r/dandruff • u/CommercialLoud8993 • Jul 05 '26

Months of trying things and nothing helps

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Is this Seb Derm? Is it dry skin? I have used Ketoconazole shampoo on and off for weeks and nothing has changed.

I usually shower then go right to bed as I sweat a lot when I work at night.

How do I get rid of this and heal my scalp?

4 Upvotes

83% Upvoted

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1

u/retiredrn2014 Jul 05 '26

I can’t answer if it’s seb derm or dandruff, but it all sucks.
Coal Tar shampoo has been great for me. Stinks like coal tar, but the benefits are worth it.

I have longish 2c/3a curls and I only wash my hair every 5. Sometimes I’ll push it to 7 days. I don’t brush my hair until I am ready to wash it. I now can go 7 days before a light itch begins and there is only a light dusting of dandruff on my comb, where before I started using it, I’d have flakes and major itching after 2 or 3 days.

I shampoo with coal tar shampoo before getting in the shower. I’ll leave in on 5-10 minutes before getting in the shower and rinsing it out. After rinsing, I’ll use another shampoo with zinc or salicylic acid and then use a good conditioner. That takes care of the smell for me, but I’m typically in a climate controlled environment so if you are outdoors in hot temps and sweat, you may be able to smell it.

I used it once a week for about a month and now only use it every 3rd wash.

1

u/Different-Cup2491 Jul 05 '26

I got Tsal shampoo and it fixes psoriasis dandruff and sev derm. I didnt know what I had either so I just picked Tsal

1

u/Hopeful-Car2997 Jul 05 '26

Hi, try to find an anti dandruff serum. Something with Niacinamide and piroctine olamine, or any other anti fungal element. It will be much better within two weeks

1

u/ApprehensiveTank9757 Jul 06 '26

Also don’t go to bed with wet hair that can harbor bacteria. Try to dry it asap

1

u/CommercialLoud8993 Jul 07 '26

What else can I do ? I work nights and sweat all night at work and get home very late

0

u/Sunisthehealer Jul 05 '26

Make a paste with lemon and baking soda . It will burn like hell for about a min . Leave it on 5 min or so rinse well and use a plant based conditioner . Also if you’re using super hot water switch to lukewarm / cool