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Once a health care practitioner has confirmed an individual has dandruff (seborrheic dermatitis), the main treatment includes antifungal shampoos, antibacterial cleansers, and anti-inflammatory creams and lotions. More importantly, often the most effective dermatologic treatments are combination treatments using several different medicated ingredients used at the same time.
Prescription-strength shampoos and steroid cream medications are the usual treatments. More frequent shampooing and cleansing is usually recommended.
For severe cases not responding to a combination of ultra high-potency steroid creams, foams, sprays, or lotions, alternate treatments may be tried. A dermatologist may be very helpful for resistant cases that have not cleared with standard prescriptions.
Rare severe cases may require short-term treatment with oral steroids such as prednisone (Deltasone, Orasone, Prednicen-M, Liquid Pred) and/or oral antifungal pills. Oral pills are not the mainstay of dandruff treatment and should not be routinely used.
Sample escalating (step-up) treatment of adult dandruff by a dermatologist:
Skin care routine for mild dandruff:
Skin care routine for moderate dandruff:
Skin care routine for severe dandruff:
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Dandruff - Experience
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Dandruff - Treatment
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