What is Seborrheic Dermatitis? Symptoms and Treatments

Treatment: Shampoos and Washing Methods

When it comes to treating seborrheic dermatitis, using the right shampoos and washing methods can make a significant difference. There are various over-the-counter dandruff shampoos available that you can try. However, since different shampoos contain different active ingredients, it may require a bit of trial and error to find the one that works best for you.

Some of the main medical ingredients found in these shampoos include pyrithione zinc, salicylic acid, and selenium sulfide. It is recommended to clean your scalp every day until the symptoms of seborrheic dermatitis subside. Once the symptoms have improved, you can reduce the frequency and wash your hair regularly, typically one to three times a week.

It is essential to carefully follow the directions provided with the shampoo and leave it on for the recommended amount of time. If you find that a particular shampoo is effective initially but becomes less so over time, don’t hesitate to try another one.

If you have facial hair, it is important to pay attention to your beard as well. Washing your beard with a shampoo containing one percent ketoconazole daily can help manage seborrheic dermatitis symptoms. Once the symptoms have resolved, you can continue shampooing it once a week, unless you prefer to shave it off completely.

For babies with seborrheic dermatitis, gently washing the affected area, commonly known as cradle cap, with a non-medicated shampoo once a day is recommended. Before rinsing out the shampoo, using a soft-bristled brush to loosen the greasy scales can be helpful.


Treatment: Creams and Ointments

Effectively treating seborrheic dermatitis often involves the use of creams and ointments. One common ingredient found in antifungal creams is ketoconazole, which is also present in the ketoconazole shampoo used for facial hair. It is important to note that when using these creams, they should not come into contact with your eyes. Another option for relief is corticosteroid cream, which can help alleviate symptoms. However, it is crucial to keep in mind that corticosteroid creams should be used with caution due to potential side effects. Additionally, there are medicated creams available that contain calcineurin inhibitors like tacrolimus and pimecrolimus. These treatments may have fewer side effects compared to corticosteroid creams, but they tend to be more expensive. It is worth mentioning that the Food and Drug Administration (FDA) raises concerns about these creams due to potential links to cancer.

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