I am suffering from severe hair fall and dandruff. Despite taking medicine, there is no relief. What to do?

Q. Why is my hair fall problem not getting solved even after taking medication?

Answered by
Dr. Sandhya Narayanan Kutty
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 17, 2022

Hi doctor,

I have had a hair fall problem for the past two years, but it has worsened for about a month. The main issue is that I have severe dandruff. I visited two dermatologists they prescribed me a lotion and Photonic Tar shampoo. Iron and vitamin D supplements and hair regrowth spray. But the problem is I am using the shampoo and washing my hair every day, but still, I have yellowish greasy dandruff on my scalp. And the hair fall is the same. I am losing more than 500 hairs a day. I am so depressed. Please, please help me. I know my hair fall is due to my dandruff. But still, I do not know how to cure it.

Thank you.



Welcome to icliniq.com.

I have gone through the information provided from your end. It appears to be seborrheic dermatitis.

Seborrheic dermatitis is caused due to multiple factors, and including genetic susceptibility, wherein similar conditions may run within the family due to hormonal fluctuations causing excess sebum due to stress and the presence of oil secretion due to dietary and climate changes.

Although the current medications are good, I would like to prescribe alternate medications.

My advice:

1. SLC scalp solution. (Salicylic Acid, Coal Tar, Zinc Pyrithione Solution) to be used once for every two days only. Four to five drops of the medication are to be lathered with water, applied on the scalp, massaged for one minute with moderate pressure to release the flakes, and kept for five to ten minutes on the scalp before washing off. They may be continuously used for months together.

2. Topical 6 % solution of Salicylic Acid and Clobetasol lotion ) to be applied daily at night on the affected spots on the scalp in a very thin layer in a very small quantity. They may be used for upto four weeks and then, after a break of two weeks, may be repeated for the next two weeks, and so on.

3. Make sure to avoid oily and fried food, sweets, red meat, milk, and dairy products, as they may trigger the formation of seborrheic dermatitis. Make sure to include more fruits, vegetables, fiber, and at least ten glasses of water daily in a 250 milliliter glass size.

4. Kindly continue the oral medications provided by the dermatologist earlier in the form of vitamin D.

5. There are also procedures like platelet-rich plasma (PRP), which helps reduce flakes and stimulate hair growth. In this treatment, around ten to12 milliliter of blood samples will be drawn and centrifuged in a machine to extract growth factors which are then injected superficially on the scalp and are usually done in sessions of at least six for every four weeks. They are great for reducing scalp concerns. I would like to request you consult a dermatologist in person in order to undergo the treatment.

Thank you.

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