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Suggest Remedy For Severe Hair Loss And Hair Thinning While Having Seborrheic Dermatitis
Question: Hi Doctor , I have hair lost past 2 year , hair thinning in the crown region . For the past 6 months i have consulted a doctor , He prescribed me HAIR4U (Minoxidil 5% + Aminexil 1.5% ) and Ketafung - CT shampoo (ketaconzole and coal tar) and tablets like "androfol - M" , "Deng-M" and "Bio plus Forte" . I am using it continously . Now i see lot of flakes on my scalp (seborrheic dermatitis) and there is lot of hairfall when compared to earlier . But minoxidil has improved my hair texture . But i am really confused if i stop minoxidil will it have negative impact(will lose my hair). Please do help me , i am really worried.
Brief Answer:
A steroid lotion for 2 wk f/b by a different formulation Or alternate day
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have understood your concern.
Minoxidil is constituted in an alcohol base therefore it can cause dryness and scaling on scalp skin. Since you have lots of flakes therefore I sugest you to temporarily discontinue minoxidil solution and instead use a topical steroid lotion (e.g topical 3% solution), on scalp skin, once daily at night, for a few days (i.e 10-14 days). This would take care of flaking. Thereafter, you may use a different preparation of minoxidil which has a less concentration of alcohol e.g androanagen solution Or alternatively you may reduce the frequency of application of minoxidil solution to once every alternate days. This would work good to maintain the hair density.
Regards
A steroid lotion for 2 wk f/b by a different formulation Or alternate day
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have understood your concern.
Minoxidil is constituted in an alcohol base therefore it can cause dryness and scaling on scalp skin. Since you have lots of flakes therefore I sugest you to temporarily discontinue minoxidil solution and instead use a topical steroid lotion (e.g topical 3% solution), on scalp skin, once daily at night, for a few days (i.e 10-14 days). This would take care of flaking. Thereafter, you may use a different preparation of minoxidil which has a less concentration of alcohol e.g androanagen solution Or alternatively you may reduce the frequency of application of minoxidil solution to once every alternate days. This would work good to maintain the hair density.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply doctor.
One Doctor has prescribed me Betamethasone lotion i.p (Dipnate) and Folvite tablet (Folic acid) and other doctor has prescribed "Clonext's Lotion"(Clobetasol Propionate & Salicylic Acid Lotion ) I am not aware of what is steroid lotion in these two ?Can you please help me and can you please prefer me some brand of Minoxidil which is free from alcohol or which has less content which produces such flakes .
And i am undergoing Microneedling two week once (1.5mm) by Hospital staff , is it safe ? I have undergone mirconeedling more than 20 sittings . Thanks inadvance.
One Doctor has prescribed me Betamethasone lotion i.p (Dipnate) and Folvite tablet (Folic acid) and other doctor has prescribed "Clonext's Lotion"(Clobetasol Propionate & Salicylic Acid Lotion ) I am not aware of what is steroid lotion in these two ?Can you please help me and can you please prefer me some brand of Minoxidil which is free from alcohol or which has less content which produces such flakes .
And i am undergoing Microneedling two week once (1.5mm) by Hospital staff , is it safe ? I have undergone mirconeedling more than 20 sittings . Thanks inadvance.
Brief Answer:
Use alcohol free minoxidil
Detailed Answer:
Hi.
Both of these lotions, which you have metioned, are steroid lotion and you may use either of these for 2 weeks. This would be enough to resolve flaking. Thereafter you may use 'Androanagen solution' by curatio pharmaceuticals, which is alcohol free minoxidil.
Yes, microneedling is safe procedure in the hands of hospital staff.
Regards
Use alcohol free minoxidil
Detailed Answer:
Hi.
Both of these lotions, which you have metioned, are steroid lotion and you may use either of these for 2 weeks. This would be enough to resolve flaking. Thereafter you may use 'Androanagen solution' by curatio pharmaceuticals, which is alcohol free minoxidil.
