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What is the treatment for seborrheic dermatitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a dry scalp with flaky dandruff and slight itching. It is like a mild case of seborrheic dermatitis. Please help.

Thanks.

Answered by Dr. Misha Saghir

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

From your description, you are having a mild, recurring form of seborrheic dermatitis, which is very common in young adults. The dry-looking flakes, dandruff, mild itching, and scalp irritation you are experiencing are typical features. The temporary hair fall you have noticed is also common and usually occurs due to inflammation of the scalp and increased shedding, not permanent hair loss.

Seborrheic dermatitis is linked to an overgrowth of a normal scalp yeast (malassezia), combined with individual sensitivity, stress, weather changes, and sometimes hormonal fluctuations. Even though the flakes may look dry, the scalp condition itself is inflammatory, which is why regular moisturising oils alone do not help and can sometimes worsen flaking if overused.

Since you are already using an anti-dandruff shampoo, consistency and proper use are key. Make sure to massage the shampoo gently into the scalp, leave it on for three to five minutes before rinsing, and use it two to three times a week. Once controlled, you can switch the shampoo to once a week for maintenance. If itching or flakes persist, try to have shampoos containing Ketoconazole, Zinc pyrithione, or Selenium sulfide.

To manage the hair fall and inflammation, temporarily use Betamethasone lotion at bedtime, apply it to the scalp and leave overnight, use it for 10 days, and then stop. It will make your hair fall better. Avoid scratching, harsh hair treatments, frequent heat styling, or tight hairstyles. Light oiling is acceptable only if your scalp feels very dry, but it should be minimal and applied for just one hour before bath and washed off properly. Stress management, adequate sleep, and a balanced diet also help to reduce flare-ups. It is a chronic but very manageable condition.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At March 13, 2026
Reviewed At March 13, 2026

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

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