Gary W. Cole, MD, FAAD
Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Dandruff facts
- What is dandruff? What causes dandruff?
- What treatments are available for dandruff?
- What doesn't help dandruff?
- What over-the-counter products can help dandruff?
- If over-the-counter products don't work, what can the doctor prescribe for dandruff?
- Dandruff (Seborrhea) Slideshow Pictures
- What Your Scalp and Hair Say About Your Health Slideshow Pictures
- Top 10 Foods for Healthy Hair Slideshow Pictures
- Find a local Dermatologist in your town
If over-the-counter products don't work, what can the doctor prescribe for dandruff?
A primary-care physician or dermatologist can recommend prescription-strength shampoos or antifungal and corticosteroid creams that are stronger than those available over the counter, yet are not too strong to use on the face. There also are corticosteroid-based liquids, gels, and foams that one can apply to the scalp that won't leave the hair limp and matted. Nonsteroid preparations like tacrolimus (Protopic) or pimecrolimus (Elidel) can also help.
As with all seborrhea (dandruff) treatments, medicated shampoos and cortisone creams calm down the skin or scalp sensitivity, but they can't stop the seborrhea (dandruff) from coming back. Most people, however, only have to treat their condition from time to time when it becomes itchy or noticeable.
A word on eyelashes
Dandruff (seborrhea) of the eyelashes can be both annoying and hard to treat. Eye doctors like to recommend scrubbing the lashes with baby shampoo on a cotton swab. Corticosteroid-based lotions should be used close to the eye only under medical supervision since continuous exposure of the eye to these products can lead to serious eye problems.
Turner, G.A., M. Hoptroff, and C.R. Harding. "Stratum Corneum Dysfunction in Dandruff." International Journal of Cosmetic Science 34 (2012): 298-306.
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