Authentic Japanese Scalp Treatments Yokos Haute Coiffure
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While there is no cure for dandruff, there are some medicated shampoos that can help manage symptoms. Dandruff is a common scalp condition that causes the skin on the scalp to flake. Coal tar and its derivatives have also been typically used to treat dandruff, but Burg cautions against using these ingredients, which he says can be too harsh. “They’re not great for the scalp and hair follicles,” he notes. The best approach to manage dandruff is to use specialized shampoo and scalp treatments. Additionally, certain foods may also trigger flare-ups of skin conditions such as eczema, which may contribute to dandruff.
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Types of dandruff
Look for one with specific scalp benefits like La Bonne Brosse, with boar bristles to distribute sebum along the length of the hair and a shock-absorbing cushion to care for the hair. La Bonne Brosse advise their clients to brush their scalp every day and, in all directions, vigorously. From back to front and vice versa, from one temple to the other. Use the shampoo for a month to see if your dandruff gets better.
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If nothing OTC seems to work for you, you’ll want to visit a doctor’s office anyway. Burg says that most prescriptions for dandruff are stronger versions of over-the-counter medicated shampoos. “With medicated solutions, results can be seen relatively quickly—within a week or two,” he says. Some patients with more long-lasting dandruff use a medicated treatment once weekly to keep sebum levels down, alternating it with regular use of a dandruff-friendly shampoo. According to Burg, experts believe that the common condition is driven by an overgrowth of microorganisms—like bacteria, yeasts, and fungi—that live on the surface of the scalp.
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If you need to use an anti-inflammatory agent, use this daily as well. Keep in mind that steroids used to treat inflammation can only be used for a short duration of time. Adigun says, if you don’t see improvement using this substance after a few days, talk to your dermatologist. Many OTC medicated shampoos and scalp treatments contain antifungal or antibacterial ingredients designed to decrease dandruff. We also recommend visiting a doctor if there is redness, pain, crusting, or pus. Several things can cause dandruff, from hair-washing habits to underlying skin conditions.
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How to treat dandruff
Both can cause flakes and an itchy sensation on your scalp. Dandruff is related to seborrheic dermatitis (SD), which causes itchy and flaky skin, but it only occurs on the scalp. It’s so common that it affects about half of the global adult population. Coal tar shampoos can darken or stain the appearance of your hair. For this reason, doctors don’t usually recommend using it on light-colored hair. The thing that bugs me the most about a lot of hair oils on the market is that they are often too heavy and hard to wash out.
What Type of Dandruff Do You Have?
One older analysis suggests that long-term high stress levels may also alter or suppress your immune system’s activity. This may impair your body’s ability to fight off fungal infections and skin conditions that contribute to dandruff. A very common fungus called malassezia may contribute to dandruff. This fungus lives on the scalp of most healthy adults without causing any problems.

Ingredients in dandruff shampoos that help eliminate dandruff include zinc, selenium, and ketoconazole. If the cause is a fungal infection, you may need specialized medicine. Dietary modifications may prevent fungal infections by controlling yeast growth and improving the gut microbiome, which may aid in the treatment of dandruff.
Philip B Anti-Flake Relief Shampoo Lite
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions. By Sherry ChristiansenChristiansen is a medical writer with a healthcare background. She has worked in the hospital setting and collaborated on Alzheimer's research. Dandruff is normally diagnosed by a history and physical examination. There are usually no lab tests needed for diagnosis, but a skin biopsy may be performed to rule out other conditions.
Dry Skin–Related Dandruff
You may have to try two or three products before contacting a specialist. But, it can also happen from some hair products that you might be using on your scalp that may be stripping your scalp of its natural oils. If you live in a cold and dry climate, you may also be more susceptible to having a dry scalp. Flakes and an itchy, scaly scalp are the main symptoms of dandruff. White, oily flakes typically accumulate in your hair and on your shoulders and often get worse during the fall and winter months, when the air is dry.
Healthcare professionals may prescribe topical antifungal medications, corticosteroids, or immunomodulators to help treat dandruff and other skin conditions. It may act as a gentle exfoliant to help remove dead skin cells and reduce scaling and itchiness. It also has antifungal properties that may benefit dandruff treatment. According to a 2018 study, this type of shampoo may also help prevent or treat other scalp conditions, such as seborrheic dermatitis, psoriasis, and eczema.
If you notice changes to your scalp that are more serious or that don’t go away with self-care treatments, follow up with your healthcare provider or dermatologist. Oily skin dandruff flakes tend to be larger than dry skin dandruff. The flakes may look more yellow than white, and may appear oilier, too. Although dandruff flakes may look alike, they can be caused by several types of scalp conditions. We’ve partnered with Neutrogena T/Gel to explore the different causes of dandruff and what you can do to treat or prevent a flaky scalp.
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