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How Can Thinning Of Hair, Itching And Irritation In The Scalp And Hair Loss Be Addressed And Cured?

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Posted on Fri, 25 Mar 2022
Question: My haifs are thinning and i am experiencing a lot of hair fall. I also expierence certain itching on my scalp and irritation.

Also every time when j scratch my scap
A lot. Of dead skin cells come out.
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Answered by Dr. Dr. Kakkar (45 minutes later)
Brief Answer:
Regarding hair thinning and dandruff / Seborrheic dermatitis

Detailed Answer:
Hello,

You seem to have Scalp Seborrheic dermatitis as well as Androgenetic alopecia.
Seborrheic dermatitis or dandruff is characterized by scaling, itching and erythema of the scalp. I suggest you to use a 2% ketoconazole based shampoo e.g Scalpe shampoo Or you may use a Coal tar and ketoconazole based shampoo e.g Protar K shampoo. Use it daily or on alternate days. Lather it well onto wet scalp and allow it to act for 7-10 minutes before rinsing it off.

Androgenetic alopecia has a genetic predisposition and is characterized by thinning from the front, mid and vertex part of the scalp. Oral Finasteride 1 mg along with Minoxidil 5% solution are approved remedies for Androgenetic alopecia in males. Treatment is long term and goal is to arrest further progression.
The only concern with this therapy is that minoxidil itself causes dandruff.

Since you already have dandruff so using minoxidil might exacerbate it. Therefore I suggest you to either shampoo daily while you also use minoxidil solution or you may skip minoxidil and just take oral finasteride. Both of these are approved prescription medications for Androgenetic alopecia.

Hope I have answered your query. Let me know if you need any more assistance.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9611 Questions

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How Can Thinning Of Hair, Itching And Irritation In The Scalp And Hair Loss Be Addressed And Cured?

Brief Answer: Regarding hair thinning and dandruff / Seborrheic dermatitis Detailed Answer: Hello, You seem to have Scalp Seborrheic dermatitis as well as Androgenetic alopecia. Seborrheic dermatitis or dandruff is characterized by scaling, itching and erythema of the scalp. I suggest you to use a 2% ketoconazole based shampoo e.g Scalpe shampoo Or you may use a Coal tar and ketoconazole based shampoo e.g Protar K shampoo. Use it daily or on alternate days. Lather it well onto wet scalp and allow it to act for 7-10 minutes before rinsing it off. Androgenetic alopecia has a genetic predisposition and is characterized by thinning from the front, mid and vertex part of the scalp. Oral Finasteride 1 mg along with Minoxidil 5% solution are approved remedies for Androgenetic alopecia in males. Treatment is long term and goal is to arrest further progression. The only concern with this therapy is that minoxidil itself causes dandruff. Since you already have dandruff so using minoxidil might exacerbate it. Therefore I suggest you to either shampoo daily while you also use minoxidil solution or you may skip minoxidil and just take oral finasteride. Both of these are approved prescription medications for Androgenetic alopecia. Hope I have answered your query. Let me know if you need any more assistance.