Why is my scalp so flaky?
Last updated September 3, 2026.
Flaky scalp is usually dandruff: a reaction to a yeast that lives on everyone's skin, speeding up skin shedding - and the NHS stresses it is not about poor hygiene. Stress and cold weather worsen it. An anti-dandruff shampoo with zinc pyrithione or ketoconazole, left on 5 minutes, is the fix. Pymander is a free AI doctor, 24/7 by text, and can help you pick the right approach.
What to do
- Get a medicated shampoo: zinc pyrithione or ketoconazole on the label.
- Leave it on 5 minutes before rinsing, and use it regularly - it is treatment, not ordinary washing.
- Switch active ingredients if one type fails after a few weeks.
- No progress in a month, or red, weeping, patchy scalp? See a GP.
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