Patient's Query
Hello doctor,
I have eczema on my body, and I am using medicated cream for it. But my hair is affected by the scalp eczema, as I can see some visible large flakes. What should I do?
Are there any shampoo or lotion recommendations that cause zero hair damage or side effects?
Kindly suggest.
Hello,
Welcome to icliniq.com.
I understand your concern.
Scalp eczema can cause itching, redness, and thick flakes that look like dandruff, but it actually involves inflammation of the skin.
Since you already have eczema on your body, your scalp may be more sensitive, so you need gentle but effective care.
The best approach is to use medicated yet mild shampoos designed for eczema or seborrheic dermatitis.
According to dermatology and NHS (National Health Service) guidelines, shampoos containing Ketoconazole (like Nizoral or Dandrazol), Selenium Sulfide (such as Selsun Blue), Zinc pyrithione, or coal tar with Salicylic acid can help reduce the yeast and inflammation responsible for the flakes.
Start by using a medicated shampoo twice a week, leaving it on your scalp for five minutes before rinsing, and switch to a gentle fragrance-free shampoo on the other days.
Avoid harsh or perfumed shampoos, as they can worsen dryness and irritation. If your scalp feels dry or tight after washing, you can apply a light, non-greasy emollient lotion or coconut oil in small amounts to soothe the skin.
Be consistent and avoid scratching, as it can cause further irritation or infection. If itching, redness, or scaling worsens, see a dermatologist, who may prescribe a short course of a topical steroid or antifungal lotion specifically for the scalp.
This routine will control flakes and itching while keeping your hair healthy and minimizing side effects.
I hope this will help you.
Thank you.
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Answered byDr. Ahsanullah Niazai
Medically reviewed byiCliniq medical review team
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