A Personal& Professional Networking Site for Doctors& Medical Students Worldwide

help needed ... respond please

i m a 21 yrs male .... i have problem of having scalp problem of oil flakes on my scalp due to which hairfall .... and i had used ketoconazol but it didnt work well it came back ...

i use anti dandruff shampoo it clears off but again reoccurs in a day or too ... i have massive sweating ...

nd the oilly flakes contain small round spore like gritty substance ...

so please can some help me with the diagnosis nd the treatment for it ...please nd do tell the regime to follow ..

RSVP....

▶ Reply to This

Replies to This Discussion

Permalink Reply by Drjangid on June 20, 2011 at 1:55pm

the most peobable diagnosis for ur prblm is seborrhoeic dermatitis ....

1st take tt for fungal P. capitis (tab fluconazole 150 mg wkly once and Keaconazole shampoo 3x per wks) i think it will help

▶ Reply

Permalink Reply by Abdus Samad on June 20, 2011 at 6:56pm

thank you ...... sir

▶ Reply

Permalink Reply by Adevair Marques on June 20, 2011 at 9:59pm

I agree with your diagnosis.

Here in Brazil, the protocol to treat is:

- attack dose --> fluconazole 150mg 1 pill per day along 3 days

- maintenance dose --> fluconazole 150mg 1 pill per week along 6-8 weeks + ketaconazole shampoo twice a day, everyday, along 3 weeks.

▶ Reply

Permalink Reply by Sunny Malhotra on June 21, 2011 at 12:16am

I also agree with the diagnosis, but I would suggest an additional treatment with biotin supplements 5mg per day for 2 weeks.

▶ Reply

Permalink Reply by dini mathew on June 21, 2011 at 4:44pm

i'm agreeing al those treatment..
Bt a simple technique is mix lemon juice with olive oil..apply it on scalp and keep it for 10 min..after that wash it off.continue for 1 week..
Sir i dont know the principle behind it..it is highly effective..

▶ Reply

Permalink Reply by Dr.Indrajit Rana on June 21, 2011 at 11:12pm

▶ Reply

Permalink Reply by Dr.Indrajit Rana on June 25, 2011 at 1:47am

Its good news that u are responding well with initial treatment. Then don't try new regime. Do regular follow up.

Hair growth 'll take much more time, so u can't see that much change right now. Don't worry.

Best wishes.

▶ Reply

Permalink Reply by Abdus Samad on July 6, 2011 at 1:22pm

thank you very much evry1 for helping me out....

i m responding well to the flucanozole ..... hairfall reduced considerably ... dandruff is not dat much recurring as it used to if i didnt wash my hair even for 2 days ...

my regime dat helped me was
LOADING dose : 150 mg for 3 days
maintainence dose : 50 mg for last 2 weeks still for next 4 weeks