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I have seborrheic dermatitis on scalp
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Skin & Hair Concerns
Question #11342
323 days ago
459

I have seborrheic dermatitis on scalp

Nithish reddy

I'm 21 years old. I have seborrheic dermatitis on scalp. I have more itching and more hairfall I have used many shampoo but it didn't work. Can u suggest me how to get clear scalp with proper treatment

Hair
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Doctors' responses

Hi Nithish 😊

šŸ”Ž Why it happens

May be;

•	Overgrowth of yeast (Malassezia) on scalp.
•	Excess oil + inflammation.
•	Stress, weather changes, harsh shampoos can worsen it.

āœ… Treatment

1. Medicinal Shampoos (use 2–3 times/week)

Rotate between these (available in most pharmacies): • Ketoconazole 2% shampoo (anti-fungal) • Zinc pyrithione / Selenium sulfide shampoo • Coal tar shampoo (if very thick flakes) šŸ‘‰ Leave shampoo on scalp for 5 minutes before rinsing.

2. Daily Care • On non-medicated days, use a mild, fragrance-free shampoo (like baby shampoo). • Avoid hot oil massage (can worsen yeast growth). • Don’t scratch scalp → it increases hair fall.

3. If itching is not subsiding after 4 weeks /severe • Consult a dermatologist in person

4.Maintain proper Lifestyle & Diet • Reduce sugar and dairy (they feed yeast). • Eat more fruits, vegetables, omega-3 rich foods (fish, walnuts, flaxseed). • Manage stress and sleep, both strongly trigger seborrheic dermatitis.

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Hi sir if you are diagnosed with seborrhic dermatitis FIRST IMPORTANT ADVICE i would give is AVOID OIL Application Avoid oil in any form like beard oil serum etc Wash your hair atleast thrice weekly Wear caps while outdoors to prevent dust Take vitamin D 3 once a week for 6 weeks (60KIU) Try FLAKOFF Serum Try CLOBETASOL lotion twice a week apply at night and wash in the morning and after applying wash your hands or else peeling of skin happens TARRYSHINE Shampoo thrice a week Good hygiene Remissions and relapse happens dont worry it has no cure we can control this take care sir

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Seborrheic dermatitis causes scalp itching, dandruff, and hair fall, and since regular shampoos didn’t help, you likely need medicated antifungal shampoos (like ketoconazole, zinc pyrithione, or selenium sulfide) used 2–3 times a week. Along with this, avoid frequent oiling, use mild lukewarm water, and keep stress under control since it worsens flares. Please consult a dermatologist who may prescribe antifungal lotions, mild steroid/anti-inflammatory solutions, or oral medication if the condition is severe.

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Hello dear See as per clinical history it seems chronic condition in which itching can be due to fungal infection or dust exposure. Iam suggesting some precautions and medication for improvement in the condition Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day Selenium Sulfide (Selsun Blue) – antifungal shampoo

Clotrimazole or Miconazole – antifungal creams for topical use In addition following preventive measures are must Avoid excess moisture and keep the infected arecompletely dey If possible dry with clean towel Have good exposure of sunlight apply aquaphor moisturizer for hydration In addition please follow below instructions Avoid exposure to pollen or contaminated area Lastly,Use bhringraj or onion oil for head massage Hope your problem subsides by my solutions . In case of no improvement in 1 month, consult dermatologist in person for better clarification Hopefully you recover soon Regards

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Hello nithish As you have described that you sebbroaric dermatitis

Rinse your scalp with ketostar shampoo 3 times a week Apply tacrolimus solution 0.3% w/w 2 hours prior to shampoo Not apply oil Tab itraconzole 200 mg once daily for 7 days

Tab follihair daily post meal afternoon

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RX, 1) Shampoo Ketostar Apply on your wet scalp leave for 5 mins and rinse it off use twice weekly for 4 weeks 2) cap fluconazole 150mg One cap weekly for 4 weeks Thank you.

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Seborrheic dermatitis can be persistent, but there are several methods you can try to manage the condition more effectively. First, consider using a medicated shampoo containing active ingredients such as ketoconazole, selenium sulfide, zinc pyrithione, or salicylic acid. These help reduce fungus and relieve scaling, itching, and irritation. Use the shampoo according to the instructions, usually at least two or three times a week, and allow it to sit on your scalp for several minutes before rinsing to maximize its benefits. In addition, gently massage it into your scalp rather than scrubbing harshly, as this can cause more irritation. If you’ve been using these options without success, you might try alternating between different medicated shampoos to find which works best for you. Sometimes, topical antifungal creams or corticosteroid solutions prescribed by a doctor might be necessary to reduce inflammation and irritation if over-the-counter products aren’t effective enough. Moisturizing your scalp with a non-irritating oil like coconut oil could help reduce dryness; apply it, let it sit for 20-30 minutes, and then rinse thoroughly. However, it’s important not to over-moisturize, as overdoing it might exacerbate the issue. Make sure you maintain a stress management routine, as stress can worsen seborrheic dermatitis. If symptoms persist or worsen, it’s advisable to consult a dermatologist, as they can offer tailored advice or identify any underlying conditions contributing to your symptoms like psoriasis or eczema. Regular follow-ups if needed will ensure that your treatment plan remains effective, adjusting it based on how your condition progresses.

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