Suggest Treatment For Dandruff Along With Severe Hair Loss

Brief Answer:
Dandruff and hair fall treatment

Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic

I am Dr. Kakkar. I have gone through your query.

Dandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Controlling dandruff effectively would control excessive hair fall too.

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 shampoo containing ingredients, for which a shorter contact time (3-4 minutes) is good enough like ciclopirox olamine, piroctone olamine, sertaconazole etc.

You may add a biotin supplement. Biotin would be an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair.

Minoxidil too can be added as a hair growth promoter.

These are all prescription products (topical steroid lotions, shampoo, over night leave-on lotions, Biotin and Minoxidil).

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

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