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Suffering From Seborrhea Scalp. Suggest Treatment

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Posted on Tue, 3 Dec 2013
Question: hello doctor!! i have been suffering from seborrhoea scalp since 1-2 yrs..i have used Nizoral/Ketoconazole lotion 1% for 4-5 months..i didnt get any relief and lately i am suffering moderate hair loss..i want to know the cause and the treatment for the same..thank you..
doctor
Answered by Dr. R.G. Joshi (2 hours later)
Brief Answer: cause is due to hormones. Change of lotion wl help Detailed Answer: Hi thanks for writing here. Seborrhea is due to excseeive sebum production.This is related to hormones. Male hormones increased during puberty leading to oiliness of scalp.This can in turn lead to growth of fungus causing dandruff. Dandruff is responsible for itching and hairloss. Ketoconazole shampoo is used as a first line treatment for dandruff. However 1% is not effective.You can switch over to 2% lotion. In case there is still no response to it you can go for a combination of clotrimazole and selenium sulfide.This will clear fungus effectively and will decrease oiliness.Hair loss will recover once dandruff is cleared. There will be more hair loss after starting shampoo.This will cover up with time. You need to continue shampoo even if there is no oiliness as this will prevent recurrance. Hope this will help you.Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. R.G. Joshi (48 hours later)
Thanx a Lot Doctor !! A sincere request to you Would it be possible for you to write a detailed prescription for me.. Thank You.
doctor
Answered by Dr. R.G. Joshi (16 hours later)
Brief Answer: candid tv suspension will work. Detailed Answer: Hello thanks for follow up.Many antifungal lotions are available in market.I usually prescribe candid tv suspension to my patients.It contains clotrimazole and selenium sulfide.Use it twice weekly and continue even if there is no dandruff.Let me know about your improvement by a month.Take care.
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. Chakravarthy Mazumdar
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Answered by
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Dr. R.G. Joshi

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Practicing since :2003

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Suffering From Seborrhea Scalp. Suggest Treatment

Brief Answer: cause is due to hormones. Change of lotion wl help Detailed Answer: Hi thanks for writing here. Seborrhea is due to excseeive sebum production.This is related to hormones. Male hormones increased during puberty leading to oiliness of scalp.This can in turn lead to growth of fungus causing dandruff. Dandruff is responsible for itching and hairloss. Ketoconazole shampoo is used as a first line treatment for dandruff. However 1% is not effective.You can switch over to 2% lotion. In case there is still no response to it you can go for a combination of clotrimazole and selenium sulfide.This will clear fungus effectively and will decrease oiliness.Hair loss will recover once dandruff is cleared. There will be more hair loss after starting shampoo.This will cover up with time. You need to continue shampoo even if there is no oiliness as this will prevent recurrance. Hope this will help you.Take care.