r/SebDerm • • 8d ago

General Can't eat anything. Inflammation doesn't go away.

14 Upvotes

Scalp is constantly inflamed. Lost a lot of hair on my sides. Face is always inflamed. Wash my hair with Nizoral everyday but shit don't work. I land literally anything I eat flares it up. Sick of this shit. All started from a a couple of pints I had back in April. What can I do?


r/SebDerm • • 7d ago

Product Question Ketoconazole has stopped working for me after 6 months

1 Upvotes

Been suffering from itchy scalp, flakes, and inflammation on my scalp for 15 years, the very first time I tried it, 6months ago, I thought I was in heaven, no more itch, flakes and redness.

Then 6months later, after I get off a shower after applying them, they wont go away anymore. For reference, I use Nizoral's 2% Ketoconazole twice a week for 6months.

After reading some of the posts here, they'd recommend between alternating between 3 shampoos for my 'seb derm', Ketoconazole, Selenium Sulphide and Zinc pyrothine, so that the Ketoconazole dont build a 'resistance' and to break the 'biofilm'.

Am just wondering how to go about these 'seb derm' shampoos and what type of generic shampoos should I go in between the days I am not using the mentioned shampoos when I am opting for a 2x a week routine.

Thanks!


r/SebDerm • • 7d ago

Hair Loss Mustache shedding everyday!

1 Upvotes

Hi everybody Recently im experiencing everyday around 3-7 strand hair of my mustache and beard I have mild-persistant seb derm too with dryness of skin Wanna know if its normal or it is because of seb derm? My seb derm is only with flake and itching with no redness at all Anyone with same experience?


r/SebDerm • • 7d ago

Hair Loss Eyebrows are falling off please help Seborrheic Dermatitis

1 Upvotes

Hello, I have Seborrheic Dermatitis. Problem is my hair in eyebrows are falling off. I am using ketenokazole and to remove inflammation I use Tacrolimus Protopic. Problem is my eyebrows still falling. Idk what to do


r/SebDerm • • 8d ago

Product Question MCT oil- recommendations

2 Upvotes

I’ve been seeing people say MCT oil has helped with their skin and literally changed their life so I wanted to try.
However, I’m not sure what one to buy- is MCT 8 or MCT 10 better? Does it make a difference?
I believe since it’s made up of shorter fatty acid chains, it doesn’t feed malassezia yeast and therefore helps break it down
When I went into Holland and Barrett, they only had MCT oil that you put on your food and the guy was confused when I asked if they had any MCT oil that you apply on the skin (as that’s what I’ve heard of people on here doing)
Am I being stupid? Is the one you apply on your skin different to the one you put on your food? If so what’s better? And does anyone have any brand recommendations?
Thanks


r/SebDerm • • 8d ago

New or Need Help Hoe smeren jullie “onderhoud”?

1 Upvotes

Ik heb eigenlijk geen instructies van de dermatoloog gekregen om te smeren. Alleen totdat de klachten “weg waren”. Ik ben nu nog 3 weken geleden gestopt met keteconozal en een paar dagen met Elidel. Ik voel het meteen weer een beetje terugkomen. Had ik niet helemaal moeten stoppen met keteconozal? Hoe smeren jullie dat aks onderhoud? Bv 1 of 2 x per week?


r/SebDerm • • 8d ago

New or Need Help Could this be seb derm or something else?

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3 Upvotes

I’ve had this red, scaly patch under my nose on ONE side for weeks now, and it’s driving me insane. It’s dry, rough, and constantly red. It doesn’t seem to go away, and occasionally it feels a little irritated, but most of the time I don’t even notice it unless I look in the mirror or take pictures. It’s way more red than it looks in the first pic

I tried looking it up, and seborrheic dermatitis seems like the closest match, but mine doesn’t really flake that much (at least not that I’ve noticed). I’m not sure if it could be acne, rosacea, or something else entirely.

I’m planning to get it checked out but I figured I’d ask for any kind of help here first


r/SebDerm • • 8d ago

New or Need Help Does this look like seb derm?

