Treatment of Dandruff
Treatment of dandruff focuses on reducing flaking, soothing irritation, and preventing recurrences. Most people with dandruff respond well to over-the-counter treatments, but persistent or severe cases may require medicated shampoos or prescription therapy. A consistent hair care routine and avoidance of known triggers are crucial for long-term control.
Medicated Shampoos
The first line of treatment includes anti-dandruff shampoos containing active ingredients such as:
Zinc pyrithione: Antifungal and antibacterial; effective against Malassezia
Ketoconazole: Broad-spectrum antifungal; suitable for more stubborn cases
Selenium sulphide: Slows skin cell turnover and reduces fungal activity
Coal tar: Helps slow down the shedding of skin cells
Salicylic acid: A scalp exfoliant that removes dead skin and reduces scale build-up
You should leave shampoos on the scalp for 5–10 minutes before rinsing to allow the ingredients to work effectively. You should use most shampoos 2–3 times a week, alternating with a mild moisturising shampoo.
Topical Treatments | Treatment of Dandruff
For severe or resistant dandruff:
Doctors may prescribe corticosteroid creams or lotions to reduce inflammation
Antifungal creams for localised patches beyond the scalp
Coal tar gels applied directly to affected areas
In some cases, dermatologists may recommend custom compounding of active ingredients for more targeted treatment.
Lifestyle and Hygiene Measures
Regular hair washing with gentle, non-irritating shampoo
Avoid harsh hair dyes or styling products with alcohol or strong fragrances
Manage stress, which can worsen symptoms
Keep the scalp hydrated, especially during colder months
Natural Remedies | Treatment of Dandruff
Some individuals find relief using:
Tea tree oil, known for its antifungal properties (diluted before use)
Aloe vera gel for its soothing and moisturising effects
Apple cider vinegar rinses (though clinical evidence is limited)
Care should be taken to test these remedies on a small patch of skin first to avoid irritation.
In summary, treatment of dandruff involves a combination of medicated shampoos, topical therapies, and good scalp hygiene. With consistent care, most cases can be managed effectively and affordably at home.
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