Management

Home/Dandruff/Management

Dandruff may improve after home treatment but you should consult your doctor if:

  • heavy dandruff does not improve after a few weeks of home treatment.
  • redness is present, or if scaling occurs on parts of the body other than the scalp.
  • if crusts form on the scalp
  • there is intense itching of scalp

The objectives of treatment are to:

  • control dandruff
  • prevent complications
  • educate the person to identify the problem early

General management: Besides medicines following guidelines can help you control your dandruff problem.

  • Eat a healthy and well balanced diet
  • Avoid excessive salt, sugar and alcohol
  • Maintain proper hair hygiene by using shampoo prepared from herbs like henna, amla, shikakai, reetha.
  • In consultation with your dermatologist use a shampoo which suits your hair best.
  • Regularly disinfect your towel, comb, pillow cover after use.
  • Avoid use of harsh cosmetics on the hair like hair dyes, gels, sprays etc.
  • Mild dandruff may be controlled by regularly shampooing the scalp with a mild, non-medicated shampoo.
  • When you wash your hair, lather once, rinse, lather a second time and really rub your scalp as you shampoo. Your fingers will help dislodge excess scales.
  • While washing your hair with a shampoo take care to rinse the hair properly, so that no traces of shampoo are left behind
  • Use a conditioner to keep hair from drying out
  • If you have dry dandruff give a warm-oil treatment to the hair to help loosen and soften dandruff scaling.
  • Avoid stress by practising meditation, yoga or relaxation exercises.

Medication

  • Dandruff is treated with selenium sulphide (Selsun) or ketoconazole containing shampoos.
  • Local application of corticosteroids (steroids) may be required in cases of seborrheic dermatitis.
  • Dandruff of eyelashes is treated with sodium sulfacetamide ophthalmic ointment.
  • Crusts may be removed by using 3-5% salicylic acid in olive oil.
  • Local application of anti-fungal cream may also be required.