<s>[INST] about hair falldear sir,i am from india a stidying out side the home town and living as paing guest,i have excessive hair fall problem since 2 year.i cant prevent my hair from dendruff even washing daily with shampoo,so please consult me in this situation. [/INST] Hello. Thanks for writing to us at healthcaremagicIncreased hair shedding is a common complaint in those who have dandruff. Even mild dandruff can lead to increased shedding but it is usually not bothersome or excessive and individuals usually do not notice a decrease in hair density.Other factors like androgenetic alopecia can be a coexistent with dandruff and may be contributing to excessive hair fall and decreased hair density.For dandruff you may try a prescription antifungal/antidandruff shampoo e.g 2% ketoconazole shampoo, every alternate days for 2-4 weeks.Along with antidandruff shampoo, 2 weeks application of a topical steroids lotion may prove to be effective in providing better control.Thereafter, antidandruff shampoo may be continued once or twice weekly to maintain the improvement.I would suggest that you visit a nearby dermatologist for a prescription. Your treating dermatologist would also be able to confirm whether there is any other cause of excessive hair fall like androgenetic alopecia, which if present, would be  managed along eniterly different lines.Regards </s>