Cracked heels: causes, home treatment and when to see a doctor

Cracked heels (heel fissures) are very common, especially in dry weather and for people who stand a lot. Most cases heal within 1 to 2 weeks with a simple daily routine.

Why heels crack

  • Dry skin, especially in winter or hot, dry climates
  • Standing for long periods, particularly on hard floors
  • Open-back shoes and sandals, which let the heel fat pad spread
  • Long hot showers and harsh soaps
  • Extra body weight, which adds pressure on the heels
  • Conditions such as diabetes, thyroid problems, eczema, psoriasis and athlete’s foot

Nightly routine to heal cracked heels

  1. Soak your feet in warm (not hot) water for 10 minutes.
  2. Gently rub thick skin with a pumice stone or foot file. Don’t cut hard skin yourself.
  3. Pat dry and apply a thick foot cream to the heels, such as Himalaya FootCare Cream.
  4. Put on cotton socks overnight to help the cream soak in.
  5. Moisturise again in the morning.

Ingredients that help

  • Urea (10 to 25%) softens hard skin and holds in moisture
  • Salicylic acid or lactic acid gently remove thick, dead skin
  • Petroleum jelly, glycerin or shea butter seal in moisture

Prevent cracks coming back

  • Moisturise your feet every day
  • Wear closed-back, supportive shoes
  • Drink enough water and avoid very long hot baths
  • Check your feet for athlete’s foot, which can cause cracking. See athlete’s foot treatment.

When to see a doctor or podiatrist

  • Cracks that bleed, are deep or very painful
  • Redness, warmth, swelling or pus, which can mean infection
  • No improvement after 2 weeks of daily care
  • If you have diabetes or poor circulation: see a doctor or podiatrist about any crack or sore, as foot wounds can become serious quickly

Frequently asked questions

How long do cracked heels take to heal?

Mild cracks usually improve within a week of nightly care. Deeper cracks can take 2 to 3 weeks.

Is Vaseline good for cracked heels?

Yes. Petroleum jelly seals in moisture, especially under socks overnight. A cream with urea works faster on thick skin.

Can I use a razor to remove hard skin?

No. Cutting can cause deep cuts and infection. Use a pumice stone or foot file instead.

More in our Skin and Fungal Infections guide: all our articles and products on this topic in one place.

More in our Everyday Health guide: all our articles and products on this topic in one place.

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    This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

    How to get rid of dandruff: shampoos that work and how to use them

    Dandruff affects about half of adults at some point. It’s not caused by poor hygiene, and it’s very treatable. The key is using the right shampoo ingredient, the right way, consistently.

    What causes dandruff

    Most dandruff comes from a mild form of seborrhoeic dermatitis. A yeast called Malassezia, which lives on everyone’s scalp, breaks down scalp oils. In some people this irritates the skin and speeds up how fast skin cells shed, causing white or yellowish flakes and itching. Dandruff is often worse in winter, with stress, and in people with oily skin.

    Anti-dandruff ingredients compared

    IngredientHow it worksGood to know
    Ketoconazole 1%Antifungal; reduces the yeastOne of the most effective; use 2 times a week
    Zinc pyrithioneAntifungal and antibacterialGentle enough for frequent use
    Selenium sulfideSlows skin shedding and reduces yeastCan discolour light or colour-treated hair; rinse well
    Salicylic acidLoosens and lifts flakesHelps thick scale; can dry the scalp
    Coal tarSlows skin cell turnoverStrong smell; can stain light hair
    Tea tree oilMild antifungalOne small trial showed benefit with 5% tea tree shampoo; a gentler option for mild flaking

    For mild dandruff, a gentle option such as Himalaya tea tree or cooling mint anti-dandruff shampoo may be enough. For stubborn flakes, ketoconazole usually works best.

