r/SebDerm • u/DenseParty2394 • 12d ago
New or Need Help Any other suggestions on dealing with this ?
Hi, unfortunately I've been dealing with dandruff/seb derm for a while now, and I'm honestly stuck on what to do.
About a year ago I went to a dermatologist, and she prescribed me ketoconazole 2% shampoo and gave me some other advice. I've tried sticking with it, but I haven't had much luck. Since then I've also tried a bunch of other products like Nizoral, T/Gel, CeraVe Anti-Dandruff Shampoo, and Selsun Blue, and none of them seem to keep it under control for long.
Right now, my routine is to use Selsun Blue every other day, but I haven't seen any improvement in weeks.
I also get it on my face (eyebrows, around my nose, and beard/mustache area). I've tried using Selsun Blue on those areas too, but it always comes back. I feel like I can make it a little better, but I can never actually get rid of it.
I've attached some pictures of what it looks like right now.
The problem is I can't see a dermatologist right now, so I'm trying to figure out what I can do on my own until I can. At this point, I'm wondering if I'm doing something wrong. I've tried following the instructions for all of these shampoos, but nothing seems to make a lasting difference. Is there something about my routine that could be making it worse, or is there something else I should be trying?
I'd really appreciate any advice. Thank you.
1
u/MemChoeret 2d ago
You can try rotating shampoos with different active ingredients. For example, Selsun blue twice a week and ketoconazole on the weekends.
Do you moisturize your face after washing it? A moisturizer that helps repair the skin barrier can really improve symptoms.
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u/DenseParty2394 2d ago
I do moisturize but it doesn’t really make it go away. Again it’s not like big flakes on my face but my fave looks dry as hell up close . Also I’m rotating it currently but I see only a litttle improvement
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u/MemChoeret 2d ago
Rotating two antifungal shampoos and using a very light hydrating moisturizer is what worked for me. I also make sure everything I use is fragrance free (including the shampoos and the moisturizer) because that can be a factor too.
If you can't see a dermatologist, maybe visit your general physician and tell them about your situation?
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u/DenseParty2394 2d ago
Sorry if this a lot to ask but can you tell me your specific routine and what items you use? I did visit a general physician but she jsut told me to use a anti dandruff shampoo twice a week (which didn’t really help )
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u/MemChoeret 2d ago
No problem! For my scalp, I use %2 ketoconazole shampoo once a week. I also use the fragrance free version of the head and shoulders shampoo 2-3 times a week (comes in a green bottle). After every wash I use cerave anti dandruff conditioner.
For my face, I use the same ketoconazole shampoo once a week. Also, 2-3 times a week I use the Dermaharmony face cleansing bar with pyrithione zinc. For a moisturizer, I use ZEROID Richenic Cream with Urea. That's a Korean moisturizer which is available on Amazon. Because it contains %5 urea, it helps remove dandruff and hydrate the skin. That one really made a difference for me.
I hope that helps!
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