Dandruff is one of the most frequent reasons people consult a dermatologist — especially during winter and monsoon. Despite being common, most individuals try YouTube/home remedies that worsen the condition. Dandruff is not just a dry scalp problem; it is an inflammatory scalp disorder triggered by excess oil and the overgrowth of a yeast called Malassezia.
When untreated, it leads to persistent flakes, itching, scalp acne, and even significant hair fall.
What Causes Dandruff?
The scalp has oil glands and a natural microbiome. When this balance is disrupted, dandruff begins. Common triggers seen in patients include:
• Oily scalp
• Stress and irregular sleep
• Sudden weather changes
• Irregular hair washing
• Use of harsh shampoos
• Sweat + prolonged helmet use
• Skin conditions like seborrheic dermatitis and psoriasis
Hot oil massage makes dandruff worse because yeast feeds on scalp oil.
Symptoms That Need Attention
• White or yellow flakes on hair and shoulders
• Itching or burning scalp sensation
• Greasy scalp with dry hair ends
• Scalp pimples or forehead acne
• Red patches around scalp, eyebrows, or beard
• Hair fall, especially during dandruff flare-ups
If symptoms persist beyond 2–3 weeks, medical treatment is recommended.
Effective Dandruff Treatments (What Actually Works)
1. Medicated Anti-Dandruff Shampoos
Dermatologist-approved ingredients:
• Ketoconazole
• Zinc pyrithione
• Selenium sulfide
• Salicylic acid
• Ciclopirox olamine
2. Anti-Inflammatory Scalp Lotions
Recommended when itching, redness or burning is present.
3. Oral medications
When dandruff is severe or not improving with shampoo/lotions
Basic Haircare Routine for Long-Term Scalp Health
Day | Routine |
2–3× / week | Mild sulfate free shampoo |
1-2× / week | Hair mask / conditioner (apply only for hair lengths) |
Daily | Lightweight scalp serum (if scalp dryness persists) |
Do’s
• Wash after exercise or sweating
• Use lukewarm water
• Change pillow covers weekly
• Clean helmet padding frequently
Don’ts
• Avoid hot oil massage during active dandruff
• Avoid scratching the scalp
• Avoid heavy hair gels/waxes/sprays
Home Remedies — What to Avoid and What is Safe
Safe options
• Aloe vera – reduces inflammation
• Tea tree oil – only diluted (never directly on scalp)
Avoid
Curd, lemon, vinegar, onion juice, and baking soda can increase irritation and worsen dandruff.
Visit a dermatologist if:
• Flakes are persistent despite shampoo use
• Scalp is red, sore, or extremely itchy
• Hair fall is increasing
• Dandruff involves eyebrows/beard/chest
• Symptoms worsen seasonally
FAQ Section
1. Does dandruff go away permanently?
It can be controlled long-term with consistent scalp care and medicated shampoos.
2. Does dandruff cause hair fall?
Yes. Long-standing dandruff weakens hair follicles and triggers shedding.
3. How long does dandruff treatment take?
Mild cases improve in 3–6 weeks. Severe or recurrent cases need long-term maintenance.
4. Can home remedies cure dandruff?
No. They may offer temporary relief but often irritate the scalp and worsen the condition.
At Pravara Centre for Dermatology, Dentistry and Aesthetics, Bangalore, dandruff is managed with:
• Digital scalp analysis
• Personalised treatment plans
• Maintenance haircare plan to prevent recurrence
Our treatment focuses on fast relief + long-term scalp health.
Book Your Appointment
Pravara Centre for Dermatology, Dentistry and Aesthetics – Nagarbhavi, Bangalore
📞 Call / WhatsApp: 9035580111
📍 Location: Nagarbhavi, Bangalore