Hello dear See after careful evaluation of your history it seems presence of fungal infection along with allergy. Iam prescribing some medication and precautions. Please follow them for atleast a month Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days In addition use aloevera - tulsi solution to apply topically for 1 month For dandruff please follow below precautions Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day
Selenium Sulfide (Selsun Blue) – antifungal shampoo for 1 month ( twice use)
Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected completely dry If possible dry with clean towel Avoid use of direct hot water to prevent allergy For head use mineral water or from aquaguard to prevent further progression of dandruff Lastly,Use bhringraj or onion oil for head massage Hope your problem subsides . In case of no improvement in 1 month, consult dermatologist for better clarification Regards
For oily hair due to dandruff, try using a shampoo containing zinc pyrithione, ketoconazole, or selenium sulfide, as these ingredients are effective for managing dandruff. Use it 2-3 times a week, leaving it on your scalp for at least 5 minutes before rinsing. If the problem persists or worsens, consult a dermatologist for more personalized treatment. For your acne and open pores, incorporate a gentle cleanser with salicylic acid to cleanse your face daily. This can help to unclog pores and reduce acne occurrence. Applying a non-comedogenic moisturizer after cleansing can help balance your skin’s texture, and you might want to consider products with niacinamide or retinoids to manage open pores. Be cautious with retinoids if your skin is sensitive or you’re dealing with a water allergy. It sounds unusual to have an allergy specifically to water, so it might be worth looking into whether it’s an allergy to something in the water (like chlorine or hard water minerals) rather than water itself. Using a hypoallergenic soap and moisturizing thoroughly after showering can help manage itchy skin. Consider installing a water filter to reduce potential allergens in shower water. Taking shorter showers with lukewarm water instead of hot can reduce skin dryness and irritation. Avoid scrubbing your skin hard, which can worsen irritation. If you continue to have allergic reactions to water contact, seek advice from an allergist or dermatologist to identify specific triggers and get more tailored advice. It’s crucial to balance effective dandruff and acne management with approaches that won’t irritate your skin further due to the allergy concern.
Hello Sanjida, I understand this might be disturbing but I’m here to help. Here is how we can approach your issues -
1. Lifestyle tips - Avoid high glycemic foods (sugary, refined carbs). Limit dairy (milk, cheese) if acne worsens after intake. Manage stress, sleep well, hydrate adequately. Avoid scrubbing, fairness creams, and heavy oils.
2. Here is my prescription and skin care -
- Use a gentle, non-comedogenic face wash (eg. Cetaphil Oily Skin Cleanser / Sebamed Clear Face) - Use an oil free, spf 30+ sunscreen (eg. Re’equil Oxybenzone & OMC Free Sunscreen SPF 50 OR Bioderma Photoderm AKN Mat SPF 30/50) - Gel/Cream Clindamycin + Adapalene - Apply thin layer at night - Gel Benzoyl Peroxide 2.5% - Good for pus pimples. Apply at night. - Cap. Doxycycline 100mg twice a fay × 14 days
For dandruff - Avoid use of hot water Shampoo - bare anatomy anti dandruff shampoo 3-4 days a week
3. It would have been better if I can have a look at your acne. It’ll give me more idea on how to approach it. But for the starters you can take the above treatment and review after 14 days. Thank you
RX, 1) Epiduo gel Apply on your affected areas only at night 2) Face wash Ahaglow Use twice daily 3) Tab limcee 500 1 tab daily after meal for 3 months
For dandruff 1) Ketostar shampoo Apply on your wet scalp and leave for 5 mins and rinse it off use twice weekly for 8 weeks
