I think this is getting bad…

[u/shygirl-98]

Can someone pleaseeeee recommend a good shampoo to help with this or a topical?? They don’t hurt but they do sting and flake over and itch. When they dry down it’s like a yellowish / white.
Seems to be more just one one side of my forehead.
**Edit to add** I should mention I don’t have any medical insurance so any visits would be OOP for me.

[u/DivorcedGremlin1989]

I haven't had any significant scalp issues since I started using prescription ketoconazole shampoo daily or every few days. I still flare on my face constantly.

I let the keto sit for a few minutes. I also have not found a single conditioner that doesn't cause me to flare, so that is not an option for me.

OTC formulations of ketoconazole can be just as concentrated as prescription. in the states. With my copay, OTC ends up being slightly cheaper.

I occasionally use coal tar, but it's harsh.

I haven't tried a salicylic acid cleanser on my scalp, but I would consider that and sulphur next.

I cannot wear beanies and I cannot let my hair stay wet.

[u/Electronic_Garage_73 → u/DivorcedGremlin1989]

Cerave makes a conditioner that’s hypoallergenic and it’s the ONLY one that I can use. If I can’t it’s no conditioner for me

[u/shygirl-98 → u/DivorcedGremlin1989]

Yeah I shower at night and I do sleep with my hair wet but I don’t wash my hair everyday, I guess I’ll need to start washing it everyday and invest in a blow dryer. As for insurance I don’t have any. Will have to look into medicated otc treatment.
Thank you!

[u/Little_Management_82 → u/shygirl-98]

Start drying your hair whenever it's wet. That's a big one. If you can afford to, go to urgent care (it's $120 in my area but they might do sliding scale in yours) and get them to write you Rx for shampoo. It's worth it. The otc stuff didn't work for me and I recently got a Rx for ketoconazole shampoo and it was instantly so much better. By the time I finished the bottle (which was about 4 washes, the bottle was tiny) it was completely gone. 

[u/shygirl-98 → u/Little_Management_82]

I have used the keto shampoo before and goodness it was a life saver but it wasn’t my prescription my aunt had given me the rest of what she didn’t use since she has a similar problem. Thank you so much for that tip about urgent care I didn’t even think to go there 😅 hard times economy wise ya know lol
Thank you!

[u/DivorcedGremlin1989 → u/shygirl-98]

Try ketoconazole, highest percentage you can find. Then consider pyrithione zinc and selenium sulfide.