This NHS content is written for people in England. Services, entitlements and contact routes may differ in other countries.
Symptoms of dandruff
Dandruff causes white flakes of skin to appear on the scalp and in the hair.
The flakes are often more noticeable in darker hair and if they fall from your scalp onto your shoulders.
Your scalp may also feel dry and itchy.
How to treat dandruff yourself
Use an anti-dandruff shampoo to treat dandruff. There are several different types you can buy from pharmacies or supermarkets.
Look for a shampoo that contains 1, or more, of these ingredients:
- zinc pyrithione
- ketoconazole
- coal tar
- salicylic acid
A pharmacist can tell you how to use the shampoo.
Use the shampoo for up to 4 weeks to see if your dandruff gets better. You might need to try more than 1 type to find a shampoo that works for you.
When and where to get medical help
Dandruff is not usually serious but if symptoms last a long time or become painful, you may need medical help.
See a GP if:
- you still have dandruff symptoms after using anti-dandruff shampoo for at least 4 weeks
- your dandruff is bad or your scalp is very itchy
- your scalp is red or swollen
- you have flaky, itchy patches on your face or other parts of your body
The GP can check your scalp for skin conditions that could be causing your dandruff.
Causes of dandruff
Dandruff is not caused by poor hygiene, although it may be more obvious if you do not wash your hair regularly.
It may be caused by different things, including a type of yeast that naturally lives on your skin, and skin conditions such as eczema.
Stress and cold weather may also make dandruff worse.
Dandruff
Dandruff
Dandruff
Dandruff causes white flakes of skin to appear on the scalp and in the hair. Your scalp may also feel itchy and dry.
You can treat dandruff yourself with anti-dandruff shampoo from a pharmacy or shop. Use it for up to 4 weeks to see if your dandruff gets better.
The most common cause of dandruff is a skin condition called seborrheic dermatitis. It can also be caused by a reaction to hair products.
Content supplied by the NHS website, refreshed 19 August 2026. View the original NHS article ↗
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