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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggestions For Severe Hairloss, Dandruff?

Dear Sir/ Madam, This is Z.Islam. my age is 25 years.Now days I am worried for my hair. due to my hair is so thin and sometimes i thought my hair have no root. when i rise from sleep i can see my bed is decorated by hair and if i touch my hair by hand i can see some hair is attach with my hand also if i wash my hair by shampoo i can see infinity number of hair fall . Remember my scalp have Dandruff and i use many types of ketoconazole shampoo but not get any solution to remove dandruff yet. Finally a medical doctor advice me to use Zinoral shampoo (ketoconozole USP..2%) and Dermovate Scalp Application . but day by day my hair falling rate is increasing and dandruff also contain.Would you give me suggestion for remove dandruff and prevent hair fall way. YYYY@YYYY
Wed, 30 Jan 2013
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Dermatologist,  's  Response
hi..thanks for the query!
Hair Loss is a condition where multiple causes ,deficiencies exist and without doing a complete work up ,it it unwise to start any random medication.The commonest causes of hair loss are :
1)Androgenetic pattern hair loss: Mostly familial,although sometimes family history is not very significant.The age of onset can be very early as well.
2)Telogen effluvium: is a form of nonscarring alopecia characterized by diffuse hair shedding, often with an acute onset. A chronic form with a more insidious onset and a longer duration also exists. Telogen effluvium is caused by a metabolic or hormonal stress or by medications.
My suggestion to you would be to do a few blood tests to ascertain the cause before you treat any of the symptoms.
Dandruff has no permanent solution.it has to be an on and off treatment and you are using Ketoconazole shampoo which is one of the best available therapies.
You can start taking Biotin tablets for hairless meanwhile .
Hope this helps..take care!
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Suggestions For Severe Hairloss, Dandruff?

hi..thanks for the query! Hair Loss is a condition where multiple causes ,deficiencies exist and without doing a complete work up ,it it unwise to start any random medication.The commonest causes of hair loss are : 1)Androgenetic pattern hair loss: Mostly familial,although sometimes family history is not very significant.The age of onset can be very early as well. 2)Telogen effluvium: is a form of nonscarring alopecia characterized by diffuse hair shedding, often with an acute onset. A chronic form with a more insidious onset and a longer duration also exists. Telogen effluvium is caused by a metabolic or hormonal stress or by medications. My suggestion to you would be to do a few blood tests to ascertain the cause before you treat any of the symptoms. Dandruff has no permanent solution.it has to be an on and off treatment and you are using Ketoconazole shampoo which is one of the best available therapies. You can start taking Biotin tablets for hairless meanwhile . Hope this helps..take care!