    How to use anti-dandruff shampoo properly

    1. Wet your hair and massage the shampoo into your scalp, not just your hair.
    2. Leave it on for 3 to 5 minutes before rinsing. This is the step most people skip.
    3. Use it 2 to 3 times a week until flakes clear, usually 2 to 4 weeks.
    4. Then keep using it once a week to stop dandruff coming back.
    5. If one shampoo stops working, switch to a different active ingredient.

    Other tips

    • Wash your hair often enough to stop oil building up
    • Avoid heavy oils and styling products on the scalp
    • Don’t scratch, which irritates the skin further
    • Manage stress and get enough sleep, which can reduce flare-ups

    When to see a doctor

    • No improvement after 4 to 6 weeks of regular medicated shampoo
    • Red, swollen, oozing or very itchy patches
    • Thick, silvery scale (possible psoriasis), or flaking on the face, eyebrows or chest
    • Hair loss in patches

    Frequently asked questions

    Is dandruff caused by a dry scalp?

    Usually not. Dry scalp flakes are small and white and improve with gentle shampoo and moisturising. Dandruff flakes are often larger, oilier and itchy, and need an anti-dandruff ingredient.

    Does dandruff cause hair loss?

    Not directly, but scratching can damage hair. Treating the itch helps. See our guide to hair loss treatment for men.

    Can I use anti-dandruff shampoo every day?

    Gentle ones such as zinc pyrithione can be used often. Stronger ones such as ketoconazole are usually used 2 to 3 times a week.

    More in our Hair Loss guide: all our articles and products on this topic in one place.

      Ask a pharmacist

      Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

      This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

      Liv.52 vs milk thistle: how the two liver supplements compare

      Himalaya Liv.52 and milk thistle are two of the best-selling liver supplements in the world. One is a multi-herb Ayurvedic formula from India; the other is a single herb from European tradition. Here’s how they compare, and what neither can do.

      At a glance

      Himalaya Liv.52Milk thistle
      What it isAyurvedic blend of about 19 herbs, led by caper bush and chicorySingle herb (Silybum marianum), standardised for silymarin
      Traditional useLiver support, appetite and digestionLiver and gallbladder support
      EvidenceSome small studies, mostly older; good long-term safety recordMany studies; no clear benefit shown for liver disease
      Typical adult dose2 tablets twice a day (regular strength), or as on the packOften 140 to 420 mg silymarin a day, split into doses
      Common side effectsRare; mild stomach upsetMild stomach upset, bloating; allergy in people sensitive to ragweed or daisies
      FormsTablets, DS (double strength) tablets, drops, syrup, pet versionCapsules, tablets, tea, liquid extract

      Himalaya Liv.52

      Liv.52 has been sold since 1955 and is one of India’s most widely used herbal products. It combines caper bush (Himsra), chicory (Kasani), black nightshade, arjuna and other herbs traditionally used to support liver function and appetite. A double-strength (DS) version means fewer tablets a day.

      Milk thistle

      Milk thistle’s active compounds, together called silymarin, act as antioxidants in lab studies. In people, trials in alcohol-related liver disease, hepatitis and fatty liver haven’t shown consistent benefit. It’s considered safe for most adults.

      Which should you choose?

      • If you want a traditional all-round formula that also supports appetite and digestion, Liv.52 is the more common choice.
      • If you prefer a single, standardised herb, milk thistle is easy to find.
      • Don’t take several liver supplements at once without asking a doctor.

      Neither one treats liver disease, undoes the effects of heavy drinking, or replaces medical care. The habits that matter most are covered in our guide on how to support your liver.

      Who should check with a doctor first

      • Anyone with liver disease, hepatitis or jaundice
      • Pregnant or breastfeeding women
      • People taking prescription medicines, especially diabetes medicines (milk thistle may lower blood sugar) and medicines broken down by the liver
      • People allergic to plants in the daisy family (milk thistle)

      Frequently asked questions

      Can I take Liv.52 and milk thistle together?

