What helped me the most in long term was founding a shampoo with piroctone olamine. I haven't really had to worry about flakes (excluded minor few times) during the several years I've been using that. I won't bother with brand names as the brand is only sold in my country. But piroctone olamine shampoos can be found from many brands.
Before finding my shampoo, I used Nizoral when needed and pre-shampoo vinegar soaks (just pour to scalp, let it sit 10 or so minutes, wash as normal. The latter method scared the heck out of me the first time I used it, as it seemed like my scalp would have become even more flakey, but apparently it was just the old flakes that the acid in vinegar had helped to exfoliate. Gross, I know
But you asked and I deliver!
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