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Suggest Treatment For Acute Dandruff Problem And Hair Loss
Question: I am suffering from acute dandruff problem for the past one month or so. Even after i shampoo, the dandruff returns within a few hours. Also, there is increased loss of hair everyday.
I have been using Ketomac (laboratory name - Torex) for the past few months and it has been fine till a month ago.
There has been acute flaking and irritation of scalp.
Is this some sort of fungal infection?
I have been using Ketomac (laboratory name - Torex) for the past few months and it has been fine till a month ago.
There has been acute flaking and irritation of scalp.
Is this some sort of fungal infection?
Brief Answer:
Dandruff; antifungal shampoo+topical steroid lotions
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic.
In dandruff Or Seborrheic Dermatitis, there is an overgrowth of yeast, Malassezia furfur. This yeast has been implicated in dandruff.
Dandruff is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.
Various antifungal agents (e.g ketoconazole, sertaconazole, ciclopirox olamine, piroctone olamine) are available either as shampoo or as overnight leave-on lotions, for dandruff.
The shampoo you have been using contains Ketoconazole as an antifungal agent.
However, in some cases shampoo alone may not be totally effective. In such cases, along with the antidandruff shampoo, 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 Or i might switch them to an overnight leave-on antidandruff preparation.
Seborrheic dermatitis is a steroid responsive condition, therefore, topical steroids are usually effective in this condition. Topical steroid lotions are prescription products.
A two weeks course of topical steroids brings about remarkable improvement, which can then be maintained with just an anti-dandruff shampoo, every alternate days.
You may visit a dermatologist in your region. Your dermatologist may want to switch to a different antifungal shampoo Or choose to prescribe an overnight leave-on antidandruff lotion.
Your dermatologist might also choose to prescribe a topical steroid lotion for a short duration of 2-4 weeks.
Regards
Dandruff; antifungal shampoo+topical steroid lotions
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic.
In dandruff Or Seborrheic Dermatitis, there is an overgrowth of yeast, Malassezia furfur. This yeast has been implicated in dandruff.
Dandruff is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.
Various antifungal agents (e.g ketoconazole, sertaconazole, ciclopirox olamine, piroctone olamine) are available either as shampoo or as overnight leave-on lotions, for dandruff.
The shampoo you have been using contains Ketoconazole as an antifungal agent.
However, in some cases shampoo alone may not be totally effective. In such cases, along with the antidandruff shampoo, 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 Or i might switch them to an overnight leave-on antidandruff preparation.
Seborrheic dermatitis is a steroid responsive condition, therefore, topical steroids are usually effective in this condition. Topical steroid lotions are prescription products.
A two weeks course of topical steroids brings about remarkable improvement, which can then be maintained with just an anti-dandruff shampoo, every alternate days.
You may visit a dermatologist in your region. Your dermatologist may want to switch to a different antifungal shampoo Or choose to prescribe an overnight leave-on antidandruff lotion.
Your dermatologist might also choose to prescribe a topical steroid lotion for a short duration of 2-4 weeks.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
so basically along with Ketoconazole shampoo, i need a topical steroid lotion as well?
can you please confirm if this steroid lotion needs to be applied and left overnight during the 2 weeks period or needs to be washed off after some time? can you suggest a good product here?
how often do i use ketoconazole shampoo during this period?
also, a local physician has prescribed fucanozole-150 tablets. one to be consumed every week for 4 weeks. i have already consumed 2 doses, still not much difference...
can you please confirm if this steroid lotion needs to be applied and left overnight during the 2 weeks period or needs to be washed off after some time? can you suggest a good product here?
how often do i use ketoconazole shampoo during this period?
also, a local physician has prescribed fucanozole-150 tablets. one to be consumed every week for 4 weeks. i have already consumed 2 doses, still not much difference...
Brief Answer:
Dandruff Treatment
Detailed Answer:
Hi.
Topical steroid needs to be applied overnight and then washed off very next day. You may shampoo daily with an antidandruff shampoo. You may follow this protocol for 2 weeks.
Once your dandruff is well controlled you may change it to alternate days shampoo.
We can only suggest you generic names of medicines and give you pointers in the right direction. You must visit a dermatologist in your region for a prescription.
Oral fluconazole is not an effective treatment for dandruff Or seborrheic dermatitis and you may discontinue it.
Regards
Dandruff Treatment
Detailed Answer:
Hi.
Topical steroid needs to be applied overnight and then washed off very next day. You may shampoo daily with an antidandruff shampoo. You may follow this protocol for 2 weeks.
Once your dandruff is well controlled you may change it to alternate days shampoo.
We can only suggest you generic names of medicines and give you pointers in the right direction. You must visit a dermatologist in your region for a prescription.
Oral fluconazole is not an effective treatment for dandruff Or seborrheic dermatitis and you may discontinue it.
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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