What are the first signs of dandruff?

Dandruff reflects increased shedding of scalp skin. Flakes may collect on dark clothing or appear after brushing. Some people also notice an oily scalp, while others have dry-feeling skin. Redness, greasy scale, or irritation around the eyebrows, ears, or sides of the nose can point toward seborrheic dermatitis rather than simple dandruff. Similar flaking can also come from contact irritation or psoriasis, so appearance alone cannot confirm the cause.

Wash the scalp regularly with a gentle routine and avoid scratching, which can break the skin. A clinician or pharmacist may suggest a Medicated Shampoo Treatment and explain how long to leave it on before rinsing. If scale is persistent or inflamed, Topical Antifungal Treatment may be considered after assessment. Do not share combs, brushes, or towels when the scalp is irritated.

Book a dermatology review if flaking persists despite a consistent shampoo routine, spreads beyond the scalp, or comes with thick plaques, hair breakage, pain, or oozing. Prompt care is appropriate for rapidly worsening redness, swelling, or fever.

Ask what pattern is causing the flakes, how often to use a medicated product, and whether the shampoo should be alternated with a gentle cleanser. Mention new hair dyes, oils, or styling products and ask which ingredients may aggravate your scalp.