What to Do for Fungal Scalp Infection with Excessive Dandruff

For scalp fungal infections accompanied by excessive dandruff, treatment involves both topical and systemic approaches, as well as adjustments to daily care routines.

1. Topical Treatment: Patients should first trim their hair short or shave their head completely. Subsequently, they should wash their hair with a 2% ketoconazole shampoo or a 2.5% selenium sulfide shampoo, followed by application of 2.5% iodine tincture or sulfur ointment over the entire scalp.

2. Systemic Treatment: Systemic treatment typically involves oral antifungal medications prescribed and monitored by a physician. Commonly used agents include griseofulvin, terbinafine, and itraconazole.

3. Daily Care: Patients should maintain good personal hygiene practices—avoid sharing combs, hats, scarves, or other personal items—and implement appropriate disinfection measures such as drying, ironing, boiling, or fumigation.

Adherence to prescribed medication regimens enables effective treatment and resolution of fluctuating dandruff. Since prevention is paramount in managing fungal infections, maintaining rigorous personal hygiene in daily life is essential to minimize the risk of infection.