Friday, October 1, 2010

I’m having a lot of dandruff. I’m using Head and Shoulders, and it’s only getting worse. What’s wrong with me? Can you tell me how to get rid of it? It’s really embarrassing. (Male, 50)

Dandruff can be a very discomforting skin disorder that affects people of all ages. Having dandruff can cause a loss of self-esteem and lead to lack of confidence. Often individuals with dandruff will not wear dark garments because they worry that others may detect the flakes of dandruff. Dandruff in essence is a problem of dry scalp. Today, there are treatments that can help control the dandruff problem. However, not all individuals respond to the same treatment. It is important not to get disheartened if one shampoo does not work. It is necessary to give sufficient time to the shampoo before trying another product. 

For excessive dandruff, it is important to shampoo at least 2-3 times a week. This involves meticulously massaging the scalp so that all dead skin cells are removed. Since most dandruff shampoos are very harsh it is essential to follow directions. However, in some cases regular shampooing may not prevent irritation or itching of the scalp. Since many dandruff shampoos further dry the scalp it is important to use a conditioner after rinsing the dandruff shampoo. 

If head & shoulders has not worked, one may want to try a shampoo that contains selenium sulfide, such as Selsun Blue or Exsel. If this still does not reduce the dandruff in 3-4 weeks, then one may try shampoos containing salicylic acid (e.g. Sebex). If this fails, the next step is to use Nizoral AD, which is an anti fungal shampoo available over the counter. Some experts do recommend coal tar dandruff shampoos but these products often stain the linen, discolor hair and have a bad odor.

It is also important to alternate the shampoos since they lose efficiency over time. If shampooing does not help your dandruff, it is important see a doctor to make sure that you do not have a skin disorder like seborrhea dermatitis or psoriasis.

Whatever method of shampooing you select, it is important to be persistent. All dandruff treatments take time. Remember, what may work for one individual, may not work for you.