Have you been to a dermatologist? If not, maybe you should book an appointment there and let a specialist look over your issue.

This is sort of second-hand advice, because luckily I’ve never really had any kind of skin/hair issues (except that I’m now losing the later, but I made peace with that and shaved my head)

But my wife has had some dandruff issues in the past, so I’ve learned a little from her.

Part of the issue is that there’s kind of several different issues at play that cause dandruff or dandruff-like symptoms, and common usage of the term often doesn’t really differentiate between them very well, even though the appropriate treatments for them may be very different.

For a long time, a lot of focus with dandruff was on fungal causes, and so a lot of the commonly-available anti-dandruff shampoos and treatments work, at least in part, by being antifungal.

Of course, if your dandruff isn’t actually caused by fungus, antifungal ingredients won’t do anything to help with your dandruff problem, and may even make it worse by drying out or irritating your scalp. That turned out to be my wife’s case, and her issue improved significantly by basically switching to any other shampoo besides anti-dandruff. It took a little fine-tuning and trial and error to figure out which shampoo and conditioner worked best for her, but the big first step was staying away from anti dandruff products.

There’s a lot of different combinations of hair types, skin type, and underlying conditions that could be at play, so there’s no-one-size-fits-all solution. If you haven’t already, a good first step is probably to talk to a dermatologist, or if you already are working with one, it may be time to look for a new one.

Failing that, do some research, figure out what send like is most likely to be causing your issue and the l how to treat it, try some things, if they don’t work, try some different things, repeat as necessary.

I found the routine that works for me which is Selsun Medicated shampoo twice a week and tar shampoo in-between. I still get dry and a little bit itchy scalp but no visible shedding flakes.

The tricky part for me was to realize that overly aggressive shampoos do more harm than good, so the dosage of active ingredient is key. I used to use Neutrogena Tgel Therapeutic tar shampoo, with the lowest dose of tar component, it is however hard to find now and looks like it’s being discontinued, so I switched to MG217 Therapeutic 3% which I dilute with whatever generic shampoo my family is using.

I eliminated shampoo and my hair and scalp feels so much better. Skip the shampoo and use conditioner only. Once your scalp adjusts its oil production, my hair is so much better. Your scalp will overproduce for the first month or so as it’s used to all of its oils being washed away by shampoo.

For the record I have white person thick heavy hair that is curly

Here’s what you do: go to the store and buy 3-5 dandruff shampoos with different active ingredients and cycle between them every time you wash your hair and face (don’t shy away from smearing the shampoo on your face as well). Also, leave it on there a few minutes before rinsing.

Also vitamin D oil is great for face and beard.

https://www.amazon.com/gp/aw/d/B0BGMCLC4J

This shampoo is great to add into the rotation. The same company makes a face cream that is super good, too.

When you shower you’re supposed to vigorous rub your scalp with your finger tips. Some people don’t get taught how to do it.

[EDIT: P.S I once got rid of a psoriasis like skin irritation by giving it an even cover of yakult three times a day (once in the morning, once at lunch time, and once before bed). My theory on why this worked is that it reset the biome whilst forming a protective shell that deprived oxygen to the effected area.]

Tar shampoo was the only one that worked for me OTC.

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A lot of this shit is affected by what you eat. If I eat a lot of sugar and gluten it definitely affects my skin and dandruff 2-3 days later.

Besides what a lot of people said, try to stick to foods that don’t cause inflammation or reactions.

I would use Head and Shoulders in nearly cold showers to help with the Dandruff eczema. If you can do wet wrap therapy, that would help as well with eczema wraps

Try using a non-alcohol-based lotion. If you can’t find one, I’ve had good success with Eucerin. I put lotion on my face and scalp right after my shower, and don’t have any itchiness or flakes.

I couldn’t find a shampoo that fixed anything for me.

If you have it on your elbows or knees (very common), you can try Aquaphor at night. That is pretty sticky, but keeps your skin calm and moist.

A dermatologist can give you some prescription lotion/cream, as well. That also works, but it’s typically a small tube and expensive.

I use a lotion called topicorte prescribed by a dermatologist. Not using it affects my eczema as a whole.

My doctor prescribed taro-mometasone (I think that’s how it’s spelled?) and it worked like magic. None of the other stuff worked. I tried Head & Shoulders, then Nizoral and Neutrogena T-Gel, and I don’t remember what else. It was so bad that it was clumping and scabbing and my hair was falling out. I struggled for a year and then my doctor gave me that thing and the problem just vanished. It came back once a year later and then never again. It’s been several years.

Purelan, lanolin cream. It’s sheep fat. Can’t use it for your hair, but you can use it everywhere else.

I started on the carnivore diet.