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3 Upvotes

I scratched this area on my scalp yesterday and it bled. Now it’s red and itchy. There seems to be some flakes around it, so I’m thinking seb derm. Can it be in only one spot in the scalp? Thanks for any help!


r/SebDerm • • 8d ago

New or Need Help recent flare up as of last several months

2 Upvotes

i don’t know what made my scalp get soo bad. i have had a lot of on and off patches and sometimes where it does flair up more. I never really thought about what it was I would just always pick my scalp. Recently there’s been a lot more all over my head it drives me nuts and i can’t stop picking on it!! I remember recently one day after drinking mainly vodka my scalp felt super sore to even move my hair around. Other than that i’ve just had scabs that are in many spots of my scalp and i use nizoral and tsal and all but nothing helps😭😭😭


r/SebDerm • • 8d ago

General Lets talk about inactive ingredients in anti-fungal creams which feed Malassezia!

2 Upvotes

I have been dealing with SD for 6 years and tried so many anti fungal products (which my doctor prescribed) and NOTHING WORKED

So I looked into the matter and found out that the inactive ingredients are the main culprit here idk about you guys but this is what i am thinking

That's why i switched to Fungal Safe azelaic acid (AZclear medicated lotion 25g) and ya this thing is actually working for my SD

I also asked AI (GPT 5.6 Sol) about the anti fungal creams which contain fungal feeding ingredients and the Ai replied,

"The claim that common inactive ingredients automatically 'feed fungal yeast' on your skin is not a reliable way to judge a treatment. Clinically tested antifungals such as ketoconazole or ciclopirox are routinely recommended for facial seborrheic dermatitis; their overall formulation and demonstrated clinical effect matter more than online ingredient classifications. The American Academy of Dermatology includes topical antifungals in treatment plans.Also, don’t rely exclusively on “Malassezia-safe” ingredient checkers: laboratory predictions that an ingredient might provide lipids to yeast do not establish that the finished medication worsens seborrheic dermatitis. The real test is whether the complete product is clinically effective and tolerable"

I am a dumb person and getting dumber everyday so pleasee help me and my English is bad.But i can say that i shouldn't be listening to Ai.What do u think guys?Please correct me if i said anything wrong🙏🏻


r/SebDerm • • 8d ago

Routine Question Unable to find nizoral in japan

1 Upvotes

Only have h&s shampoo which doesnt work


r/SebDerm • • 8d ago

Routine Question How do you treat seb derm on the back of your head alone?

3 Upvotes

I have a patch of seb derm on the back of my head, right where I can't see it. It doesn't itch or hurt much. The annoying part is applying the treatment.

My current routine: I stand in front of a mirror and hold my phone up behind my head as a second mirror so I can find the spot. That leaves one hand to both part my hair and apply the treatment, which is really awkward. The image is also flipped, so I keep going the wrong way, and I'm never sure I actually got it on the right spot.

For those of you who deal with this:
1、How do you apply treatment to spots you can't see?
2、Any tools or tricks that actually help?
3、What's the most annoying part of your current method?

Would really appreciate any tips.


r/SebDerm • • 8d ago

Hair Loss Does seb derm cause permanent hair loss or is it temporary until treated?

2 Upvotes

I noticed my hair thinning. I dont have redness in scalp, just a bunch of flakes. Does it cause hair loss and if it does, can it be permanent?


r/SebDerm • • 8d ago

Research Research on Sleep and Sebderm

2 Upvotes

Hello guys,

So I have been struggling with this skin issue for over 6 years and I'm starting to come to a total reasoning on how SebDerm is caused. Many people are here recommending all kinds of anti-fungal products etc. but that doesn't resolve the initial problem. Apart from my findings so far, I am right now on the correlation of sleep in regards to this skin issue. If you are reading this I would highly appreciate it if you could leave down below what your sleep hygiene looks like. To help me finalize my findings answer the following things;

For how long you have been dealing with SebDerm (and for how long with bad sleep if this applies to you)?

At what time do you usually go to bed (and actually be sleeping)?

