I have flaky skin on the scalp with burning sensation. What medicine should I take?

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Flaking on the scalp occurs due to seborrheic dermatitis or scalp psoriasis. Please share a photo to assess the condition and to suggest a treatment.

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I got your message but you have not attached the photo. Please send it.

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I have gone through the attached photo (attachment removed to protect patient identity). It seems to be scalp psoriasis. It is a common condition causing dandruff on the scalp and it often remains limited to the scalp alone. You can use Halox-S (Halobetasol propionate with Salicyclic acid) lotion. Apply it on the scalp with eight to ten drops on alternative nights for three weeks. You can use Protar K (Ketoconazole) shampoo twice a week. Have a follow-up after three weeks.

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Continue using Protar K shampoo once a week and stop using Halox lotion. Hair fall and hair thinning in men occur due to androgenetic alopecia. Kindly mention the age. Please mention whether your hairline is receding. Please mention whether you got any illness in the last six months. Please mention whether you have thyroid disease. Please mention the duration of having hair fall. Kindly send a photo to assess the condition.

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I have gone through the photo. Your hairline is perfectly fine and it does not look like androgenetic alopecia. Temporary hair loss occurs due to scalp psoriasis. Do not use shampoo for a week and apply Halox lotion once a week with eight to ten drops for a month and then stop it. You can take Hairbless tablet one tablet daily after breakfast for a month.

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Yes, you can use Protar K shampoo. It is a medicated one and it contains coal tar. You can also use a regular shampoo like Hair4U shampoo and conditioner.