      There’s no known dangerous interaction, but there’s also no evidence that combining them helps. Ask your doctor or pharmacist first.

      How long until I notice a difference?

      Herbal supplements work gradually. Most people take them for at least 4 to 8 weeks.

      Do they protect the liver from alcohol?

      No supplement makes heavy drinking safe. Cutting down on alcohol is what protects your liver.

      More in our Digestive Health guide: all our articles and products on this topic in one place.

        Ask a pharmacist

        Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

        This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist. Supplements are not evaluated by the FDA to diagnose, treat, cure or prevent any disease.

        Hair loss treatment for men: options compared, from minoxidil to transplants

        Around two in three men notice some hair loss by their mid-30s, most often from male pattern baldness (androgenetic alopecia). The treatments that work best slow the loss and regrow some hair, but they all need patience and consistency. This guide compares the options so you can choose what fits you.

        First, confirm the cause

        Male pattern baldness follows a typical pattern: a receding hairline at the temples, thinning at the crown, or both, developing over years. See a doctor first if your hair loss is sudden, patchy, comes out in clumps, or comes with an itchy, scaly or sore scalp. Thyroid problems, low iron, stress and some medicines can also cause shedding.

        Treatments compared

        TreatmentHow well it worksTime to see resultsPrescription?Main downsides
        Minoxidil 5% (foam or solution)Good: slows loss and regrows some hair in many men3 to 6 monthsNoDaily use for life; early shedding; scalp irritation
        Finasteride tabletsVery good, especially at the crown3 to 12 monthsYesSmall risk of sexual side effects and mood changes
        Minoxidil + finasterideBest of the medical options3 to 12 monthsFinasteride: yesAs above
        Microneedling (with minoxidil)May boost minoxidil’s effect in small studies3 to 6 monthsNoNeeds care to avoid infection; done weekly
        Low-level laser caps or combsModest at best; FDA-cleared devices exist4 to 6 monthsNoExpensive; time-consuming
        Hair transplantNatural, lasting results for stable loss9 to 12 monthsSurgeryCostly; you still need medicine to keep the rest
        “Hair growth” shampoos and supplementsWeak evidence unless you have a deficiencyN/ANoCan waste money

        Minoxidil: the first step most men try

        Minoxidil is available without a prescription. For men, the 5% strength works better than 2%. Apply it to a dry scalp twice a day for the solution, or once a day for the foam. Expect some extra shedding in the first weeks, which usually means it’s working. If you stop, the regrown hair falls out over a few months. Read more in Rogaine 2% vs 5% and minoxidil side effects.

        Finasteride: talk to a doctor

        Finasteride lowers DHT, the hormone that shrinks hair follicles in male pattern baldness. It needs a prescription because it isn’t right for everyone: a small number of men get lower libido or erection problems, and mood changes have been reported. A doctor can explain the risks and benefits for you. Women who are or may become pregnant must not handle broken tablets.

        Supporting habits

        • Use a gentle shampoo that suits your scalp. Strengthening shampoos such as Himalaya Bhringaraja can reduce breakage, but they won’t stop pattern baldness.
        • Treat dandruff, which can make the scalp itchy and inflamed
        • Avoid tight hairstyles and harsh heat styling
        • Eat enough protein, iron and zinc; ask your doctor to check your levels if you’re worried
        • Take photos in the same light every month so you can judge progress honestly

        Frequently asked questions

        Can male pattern baldness be cured?

        No, but it can be slowed and partly reversed. The earlier you start, the more hair you keep.

        How long should I try a treatment before giving up?

        At least 6 months for minoxidil, and up to 12 months for finasteride.

        Is it too late to start?

        Treatments work best on thinning hair, not on areas that have been bald for years. For those areas, a hair transplant is the main option.

        Related: Hair loss in women

        More in our Hair Loss guide: all our articles and products on this topic in one place.

