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.
- 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.