Suggest treatment for hair loss & dandruff
Patient: Sir, i have been shedding hair in past six months during shampooing and 5-10 hairs while combing. . i do not find hair on pillows and nobody in family is bald. i do have dandruff problem, hence shampoo on alternate days,and also a oily scalp. what is this type of hairfall? and is it temporary?Regards. Doctor: Hello. Thanks for writing to us at healthcaremagicYou seem to have scalp seborrheic dermatitis.Dandruff Or Seborrheic Dermatitis is a common cause of increased hair shedding. Your increased hair shedding is most likely due to underlying dandruff.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.Nizoral shampoo contains ketoconazole. It is available OTC and is the most commonly used antidandruff shampoo. It may alone be sufficient in mild cases.In severe cases, along with the antidandruff shampoo, I usually ask my patients to use a topical steroid lotion (Mometasone furoate Or Clobetasole 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.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 ask you to use one of the prescription antifungal shampoo e.g Ciclopirox olamine, Piroctone Olamine based 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