How to treat seborrheic dermatitis that is resulting in an abnormal amount of hair fall?

Hi,

Welcome to icliniq.com.

I can totally sense how frustrating Seborrheic dermatitis can be when it is there for more than three years. It is sad to hear that you are going through this issue for years.

Seborrheic dermatitis (SD) is an inflammatory condition, it can be kept under control with shampoos, and medicated scalp lotions.

Seborrheic dermatitis (SD) flares up due to stress (any kind, physical illness, emotional stress), during winter, and oil massages to the scalp.

I usually prescribe topical Ketoconazole and Salicylic acid composition shampoo (Salisia KT shampoo). Ketoconazole is an antifungal medicine, Salicylic acid is keratolytic, meaning helps to remove scales.

Most of my patients do well with combination shampoo.

This shampoo should be used on alternate days for two weeks to wash hair and scalp. On the rest of the days, any other normal shampoo can be used. After two weeks, Salisia KT shampoo can be used once a week for maintenance.

Washing the scalp every day so that scales are removed regularly.

If the sebhorrheic dermatitis is very severe, then it requires topical corticosteroids (Clobetasol) shampoo or lotion. It should not be used for more than two weeks. This Clobetasol scalp lotion is to control severe inflammatory episodes.

There is one more condition, called scalp psoriasis, that does not respond to a Ketoconazole shampoo. If you have met a dermatologist, then they must have seen your scalp and ruled out scalp psoriasis.

I cannot make a diagnosis unless I see the picture.

Kindly attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions.

Thank you.