DANDRUFF - Common Medical Advice

General Information

Dandruff is a natural metabolic condition characterized by excessive shedding of dead skin cells in the scalp. It is common and harmless. The scales, or scruff, are thin, dry, and white to off-white and often fall on the collar or shoulders of the shirt. Contrary to what is believed, dandruff is non-infectious and is not a sign of bad hygiene. Although the real cause of dandruff exacerbation is unknown, many conditions eg heredity, pathological diseases, and fungi have been cited Other causes include stress, obesity, and chemicals from hair cosmetics, eg., hair sprays, styling gels, mousse, etc.

Signs and Symptoms

• White or gray flakes on hair and clothing 
• itchy scalp.
• Irritating scalp
• Oily scalp.
• The affected area on the skin becomes red and greasy

Advice to the Customers

• Shampoo every day using a mild antidandruff shampoo.
• Switch shampoos if the regular anti-dandruff shampoo does not work.
• Rotate shampoo brands to avoid resistance.
• Avoid excessive use of hair
• Cosmetics, e.g., gel, mousse, hair spray
• Avoid scratching and itchy scalp.
• An infusion of rosemary or lavender or a few drops of essential oil of these herbs rubbed into the scalp may prove to be an alternative home remedy.

Prescription Advice

• Instruct the patient on the medication and how to use it properly, i.e.name of the medication, frequency of dosage, etc.
• In the case of exacerbation despite treatment, instruct the patient to consult a physician immediately.
• Inform the patient that adverse events may occur eg., photosensitivity (especially with the use of coal tar products). In these instances, instruct the patient to contact the physician.
• Discuss advice to the customers thoroughly for more information on the prevention and management of dandruff.