Yes, microneedling is safe procedure in the hands of hospital staff.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot :) People say that usage of Minoxidil and androfol-M tablet may cause impotency , i am just 22 years old and not married yet. Will it have any adverse effect ?
Doctor has adviced me to use Minoxidil 1 ml both morning and evening, But i find 1 ml is insufficeint. Will it have any negative effect if i apply more than 2 ml/day ?
After 2 weeks of tropical steroid solution , i shall make use of minoxidil prescribed by you . Shall i use it on alternative days or shall i use it regularly ?
Thanks once again for answering my questions patiently .
Doctor has adviced me to use Minoxidil 1 ml both morning and evening, But i find 1 ml is insufficeint. Will it have any negative effect if i apply more than 2 ml/day ?
After 2 weeks of tropical steroid solution , i shall make use of minoxidil prescribed by you . Shall i use it on alternative days or shall i use it regularly ?
Thanks once again for answering my questions patiently .
Brief Answer:
Answers to specific questions
Detailed Answer:
Hi.
There is no long term effect on potency. Only 1-2 % of patients may notice a decrease in libido at start of therapy but this usually subsides with continued treatment.
Yes, you may use 2 ml minoxidil, once daily at night. This also ensures compliance in most patients.
Yes, you may use minoxidil solution on alternate days during maintenance phase i.e after the initial 6-12 months of regular minoxidil use, to maintain the hair improvement achieved.
Regards
Answers to specific questions
Detailed Answer:
Hi.
There is no long term effect on potency. Only 1-2 % of patients may notice a decrease in libido at start of therapy but this usually subsides with continued treatment.
Yes, you may use 2 ml minoxidil, once daily at night. This also ensures compliance in most patients.
Yes, you may use minoxidil solution on alternate days during maintenance phase i.e after the initial 6-12 months of regular minoxidil use, to maintain the hair improvement achieved.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor ,
I have few other questions.
One of my friend has "seborrheic dermatitis" i used his comb once unknowingly is that is the cause of the same in my case or usage of minoxidil with alcohol has caused "seborrheic dermatitis" to me ?
Can "seborrheic dermatitis" be completely cured by applying tropical steroid solution ? If so how many weeks or months it will take ?
Has minoxidil with alcohol has aggravated "seborrheic dermatitis" it more ? Can i apply alcohol free minoxidil with tropical steroid solution or shall i wait until "seborrheic dermatitis" it gets cured
How frequent can i take head-bath using ketaconzole shampoo in a week ?
Thanks inadvance .
I have few other questions.
One of my friend has "seborrheic dermatitis" i used his comb once unknowingly is that is the cause of the same in my case or usage of minoxidil with alcohol has caused "seborrheic dermatitis" to me ?
Can "seborrheic dermatitis" be completely cured by applying tropical steroid solution ? If so how many weeks or months it will take ?
Has minoxidil with alcohol has aggravated "seborrheic dermatitis" it more ? Can i apply alcohol free minoxidil with tropical steroid solution or shall i wait until "seborrheic dermatitis" it gets cured
How frequent can i take head-bath using ketaconzole shampoo in a week ?
Thanks inadvance .
Brief Answer:
Answers to specific queries
Detailed Answer:
Hi.
Seborrheic dermatitis Or dandruff (in common parlance) is not contagious and therefore cannot be transmitted by sharing a comb.
Seborrheic dermatitis is endogenous and is due to a combination of factors like fungus overgrowth (i.e yeast malassezia furfur) and inflammation.
Minoxidil may exacerbate seborrheic dermatitis due to its alcohol base Or induce a mild dandruff/ flaking in those who did'nt had it earlier.
Topical steroids being antiinflammatory are rapidly effective in controlling and resolving seborrheic dermatitis, however, seborrheic dermatitis may relapse after seemingly complete cure once steroids are discontinued. Therefore an antifungal shampoo e.g Ketoconazole shampoo is the best remedy for maintaining remission of seborrheic dermatitis once significant improvement has been achieved with topical steroids, usually within 2 weeks. Antifungal shampoo has to be continued indefinitely while you are also using minoxidil and also if you had underying seborrheic dermatitis
I would suggest you to discontinue minoxidil for 2 weeks and use topical steroid lotio, instead. Thereafter you may begin with an alcohol free minoxidil and also continue using an antifungal shampoo regularly for scalp wash.
