Dandruffin in scalp and hair thinning , decreasing densityof hair - #11720

Hi Rishi,

This is fungal +oily scalp inflammation Please use 1.keraglo AD shampoo twice a week 2.scalpe pro daily antidandtuff shampoo once a week 3. Selsun Daily 1%. Once in 2 weeks.

Rotate these shampoos likewise. So that we can control the inflammation of scalp.

Flucon 150 mg once weekly * 4weeks

Start minoxidil 5% if hair thinning is increasing.

🛑please follow this routine for 3 months. Still not improving then see a dermatologist and get tested for liver functioning.

I trust this helps Feel free Feel free to talk Thank you

Hi Dear Rishi , It might be a condition called Seborrhic dermatitis Kindly confirm your diagnosis Kindly avoid oil application over your scalp and face Kindly wash your hair thrice weekly with medicated shampoos Kindly avoid dust exposure Hydrate yourselves Kindly start on VIT D 3 60KIU once a week for8 weeks Take care Kindly dont panic this condition has remissions and relapse but has no cure.

Hello dear See mostly dandruff is based on fungal infection It take times to get proper recovery Iam suggesting some medications and precautions for improvement Kindly follow them for atleast 2 months Minoxidil (2% or 5%) or rosemary oil for hair gain OTC solution to be given topically

Finasteride on recommendation only by dermatologist only in person Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day

Selenium Sulfide (Selsun Blue) – antifungal shampoo twice a day for 1 month

Clotrimazole or Miconazole – antifungal creams for topical use Avoid excess moisture and keep the infected completely dey If possible dry with clean towel Lastly,Use bhringraj or onion oil for head massage Hope your problem subsides by my solutions . In case of no improvement in 1 month, consult dermatologist for better clarification Regards

Hello Rishi, thank you for sharing your concern. According to what you explained, you probably have Seborrheic Dermatitis with associated hair thinning and receding hairline. Here is some advice from my side which can be helpful. For Dandruf - Continue Ketoconazole 2% shampoo OR Ciclopirox shampoo 2–3 times a week. On other days, use a mild anti-dandruff shampoo (like Selsun Blue, Scalpe Pro, or Head & Shoulders Clinical Strength). Avoid using Clobetasol for long-term — it is a strong steroid, can cause side effects if used continuously. For sticky/oily scalp: Wash hair 3–4 times per week. Avoid heavy oils, gels, or chemical treatments. For hair thinning: Start Tab. Biotin + Multivitamin once daily (good brands - Keraglo Men / Follihair) × 3 months Apply Minoxidil 5% lotion (once daily at night) to the thinning scalp area. Lifestyle: Balanced diet rich in protein, fruits, vegetables, omega-3. Adequate sleep and stress control.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

Hello Rishi, Your symptoms suggest that you are having hair fall with dandruff

Before starting any treatment, you should get these tests done. 1. CBC 2. Thyroid profile 3. Serum Iron 4. Serum Vitamin D3 5. Serum Vitamin B12 6. HbA1c

Follow up with reports. Meanwhile, you can start this treatment: 1. Minoxidil 5% 1ml twice daily for 1 month (Regularly) 2. Tab Keraglo-M 1 tab daily for 1 month 3. SELSUN antidandruff shampoo daily for 7 days 4. Drink adequate water daily 5. Add seasonal fruits to your diet.

take care

Dandruff that persists and contributes to hair thinning can be frustrating. It’s important to address both the underlying cause and the hair loss. You’ve already used some effective treatments like ketoconazole with zinc pyrithione and clobetasol with salicylic acid, which are common recommendations for managing dandruff. However, if symptoms return upon stopping, you may need a more long-term strategy. First, consider using the ketoconazole shampoo at a lower frequency, maybe once or twice a week, even once symptoms improve. This might help maintain results. Avoid over-washing your hair, as it can strip natural oils, worsening both dandruff and hair thinning. Regarding hair loss, ensuring you have a balanced diet rich in vitamins and minerals, especially iron and zinc, can be beneficial for hair health. Biotin supplements, while popular, don’t have strong evidence of efficacy unless you’re deficient, but they are generally harmless if you wish to try them. Stress and hormonal imbalances can exacerbate hair thinning, so it’s worth evaluating lifestyle factors or consulting with a healthcare provider if other symptoms like fatigue or weight changes are present. If dandruff remains unresolved, it could be seborrheic dermatitis, which sometimes requires prescription options like topical pimecrolimus or tacrolimus; discussing these options with a dermatologist may be useful. Hair thinning at the hairline can sometimes benefit from topical minoxidil, though this should be evaluated on a case-by-case basis given its long-term commitment and potential side effects. If you notice increasing hair loss or sudden changes in your scalp condition, seeking further evaluation might be necessary to rule out conditions like psoriasis or other scalp disorders. As always, addressing the root cause is vital, and if the current regimen isn’t holding up well, revisiting a dermatologist for a tailored plan is often a good step forward.