic alopecia because it reverses and prevents follicular miniaturization. A biotin supplement may also be added. Biotin would be an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair. Oiling before shampoo is fine. Its only purpose is to condition the hair. As such it wont help with your hair fall. I would suggest that you seek another appointment with your dermatologist. Your dermatologist would tell you more about these in detail and advice accordingly. Regards