Q. Why do the itchy scalp, pimples, and hair fall not improve in an individual despite taking medications?

Answered by
Dr. Sandhya Narayanan Kutty
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 23, 2022

Hi doctor,

I have issues with my scalp and have itchy pimples on them. I have had this problem for the past four and a half months. Because of these issues, I have hair loss. I have tried different antidandruff shampoos containing Ketoconazole, but they did not help. Also, I have been using Onabet cream, but the issues are still not resolved.

Please help.



Welcome to

I went through your query and understood your concern.

I have gone through the history provided by you, and I have also viewed the image (attachment removed to protect the patient's identity). Scalp itching, along with pimples, may occur due to multiple reasons, out of which the most important reason is because of stagnation of sweat and moisture on the scalp. Other reasons include frequent use of helmets or caps, sharing other people's belongings, stress or hormonal fluctuation, which causes excess release of sebum which results in the formation of pimples and dandruff on the scalp. Also, using various hair care products, low immunity, dietary changes, and climate changes can also contribute to hair fall. So, I suggest you to follow a few instructions mentioned below,

1. Use Scalpe plus (Ketoconazole, Zinc Pyrithione topical, and Piroctone Olamine) shampoo. Apply on the scalp every three days. Take 3 to 4 drops of the shampoo and mix it with one-third cup of water. Apply the mixture on your scalp and massage for one minute to release the flakes. Keep it for 5 minutes and wash it off. Repeat this for 3 to 4 months.

2. Use Muciprocin (topical antibiotic) 2 % cream. Apply three times daily on the pimple area, which is present on the scalp. It is important to apply the antibiotic cream to reduce the formation of pimples on the scalp. Make sure to use them for at least four to six weeks or till the pimples disappear. Pimples can appear due to sweating and, therefore, can appear later on as well. This cream may be used in case of the presence of any pimples in the future on the scalp.

3. Take the tablet AF (Fluconazole) 150 mg. This tablet can be taken once per week for four weeks. Therefore a total of four tablets for four weeks has to be taken with water after dinner.

4. Take the tablet Follihair (multivitamin supplement). This tablet has to be consumed daily after dinner for two months. This helps in increasing hair growth and reducing hair fall.

5. Take the tablet Limcee (vitamin C supplement) 500 mg. It is a chewable tablet. This tablet must be chewed and consumed in the morning after breakfast for two months. This helps in healing the pimples faster and prevents further pimple formation. Make sure to avoid taking extremely hot food and drinks, and milk during the consumption of this medication.

6. Above all, it is important to ensure that your scalp remains dry and that any excess sweat that forms throughout the day is wiped off completely. Make sure there is no stagnation of sweat or moisture. Make sure that the inner part of the helmets and caps are cleaned and kept under sunlight in order to prevent fungal as well as bacterial infections.

7. Avoid oily, fried food, milk and dairy products, red meat, and sweets. And make sure to include more fruits, vegetables, fiber, and at least 12 glasses of water per day in a 250 ml glass size. Consult a specialist, take to them and take the medications with their consent.

Dandruff and pimples may occur on the scalp on and off, depending on external and internal factors. It is important to avoid sweat and moisture stagnation along with lifestyle modifications in order to reduce and prevent the recurrence.

I hope the details provided above were informative and provided clarity.

Kindly follow up if you have more doubts.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
My scalp presents with white flakes and scales due to dandruff. How to manage it?

You can apply Deriva CMS gel (Adapalene with Clindamycin) on the acne spots present on the chest and back at night ... Excess oil secretion is the root cause of acne and dandruff ...   Read full

Please help me with my itchy scalp.

.. probably seborrheic capitis (an eczema). I suggest Ketoconazole shampoo on alternate day. Keep in contact with scalp for 7 to 10 minutes in each application and continue it for three to six months. Consult your specialist doctor, discuss with h...   Read full

Can I have brain tumor or cancer by using hair dryer?

.. no connection between hair dryer use and brain tumor. So just relax and do not get worried about it. I just recommend using a good material hair dryer, without bad chemicals. Asbestos-containing hair dryers can increase the risk for lung cancer. ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.