I'm sorry to hear that you're dealing with persistent dandruff and hair loss despite using an anti-dandruff shampoo. This can be frustrating, but there are several possible reasons and steps you can take:

• Evaluate the shampoo effectiveness: Sometimes, dandruff shampoos may not fully address the underlying cause if the dandruff is severe or due to conditions like seborrheic dermatitis or fungal infections. You might need a medicated shampoo with ingredients like ketoconazole, selenium sulfide, or zinc pyrithione.

• Check for other causes of hair loss: Hair loss can be related to factors such as stress, nutritional deficiencies, hormonal imbalances, or scalp infections. Persistent dandruff combined with hair loss warrants a thorough evaluation.

• Avoid over-washing or harsh treatments: Excessive shampooing or using harsh hair products can irritate the scalp and worsen dandruff and hair fall.

• Maintain a balanced diet: Include protein-rich foods, millets, dals, and seasonal vegetables and fruits common in Indian cuisine to support hair health.

• Consult a dermatologist: Since your symptoms persist despite regular shampoo use, it is important to see a dermatologist. They can examine your scalp, possibly perform tests, and recommend appropriate treatments tailored to your condition.

If you experience severe itching, redness, or scalp sores, seek medical attention promptly. Meanwhile, continue gentle hair care and avoid scratching the scalp.

Taking these steps can help manage your symptoms effectively. Please consider scheduling an appointment with a dermatologist for personalized care.To narrow down potential causes, we will need some more information.I understand that you're concerned about your persistent dandruff and hair loss in spite of using anti-dandruff shampoo. To better assist you, could you please provide your age and gender?