It sounds frustrating to deal with persistent dandruff and hair loss. Using a shampoo with ketoconazole, such as Ketomac 2% Dandruff Treatment Shampoo, can be effective because it targets the fungal causes of dandruff and helps reduce scalp inflammation and flaking.

• Apply the ketoconazole shampoo as directed, usually 2-3 times a week, leaving it on the scalp for a few minutes before rinsing.
• Avoid harsh hair products and maintain a gentle hair care routine to prevent further irritation.
• If dandruff and hair loss persist after 4-6 weeks of treatment, or if you notice scalp redness, swelling, or pain, consult a dermatologist for a thorough evaluation and possible additional treatments.

Seeing a dermatologist is important to rule out other causes of hair loss and to get personalized care. If you want, I can explain how ketoconazole works or suggest complementary scalp care tips.To narrow down potential causes, we will need some more information.I understand you're dealing with severe dandruff and hair loss. Could you please share your age and gender?