Suboric dermatities... On scalp - #14447

Week 1–4

Ketoconazole 2% shampoo → Mon, Wed, Fri

Ciclopirox shampoo → Tue, Sat

Face: Ketoconazole cream daily + Hydrocortisone 5 days if flare

After Week 4

Ketoconazole shampoo weekly

Face: Ketoconazole cream 2–3 times/week

Hello dear See as per clinical history you can follow below precautions and medication rosemary oil for hair gain Biotin- medications for growth Ketoconazole 2% (Nizoral) – antifungal shampoo twice a day for 2 weeks Aquaphor moisturizer twice a day for 1 month Selenium Sulfide (Selsun Blue) – shampoo for 1 month ( twice use) In addition Please use bhringraj or onion oil for gentle massage Take balanced diet and avoid synthetic supplements Take abundance of gram and nuts In case of no improvement in 1 month consult dermatologist in person for better clarity Hopefully you recover soon Regards

Hello Sohail By going through your history and evaluation of your health I am suggesting you following treatment as follows - Rx- 1. Seborrheic dermatitis happens due to excess oil and yeast growth on the scalp, causing dandruff, itching, and hair fall. 2. Use ketoconazole or zinc pyrithione-based shampoo twice a week, leaving it on your scalp for 5 minutes before rinsing. 3. Apply a mild steroid or antifungal lotion like clobetasol or miconazole (only if prescribed by your doctor) to control inflammation. 4. Avoid oiling the scalp frequently it can worsen dandruff. Keep the scalp clean and dry. 5. Eat a balanced diet rich in zinc and vitamin B complex, manage stress, and sleep well, as stress often triggers flare-ups.

Thank you

Hello Sohail, I understand your frustration. Here is my advise for your Seborrheic Dermatitis -

1. Alternate between ZPTO Shampoo and Ketoconazole 2% Shampoo: 2-3 times per week.

2. During Flare ups - Clobetasol Lotion on scalp once daily × 5-7 days only. Long use will lead to side effects and will do more harm then benefit.

3. Once symptoms settle, use antidandruff shampoo weekly once or twice. Use a light, oil-free conditioner only on hair ends. Avoid heavy oils on the scalp.

4. Diet & Lifestyle Guidance- Foods to limit: Excess dairy, sugar, refined carbs, fried/oily foods, and alcohol as these can worsen inflammation. Some people are sensitive to yeast-rich foods (bread, beer). Foods to include: Fruits & vegetables (antioxidants). Omega-3 rich foods – flaxseeds, walnuts, fish. Probiotics – curd, yogurt, kefir (if not causing flare). Drink plenty of water and manage stress (meditation, sleep).

5. Additional Tips: Avoid daily hair oiling on scalp as it feeds the yeast. Wash scalp after sweating. Do not scratch or pick flakes as it worsens inflammation.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

Hello Sohail,

Use Medicinal Shampoos (use 2–3 times/week)

Rotate between these ;(alternatively) 1.Ketoconazole 2% shampoo 2.Zinc pyrithione / Selenium sulfide shampoo 3.Coal tar shampoo (if very thick flakes) 👉 Leave shampoo on scalp for 5 minutes before rinsing.

Daily Care

Avoid hot oil massage (can worsen yeast growth). Don’t scratch scalp -it increases hair fall. If itching is not subsiding after 4 weeks /severe consult a dermatologist in person

Maintain proper Lifestyle : Reduce sugar and dairy Eat more fruits, vegetables, omega-3 rich foods (fish, walnuts, flaxseed).

Manage stress and sleep, both strongly trigger seborrheic dermatitis.

I trust this helps Thank you

Hi Dear Sohail, I can understand your concern totally Kindly donot worry For seborrhic dermatitis kindly follow below mentioned advices it has remission and relapse so you need to be prepared Kindly wash your scalp twice a week with normal shampoo and then apply TARRYSHINE shampoo soak for 10 min and then wash off use a conditioner after bathing and wash it off Avoid any oily preparations like serum , oil ,beard oil wear caps avoid dusty regions Take proper hydration cap VIT D3 60KIU twice weekly for 4 weeks In food there is no restriction if you are allergic kindly avoid that TRY TO CUT DOWN SUGAR take care

For managing seborrheic dermatitis, especially on the scalp, understanding that this is a common and recurrent condition can help set expectations. The cause is often related to yeast overgrowth and oily skin, so aiming to reduce these factors can be beneficial. Over-the-counter anti-dandruff shampoos that contain ingredients like selenium sulfide, zinc pyrithione, or ketoconazole can be useful; they should be used regularly, around twice a week or as advised, followed by rinsing thoroughly to minimize irritation. Prescription treatments, including stronger antifungal shampoos or topical corticosteroids, might be needed for more severe cases, so it’s good that you’ve consulted dermatologists before. Regarding dietary factors influencing seborrheic dermatitis, direct links between food intake and flare-ups are largely anecdotal, with limited scientific backing. Some people find that reducing intake of high-sugar and high-fat foods helps, while others notice triggers from dairy, such as milk, but this isn’t universally applicable. It’s useful to keep a food diary to see if any particular foods appear to exacerbate your symptoms, giving you a personalized approach to dietary modifications. A balanced diet rich in whole grains, fruits, vegetables, and lean proteins alongside omega-3 fatty acids—like those found in fish—may support better skin health. Stress reduction through activities like exercise or mindfulness can also have a positive effect on symptom management as stress has been noted to provoke outbreaks. Since it’s persistent, regular follow-ups with a dermatologist can optimize your treatment regime over time.

Seborrheic dermatitis is chronic but controllable; the most reliable treatment plan involves regular anti-fungal control (ketoconazole or ciclopirox shampoo 3 times/week) and short courses of mild steroid or calcineurin cream (like pimecrolimus/tacrolimus) for flare areas. Avoid switching products frequently; instead, stick to one dermatologist’s protocol for at least 6–8 weeks because this condition improves slowly. Please consult a Dermatologist (MD/DVL) to tailor the strength of medications and to check for triggers like stress, dandruff fungus overgrowth, or hormonal issues.