Dandruff commonly causes scalp flaking and itching, but similar symptoms can occur with seborrhoeic dermatitis, psoriasis, contact irritation or infection. Persistent, inflamed or recurrent symptoms should be assessed before selecting treatment.
Dandruff consultation and selected treatment plans start from ₹799.
Starting prices are indicative, subject to assessment and may change. The final fee depends on the concern, area, treatment type and clinically appropriate plan.
| Common symptoms | Flaking, itching, oiliness, dryness or scalp irritation |
|---|---|
| Assessment | Scalp examination, product history, recurrence pattern and associated skin symptoms |
| Treatment | May include suitable medicated shampoo, topical care and trigger management |
| Review | Recommended when symptoms persist, spread or are associated with marked redness, pain or hair loss |
| Option | When it may be considered |
|---|---|
| Dandruff/seborrhoeic dermatitis | Often involves recurrent flaking in oily areas and requires ongoing control rather than a guaranteed cure. |
| Scalp psoriasis | May produce thicker, more clearly defined scaling and needs a different treatment plan. |
| Contact irritation | Can follow hair colour, oils or other products and may improve only after the trigger is identified. |
Typical dandruff is not contagious. An assessment may be needed when symptoms suggest infection or another scalp condition.
Scratching and scalp inflammation may contribute to temporary shedding or breakage, but other causes of hair loss should also be considered.
Dandruff often recurs and is usually controlled with an appropriate maintenance plan rather than promised as permanently cured.
Clinically reviewed by: Dr. Manisha Saney, BHMS, PG – Cosmetologist & Trichologist
Last reviewed: 4 August 2026
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White flakes, itching and scalp irritation are commonly called dandruff, but persistent symptoms can overlap with seborrhoeic dermatitis, psoriasis, product irritation or infection. An assessment helps identify the likely cause and an appropriate management plan.
Dandruff is one of the most common scalp conditions seen in men and women. It is a condition in which the skin on the scalp starts shedding as flakes. The skin flakes are due to the breakneck life cycle of skin cells on the scalp. When the skin cells die too fast, they automatically shed. A fungus known as Malassezia is believed to trigger or cause dandruff.
If you have black-colored hair or are wearing a dark-colored dress, the white skin flakes might be visible in the dark colors. Imagine having your hair or clothing covered with dandruff. Well, that embarrassing. Dandruff may lead to a very itchy and uncomfortable scalp. The whole idea about dandruff may seem simple, but mind you, it is a condition that is very difficult to cure. So, if you have dandruff, it is wise to consult your dermatologist at the earliest.
Dandruff may be caused by several factors like:
The symptoms of dandruff include:
At Dr. Manisha's Revive Clinic, the scalp, symptom pattern and current hair products are reviewed before suitable home care, medicated products or other clinically appropriate options are discussed.
Prescription-based cortisone medications are often the first line of treatment for dandruff. These topical treatments, prescribed by a dermatologist, are applied to the affected areas to reduce inflammation and control dandruff. Options include anti-dandruff creams, topical anti-yeast lotions, corticosteroid lotions, and creams.
At Dr. Manishas Revive Clinic, we also use bio oxy spray, which penetrates the dermis to effectively address dandruff. These treatments work by minimizing inflammation and providing significant relief without making the hair look limp. Our patients have experienced remarkable improvements with these customized solutions, carefully prescribed to meet individual needs.
Anti-dandruff shampoos are a key component of effective treatment. The best results come from shampoos recommended by a dermatologist, as they are specifically formulated to target the underlying causes of dandruff. Common ingredients include Pyrithione zinc, Salicylic acid, Selenium sulfide, and Coal tar preparations, as well as natural ingredients like tea tree oil. These ingredients work together to fight fungal infections and reduce scalp dryness and flaking.
We caution against shampoos containing coal tar for those with light-colored hair due to potential discoloration. Patients may need to alternate between shampoos based on what ingredients work best for them. At Dr. Manishas Revive Clinic, we provide personalized recommendations and monitor progress to ensure optimal results.
In addition to topical treatments, dandruff management may include oral medications. Zinc supplements are often prescribed, as zinc deficiency can contribute to dandruff. The daily zinc requirement varies, with children needing around 2 mg and adults requiring 9–11 mg. Pyrithione zinc, an active ingredient in many anti-dandruff shampoos, is also supported by zinc supplementation to address the condition holistically.
At Dr. Manishas Revive Clinic, our Dandruff Freedom Program combines advanced therapies for a comprehensive solution. This specialized program includes laser therapy, photodynamic therapy, oxygen therapy, and electro modulation system treatment. These treatments enhance blood circulation, stimulate cell metabolism, regulate oil secretion, and rejuvenate hair follicles. Blue narrow spectrum light is particularly effective in cases of seborrheic hair loss.
The program begins with a high-technology single jet infusion of oxygen onto the scalp, followed by a triple jet for deeper dermal infusion, providing instant cell oxygenation. A hair mask composite treatment follows, accompanied by a gold PDT comb with blue light to combat dandruff. The process is completed with the bio oxy spray, delivering a holistic and effective dandruff treatment.
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