          Ask a pharmacist

          Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

          This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

          How to support your liver: what actually helps and what doesn’t

          Your liver does hundreds of jobs, from processing nutrients and medicines to clearing alcohol and making proteins your blood needs. The good news is that it’s remarkably good at repairing itself. The best way to support it is with everyday habits, not “detox” products.

          The biggest risks to your liver

          • Fatty liver disease, now called MASLD, linked to excess weight, type 2 diabetes and high cholesterol. It affects around 1 in 4 adults worldwide and often causes no symptoms.
          • Alcohol, which can cause fatty liver, inflammation and eventually scarring (cirrhosis)
          • Viral hepatitis B and C, spread through blood and, for hepatitis B, sex and childbirth
          • Medicine and supplement overdose, especially acetaminophen (paracetamol)

          What actually helps

          1. Keep alcohol low

          If you drink, US guidance is no more than 2 drinks a day for men and 1 for women, with several alcohol-free days a week. Less is better for your liver.

          2. Reach and keep a healthy weight

          Losing 5 to 10% of body weight can reduce liver fat significantly in people with fatty liver. See how to lose weight safely.

          3. Move more

          Regular activity reduces liver fat even before you lose weight. Aim for 150 minutes a week of brisk walking or similar.

          4. Eat for your liver

          • Plenty of vegetables, fruit, whole grains, beans and fish
          • Fewer sugary drinks and sweets, as fructose is turned into fat in the liver
          • Fewer ultra-processed and fried foods

          5. Coffee may help

          Large studies link regular coffee drinking to a lower risk of liver scarring and liver cancer. If you already drink coffee, 2 to 3 cups a day without lots of sugar seems fine for most people.

          6. Use medicines carefully

          • Never take more acetaminophen (paracetamol) than the label says. Check cold and flu products, which often contain it too.
          • Avoid acetaminophen and alcohol together.
          • Tell your doctor about every supplement you take.

          7. Protect yourself from hepatitis

          Get vaccinated against hepatitis A and B, use condoms, never share needles, razors or toothbrushes, and get tested for hepatitis C if you’ve ever been at risk.

          Do liver supplements and detoxes work?

          “Liver detox” products: your liver detoxifies on its own, and there’s no good evidence that detox teas or cleanses help. Some can harm.

          Milk thistle (silymarin): widely used and generally safe, but studies haven’t shown clear benefit for liver disease.

          Ayurvedic formulas such as Himalaya Liv.52 are traditionally used to support liver function and appetite. They can be part of a healthy routine, but they don’t replace the habits above or medical treatment.

          Be careful with some herbal products: a few supplements have been linked to rare liver injury, including high-dose green tea extract, garcinia, kava and, rarely, ashwagandha. Buy from reputable brands, don’t exceed the dose, and stop if you notice the warning signs below.

          Warning signs: see a doctor

          • Yellow skin or whites of the eyes (jaundice)
          • Dark urine or pale stools
          • Itchy skin without a rash
          • Pain or swelling in the upper right tummy, or a swollen belly or legs
          • Unusual tiredness, easy bruising or confusion

          A simple blood test (liver function tests) can check how your liver is working. Ask your doctor if you have diabetes, excess weight, drink regularly or have hepatitis risk factors.

          Frequently asked questions

          Can the liver repair itself?

          Yes. The liver can regenerate, and early fatty liver often reverses with weight loss, exercise and less alcohol. Advanced scarring (cirrhosis) is harder to reverse, so early action matters.

          What are the first signs of liver problems?

          Often there are none. That’s why blood tests matter if you have risk factors. Later signs include tiredness, jaundice, dark urine and itching.

          Which drinks are good for the liver?

          Water and coffee, in moderation. Cut back on sugary drinks and alcohol.

          More in our Digestive Health guide: all our articles and products on this topic in one place.

            Ask a pharmacist

            Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

            This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist. Supplements are not evaluated by the FDA to diagnose, treat, cure or prevent any disease.

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