If all you have tried is vinegar, it is not wonder you still have dandruff. Head and Shoulders works in many many mild cases, and there are many different kinds for different kinds of hair. For more severe cases there is Nizeral and Selsun and likely other brands in your drug store. They have different active ingredients, so one may work for you when another doesn't. If you have tried these over the counter products, and they haven't helped, you need to see a doctor. As others have posted, you may have something more severe. For regular products, the over the counter remedies usually work. If they don't, you have a different problem.
I tried every shampoo with a different active ingredient, I tried Nizoral, I tried prescription Nizoral, nothing helped until I began using tea tree oil on my scalp. Almost instant success. Some brands have a strong odor, some none at all. The Hollywood brand has very little odor and is not irritating as some of the pharmeceutical strength ones can be. A lot of other people have written about tea tree oil on this web-site. Do a search for it and you will see!
I forgot to mention that as long as you are not losing more than about one hundred hairs per day there is nothing to worry about because human beings lose about a hundred hairs per day on average. Hair growth has a seven year cycle and those hairs simply are going dormant for a short time and will start their seven year cycle anew.
I used Nizoral for dandruff with no problems with hair loss at all. but you must use it exactly as it says on the bottle.
This sounds like psoriasis to me too but it's best to go to a doctor to find out why and what the scalp problem is and what will work best for you. I have scalp problems when the weather is extremely warm and perspire alot which creates alot of scalp oils so I make sure to shampoo every day during those months and I do use Nizoral (can buy over the counter at pharmacies here in the US and it costs almost 1/4 less than a doctors prescription) every other shampoo with absolutely no problems and it is quite helpful to clear the problem up in my case.
You're smart not to want to continue with the Nizoral. My doc prescribed it for dandruff, but it only dried my scalp to the point it was painful. It was her Physician's Assistant who diagnosed me with eczema. I haven't been to a specialist due to finances and transportation issues. However, you might try a shampoo with tea tree oil... something like Neutrogena T-Gel. That's on my "wish list" at the moment. So far I'm using regular shampoo and scratching a lot. Not fun.
You should also have your thyroid checked as dry skin and hair loss is typical of hypothyroidism.
Have you had it diagnosed as dandruff, or did you self diagnose. Several years ago I had what I thought was extremely bad dandruff and I had never had dandruff before in my life. My head itched something awful and I was loosing hair. I finally couldn't stand it any longer and went to a dermatologist where he diagnosed the condition as psoriasis of the scalp. He diagnosed a prescription shampoo, and a lotion and and then recommended an over the counter shampoo to rotate with while using the prescription. Within a week I had a great deal of relief. And when I went back in 3 months for a follow up the condition was completely cleared up.
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