The dandruff is due to excessive shedding of the scalp, most often associated with an imbalance of the skin microbiota, notably a proliferation of yeasts of the genus Malassezia, and a more or less marked local inflammation. Their management relies on the use of active keratolytic agents, such as salicylic acid, which facilitate the removal of scales, and antifungal active ingredients, such as piroctone olamine or ciclopirox olamine, aimed at normalizing populations of Malassezia.
Panthenol cannot be regarded as a genuine anti-dandruff agent, as it exhibits neither antifungal activity nor a keratolytic effect.
However, its moisturizing, soothing, and restorative properties make it a valuable ingredient to include in anti-dandruff formulations. Pro-vitamin B5 can indeed help to enhance the tolerance of anti-dandruff treatments and reduce the itching sensations that may accompany dandruff.
This approach is illustrated by a clinical study conducted with 20 patients presenting with seborrheic dermatitis of the scalp ranging from moderate to severe. Participants were treated for four weeks with a combined regimen of keratolytic and antifungal actives (salicylic acid, piroctone olamine, zinc PCA), supplemented with moisturizing and soothing agents, including panthenol. The results demonstrated a significant reduction in dandruff, itching, and erythema as early as the fourth week, with an overall clinical improvement observed in 80% of patients. Furthermore, the treatment was well tolerated and no adverse effects were reported, likely in part thanks to panthenol.