You may use ketoconazole shampoo every alternate days Or even daily depending on the severity of flaking and response to treatment.
Regards
Answers to specific queries
Detailed Answer:
Hi.
Seborrheic dermatitis Or dandruff (in common parlance) is not contagious and therefore cannot be transmitted by sharing a comb.
Seborrheic dermatitis is endogenous and is due to a combination of factors like fungus overgrowth (i.e yeast malassezia furfur) and inflammation.
Minoxidil may exacerbate seborrheic dermatitis due to its alcohol base Or induce a mild dandruff/ flaking in those who did'nt had it earlier.
Topical steroids being antiinflammatory are rapidly effective in controlling and resolving seborrheic dermatitis, however, seborrheic dermatitis may relapse after seemingly complete cure once steroids are discontinued. Therefore an antifungal shampoo e.g Ketoconazole shampoo is the best remedy for maintaining remission of seborrheic dermatitis once significant improvement has been achieved with topical steroids, usually within 2 weeks. Antifungal shampoo has to be continued indefinitely while you are also using minoxidil and also if you had underying seborrheic dermatitis
I would suggest you to discontinue minoxidil for 2 weeks and use topical steroid lotio, instead. Thereafter you may begin with an alcohol free minoxidil and also continue using an antifungal shampoo regularly for scalp wash.
You may use ketoconazole shampoo every alternate days Or even daily depending on the severity of flaking and response to treatment.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Hair loss due to dandruff is reversible
Detailed Answer:
Hi.
Yes, hair loss due to dandruff is completely reversible provided dandruff is kept under control by regular use of antidandruff shampoo.
Shaving does not provide any additional benefit apart from ease of application
Regards
Hair loss due to dandruff is reversible
Detailed Answer:
Hi.
Yes, hair loss due to dandruff is completely reversible provided dandruff is kept under control by regular use of antidandruff shampoo.
Shaving does not provide any additional benefit apart from ease of application
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor ,
Can derma roller be used when i have Seborrheic dermatitis ? Will it aggravate ?
If i have to apply both minoxidil and tropical steroid solution , which should i apply first ? and after long time can i apply the other ?
I can see the flakes after applying tropical steroid solution and after taking bath , it is stuck to my hair , can i put comb on wet hair to remove those flakes ?
How much drops or ml of tropical steroid solution should i apply ?
Regards
Can derma roller be used when i have Seborrheic dermatitis ? Will it aggravate ?
If i have to apply both minoxidil and tropical steroid solution , which should i apply first ? and after long time can i apply the other ?
I can see the flakes after applying tropical steroid solution and after taking bath , it is stuck to my hair , can i put comb on wet hair to remove those flakes ?
How much drops or ml of tropical steroid solution should i apply ?
Regards
Brief Answer:
Answers to specific questions
Detailed Answer:
Hi.
Ideally deramroller should be used once all the inflammation i.e dermatitis has resolved.
You may apply topical steroid lotion first and then followed by minoxidil after 30 minutes to 1 hr.
Topical steroid would gradually resolve the inflammation and with it the flakes. There is no need to forciby remove the flakes with a comb. However, you need to do daily regular shampoo and this would be enough to remove the scales.
Approximately 1.5-2 ml of topical steroid for the whole of scalp would be enough.
Regards
Answers to specific questions
Detailed Answer:
Hi.
Ideally deramroller should be used once all the inflammation i.e dermatitis has resolved.
You may apply topical steroid lotion first and then followed by minoxidil after 30 minutes to 1 hr.
Topical steroid would gradually resolve the inflammation and with it the flakes. There is no need to forciby remove the flakes with a comb. However, you need to do daily regular shampoo and this would be enough to remove the scales.
Approximately 1.5-2 ml of topical steroid for the whole of scalp would be enough.
Regards
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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