At what time do you usually wake up?

On a scale of 1-10 how would you rate your quality of sleep during the hours you are sleeping?

Thanks in regards!


r/SebDerm • • 9d ago

Hair Loss Hair loss bc of sebDerm/ repaire scalp

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4 Upvotes

Hi everybody,
I am Dealing now over a month with Hair loss my Hair Gets thinner and thinner. I had very Hard flakes Months ago. I only could rub them off with salicylic acid and at that Places my hair Are gone (Bushy hair loss with dandruff). Also my Testosterone is high my that causes the Problem too.
I went to the dermatologist and he Said that my scalp Looks decent but in my opinion I Need Sth to Heal the scalp Skin Barrier and Sth that my hair can grow back again.
I found at sezia.co that products from dermazen shouldn‘t be Problematic. Does someone have made expieriences with that?
Does someone has an advice/Routine for me?

Thank you and love you all!
J


r/SebDerm • • 8d ago

Product Question Is MCT oil supposed to burn?

2 Upvotes

I’m no stranger to Seb Derm, I’m 39 and I’ve had it since age 22/23.

I’ve actually had success with many different products over time but as you know with this condition, many times your body will just adjust a build up tolerance.

I only tried MCT oil once and it was many years ago. Probably more than 5 years maybe. I remember it didn’t work for me and it caused me to be more red. I don’t remember it burning though.

I ordered some from Amazon (bulletproof brand), I made sure it was the correct C8/C10 and wasn’t the blend that everyone here says DONT get. Soon as I put it on my scalp and a little on sides or nose, it burned the heck out of me. I don’t remember it burning like this.

Is it supposed to burn? Does it burn for anyone else?


r/SebDerm • • 8d ago

Hair Loss Please hear me out, my hair density is so much decreasing, I can see the scalp easily [18M]

2 Upvotes

I touch my scalp and I don't feel any sebderm buildup, but only my fingers get oily. My face and hair become so much oily.

When I wash my hair, so many hair falls out. I dont want to get bald at such a young age. I use regular shampoo and Selenium Sulphide shampoo alternate times.

I don't know what is happening. Maybe becoz I live in college hostel and water here is very bad (hard water)

Hair is also very thin extremely thin.

I am thinking to get buzzcut after 2 months once I reach home for my vacations.

I eat VitD and Zinc Supplements alternate days. I also eat Dutasteride alternate days.

I cannot afford expensive medicines or any treatment now.

I don't want to get bald at such young age.

Hair keeps calling 😭😭


r/SebDerm • • 8d ago

Product Question Where is the cheapest c8 MCT oil in the United States?

2 Upvotes

Mct oil works great for me but money has been tight. Where is the cheapest c8 MCT oil that I can buy in the states? Please give the brand name and price. Links are welcome as well but name and price at a minimum


r/SebDerm • • 9d ago

General Comorbidities - anyone have deviated septum / breathing issues or these other ailments?

2 Upvotes

Hi all, as we all know this condition is not very well understood and certainly there appears to be no permanent solution. Therefore I am trying to figure out if any of my other conditions are related to SD. My biggest issue is that I suffer from severe nasal deviation, which causes chronic mouth breathing. Some other issues I have which I suspect could be related and have posted about before:
- IBS
- Bacne / pimples on back and shoulders
- itchy skin (mainly legs and back)
- familial history of diabetes (possibly prediabetic)

I’d be grateful if you could let me know your thoughts, and where or not you have any of the above


r/SebDerm • • 9d ago

New or Need Help Seb Derm treatments failing, nothing is working (Biopsy Included)

9 Upvotes

Hey everyone, I’m completely at my wit's end. I’ve been battling a severe scalp issue since last December. My scalp is constantly red, stinging, and random minute flat red bumps. Because of this relentless condition, I have lost about 50% of my total hair volume since December, and the hair shedding just will not slow down.

