Q: I am 85-years-old and have dry skin flakes on my scalp. It gets thick and I use a fine-tooth comb to remove what I can get off. It’s embarrassing, so how do I get rid of it? I use tea tree shampoo and Matrix Styling Volumizing Whipped Mousse. I have osteoarthritis in my back and in the past I had two knee surgeries and one hip surgery.
My medications are Alendronate Sodium 70 mg once a week, Naproxen 500 mg twice a day, oxybutynin 5 mg one or two each day, Iron 65 mg equal to 325 mg ferrous sulphate daily, hydrochlorothiazide 12.5 mg daily, tramadol HCL 50 mg for pain when needed, aspirin when needed for pain, Citracal citrate plus D calcium two each day, Viactin calcium plus D and K daily, and cod liver oil capsules one to two each day. I was wondering if any of these medications and vitamins are causing my flaky scalp.
I’m very active in my senior center. I drive my own car, shop, laugh and try to have a good time. I live in my own home. I try to do my own housework but hire to have my lawn mowed because my husband passed away six years ago. So, what about my flaky scalp?
A: There are numerous reasons for flaky scalp or dandruff to occur that commonly present when the scalp is too dry or oddly enough, when it is too oily. A fungus known as malassezia lives on the scalp and has been linked with the development of dandruff. A natural oil that is secreted from glands fuels the growth of this particular fungus. Overgrowth tends to occur in some individuals who undergo hormonal changes, following being diagnosed with a specific neurological disorder such as Parkinson’s, because of infrequent washing of the hair, suppression of the immune system, and a number of other possibilities. Two of the most common extrinsic causes for the condition include excessive sunlight exposure or the use of harsh hair styling/hair coloring products.
As a general rule, flaky scalp can be treated successfully with dandruff shampoo. Be sure not to scratch your scalp when washing your hair because you will run the risk of causing further irritation. Keep in mind that not all dandruff shampoos work for everyone so don’t be too quick to buy a large bottle of one brand your first time out because it may be on sale. Most shampoos that contain ketoconazole work best; however, they require a prescription. Those that contain selenium sulfide are available without prescription and may prove effective. The mousse you use may be adding to your problem so discontinue it for a time and experiment with the Selsun to see if you obtain the results you are seeking. Be sure to rinse your hair well following the application of any shampoo to remove all residue from your scalp.
On the home front, a 50/50 ratio of almond oil and olive oil rubbed onto the scalp 15 minutes prior to shampooing with a mild product might work for you. Or, you might consider massaging your scalp with virgin coconut oil, followed by aloe vera or aloe vera extract; or lemon juice and honey in equal amounts applied to the scalp; the age-old cider vinegar trick will clean your hair and may also rid you of a buildup of flaky skin. All these tips should be repeated about once a week, follow with a mild shampoo.
While medications can affect each of us in a different manner, I do not feel the drugs you are on are contributing to your dilemma. Therefore, I recommend you make an appointment with your health care provider so he or she can examine your scalp. If any question remains, ask for a referral to a dermatologist because the method of treatment will depend on the diagnosis you receive. For example, if you suffer from plaque psoriasis that can present with silvery patches on the elbows, knees, back and scalp, you may require prescription medication for control.
Dandruff, if that is what you have, is not contagious, is a very common problem that affects millions of individuals, and is generally not serious except for the embarrassment of those who suffer from it. Get an answer so you can remedy your situation and by all means, keep on laughing.
