It sounds frustrating to deal with heavy hair fall linked to stubborn dandruff that hasn't improved with treatment. Persistent dandruff causing hair loss may indicate an underlying scalp condition like severe seborrheic dermatitis or psoriasis, which often require specialized care.

• Since common treatments haven't worked, it’s important to see a dermatologist who can examine your scalp and possibly prescribe stronger or targeted therapies.
• Medications like topical corticosteroids combined with keratolytic agents (e.g., ointments containing clobetasol and salicylic acid) can reduce inflammation and scaling, but should only be used under medical supervision.
• Avoid harsh shampoos or frequent washing that might irritate your scalp further, and maintain gentle hair care practices.

If you notice worsening symptoms such as intense itching, redness, swelling, or signs of infection, seek medical attention promptly. Consulting a dermatologist will help tailor treatment to your specific condition and reduce hair fall effectively. If you want, I can explain more about treatment options or scalp care tips.To narrow down potential causes, we will need some more information.I understand you're dealing with hair fall and dandruff that hasn't responded to treatment. To better assist you, could you please provide your age and gender?