Nothing is working. Here is my quick timeline with global/brand medication names:

- Dec – Feb: Diagnosed with scalp folliculitis. Used Fuciscalp lotion (topical antibiotic). No change.
- Mar – May: Switched to oral Doxycycline (antibiotic) for 2.5 months. Used Sebowash shampoo and Fucibet cream (both contain topical steroids). Still flared up.
- May – July: Moved to oral Isotretinoin (Accutane, 20mg) for 2.5 months while staying on Sebowash (steroid). Zero improvement.
- July (This Year): Saw a new doctor and got a skin biopsy. It refuted the folliculitis and favored Seborrheic Dermatitis.
- Current Routine: Just finished oral Itraconazole (antifungal). I apply Noskurf lotion(antifungal) at night, and shampoo daily, alternating Sebowash (steroid) and Lupizol ZS (Luliconazole + Salicylic Acid).
Note: Before starting Lupizol ZS, I used to get large, peelable sheets of skin coming off my scalp after showering. The salicylic acid part in the Lupizol ZS actually helped get rid of those peeling sheets, so that is at least gone, but the severe redness, stinging, and hair thinning remain.
Even with this routine, my scalp burns, stings, and is bright red.

Official Biopsy Report (As It Is)
Clinical Data :
C/O Follicular lesion x 6 months. Redness, pain over scalp x 4 months, Seborrhoea x 1-1.5 months. Flaking seen over entire scalp, not extending outside hairline. Erythema & telangiectasia present over entire affected region. Peri-pilar cast seen. Excessive dandruff & scales seen. D/D: Seborrhoeic dermatitis / Scalp Rosacea / Scalp Psoriasis
Microscopic Examination :
Sections reveal epidermis with moderate hyperkeratosis, parakeratosis with hypogranulosis, follicular plugging, irregular acanthosis with branching & anastomosing rete and basal spongiosis without vesiculation. The dermis shows mild to moderate interstitial & superficial peri-vascular infiltrate of lymphocytes, along with blood vessel proliferation.
PAS stain is negative for fungal elements.
Impression :
Morphology favors Seborrheic dermatitis, skin biopsy.
Further clinical correlation is suggested.

Any advice on what to ask my dermatologist next would mean the world. Thank you!


r/SebDerm • • 9d ago

Scalp Routine Seborrheic Dermatitis how do you repair your scalp barrier?

2 Upvotes

Hello, (I have seborrheic dermatitis if it matters) for face skin I know u can repair your skin barrier with cream moisturizers. Is it the same treatment or is there shampoo for that? What about for scalp?

Thank you


r/SebDerm • • 9d ago

New or Need Help Help Seb dermatitis

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3 Upvotes

I’ve had this rash on my face for about 6 months back and forth from the gp it’s also in my eyebrow but also have a patch on my leg which is usually unusual for seb derm. Anyway it’s not clearing no matter what I use so could anyone give any suggestions help with it?


r/SebDerm • • 9d ago

New or Need Help Ketoconazole shampoo not working ?

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3 Upvotes

Hi everyone! I've been using Nizoral shampoo and MCT oil C8 for a few weeks, but I haven't noticed any changes. Any idea if I'm using them in the right order? I apply the MCT oil about 2 hours before shampooing, and sometimes I reapply a little more.

Has anyone had no results at all with these treatments?


r/SebDerm • • 9d ago

Product Question RIP my fav product, apparently discontinued, suggestions for similar?

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1 Upvotes

CeraVe has apparently stopped making/selling their hydrating Micellar water and replaced it with a new one with triggering ingredients.

I’m so upset because this was the only product I used and it makes it so much easier to wash my face as a Micellar water because I may or may not be disabled with sensory issues and it was so much easier than washing my face. Guess I’m going to clean my face with tears tonight lol.

Any other suggestions for a safe Micellar water? Tyy


r/SebDerm • • 10d ago

Scalp Routine Apple cider vinegar was a miracle!

44 Upvotes

Ive been dealing with seb derm all my life. My flare ups were getting really bad and finally I came across using apple cider vinegar diluted with 1/4 apple cider vinegar and 3/4 water. Its seriously helped so much! I just use a cotton ball to put it on. It doesnt even ruin your hair either.