What shampoo should be used for excessive, large, and crusted dandruff?
Apr 29, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
In general, if dandruff is excessive, large in flakes, and accompanied by crusting, shampoo alone may not be effective for treatment. It is recommended to use medications such as ketoconazole lotion, selenium sulfide lotion, or dexamethasone acetate cream under the guidance of a doctor. In addition to the above medications, patients may also use other treatments such as compound dexamethasone cream. Patients are advised to use these medications under medical supervision.
In general, if dandruff is excessive, large in flakes, and accompanied by crusting, regular shampoos may not be effective for treatment. It is recommended to use medications such as ketoconazole shampoo, selenium sulfide shampoo, or desonide acetate cream under the guidance of a doctor. Specific analysis is as follows:
1. Ketoconazole Shampoo
If proper protection is not maintained and the scalp becomes infected with pathogens such as Trichophyton violaceum, Trichophyton tonsurans, or Trichophyton schoenleinii, an inflammatory reaction may occur. This inflammation can damage epithelial cells, potentially leading to enlarged dandruff flakes and crusting. Ketoconazole shampoo is an antifungal medication used to treat and control dandruff and associated scaling, flaking, and itching.
2. Selenium Sulfide Shampoo
Poor personal hygiene or infrequent hair washing may lead to increased shedding of dandruff. Selenium sulfide shampoo is a topical antifungal agent primarily used for dandruff control, prevention of seborrhea, seborrheic dermatitis, and tinea versicolor.
3. Desonide Acetate Cream
If someone has recently been staying up late frequently, resulting in reduced immunity and infection with Malassezia fungi, an inflammatory response may develop. This inflammation can irritate hair follicles, leading to large, increased dandruff flakes. Desonide acetate cream is a corticosteroid medication mainly used for localized pruritus, neurodermatitis, contact dermatitis, seborrheic dermatitis, and chronic eczema, helping to improve symptoms of excessive dandruff.
Besides the above medications, patients may also use other treatments such as compound desonide cream. Patients are advised to use these medications under medical supervision to avoid adverse effects.
