Hello dear Kindly follow below instructions Tablet terbinafine twice a day for 2weeks ( 250 mg) Clozed powder Tablet ketaconazole twice a day for 1 week I request you to please get clinical evaluation first from dermatologist before starting these medicines Regards
For dandruff Ketoconazole 2% shampoo (e.g., Nizoral, Scalpe+)
Lather and leave for 3–5 mins on scalp before rinsing
Also apply gently near forehead hairline and behind ears
For forehead and behind ears acne: Clindamycin 1% gel (morning)
Adapalene 0.1% gel (night only on acne, not whole face) Start alternate nights
For dark circles The Derma Co 5% Caffeine + Hyaluronic acid under eye serum (morning + night)
Diet add-ons: Increase protein (eggs, paneer, dal, soy, peanut butter) 1 soaked fig + 5 soaked almonds daily Spinach, beetroot, dates for iron Hydrate with 3L water/day
1) Face wash Saslic ds Apply twice daily 2) Epiduo gel Apply thin layer on acnes at night for 4 weeks 3) Sun scoop brightening sunscreen Use daily in the morning and when going out
Investigation 1) CBC Please follow up
Persistent dandruff can indeed contribute to acne, particularly on the forehead and near areas like behind the ears due to clogged pores from flakey skin and excess oil. Since you’ve been dealing with this for over six months, a multi-faceted approach might be necessary. Start by using an anti-dandruff shampoo containing ingredients like ketoconazole, pyrithione zinc, or selenium sulfide, which are designed to target the yeast-like fungus commonly associated with dandruff. Apply the shampoo to your scalp, leave it on for 5-10 minutes, then rinse thoroughly. Doing this 2-3 times a week can help reduce dandruff significantly. Make sure you’re also thoroughly rinsing shampoo and any other hair products to prevent residue from causing further irritation. For the acne itself, applying a benzoyl peroxide cream or gel sparingly on affected areas may help reduce inflammation and kill acne-causing bacteria; just be cautious to avoid irritation, especially if your skin is sensitive. For ongoing itching, an over-the-counter antihistamine could provide some relief, but always check with a healthcare provider before beginning any new medication. As for the dark circles that persist despite getting adequate sleep, several factors could contribute, including genetics, allergies, or even skin tone and thickness. Consider consulting a dermatologist, who can offer treatments like topical retinoids or recommend specific creams that might improve the appearance based on the underlying cause. At-home remedies like applying cool tea bags or cucumber slices can sometimes give temporary relief as well. Don’t forget protective measures like wearing sunscreen daily, which can help prevent further darkening around the eyes. If any of your symptoms worsen or new ones develop, it’s important to consult a healthcare professional for a more comprehensive evaluation.
