I cleared my dandruff in three washes with cooling sensation from first wash.
I noticed a significant change with the first use, and in three washes, my dandruff disappeared with a cool sensation on my scalp.
This is a review from Amazon.com about product:
Head & Shoulders Clinical Dandruff Shampoo Twin Pack, Prescription Strength, Oil & Flake Control, Seborrheic Dermatitis Relief, Citrus, 13.5 Fl Oz Each (Set of 2)

Noticed a difference with the first wash, but it definitely took three washes to get the dandruff all cleared up. Has a nice cooling effect on my head.
Shampoo Basics & Tips
How Dandruff Shampoo Works
Dandruff is often caused by a yeast-like fungus called Malassezia, which leads to flaking and itching. Anti-dandruff shampoos contain active ingredients like zinc pyrithione, selenium sulfide, or ketoconazole that target this fungus, reduce scalp irritation, and slow down skin cell turnover. In the review, the user noticed a difference after the first wash, indicating the shampoo's immediate soothing effects, but it took three washes to fully clear dandruff, which is common as these ingredients need time to build up and restore scalp balance. Regular use helps maintain results and prevent recurrence.
The Cooling Effect in Shampoos
The cooling sensation mentioned in the review is typically due to ingredients like menthol, peppermint oil, or eucalyptus. These substances stimulate cold-sensitive receptors on the scalp, providing a refreshing feel that can soothe irritation and improve blood circulation. This not only enhances the user experience but may also help reduce inflammation associated with dandruff. For everyday use, such effects make shampooing more pleasant and can be particularly beneficial for those with sensitive or itchy scalps.
Optimal Shampoo Usage for Best Results
To achieve the best outcomes, as seen in the review where three washes cleared dandruff, it's important to use dandruff shampoo correctly. Start by applying it to wet hair, massaging into the scalp for 1-2 minutes to allow active ingredients to penetrate, and rinse thoroughly. For severe dandruff, use it 2-3 times weekly, then reduce frequency as symptoms improve. Over-washing can strip natural oils, leading to dryness, so balance with a moisturizing conditioner. Always follow product instructions and consider patch testing if you have sensitive skin.
Common Shampoo Questions and Tips
Many people wonder why dandruff returns or how to choose the right shampoo. Dandruff can recur due to factors like stress, diet, or seasonal changes, so consistency is key. Look for shampoos with proven anti-fungal agents and avoid those with harsh sulfates if you have dry scalp. Additionally, incorporating a healthy diet rich in zinc and B vitamins can support scalp health. If problems persist, consult a dermatologist to rule out conditions like psoriasis or eczema. Remember, individual results may vary, so give new products a few weeks to show full effects.
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