What do I do if I have a dry, itchy, and flaky scalp?

Question: Hi Doctor. As of late, I have been experiencing a dry and flaky scalp, and even beginning to lose my hair. What should I do?

Dr. Schultz: The symptoms you are describing are usually a result of dandruff. To effectively control dandruff, please refer to the DermTV episode on the topic: How to Soothe and Repair an Itchy and Flaky Scalp. In regards to your hair-loss, if it is due to this condition, it can take three to four months for the hair loss to stop, but rest assured that it's normal to lose 100 to 150 hairs per day and to also grow back the same number. The issue then is whether you are thinning (i.e., losing more than you are growing). If you see more scalp or your hairline is receding, then to treat that there are over the counter topical treatments like Minoxidil as well as prescription-only medications such as Propecia, which you can get prescribed for you by your dermatologist. (Note: Propecia can only be prescribed for men.)