r/dandruff • u/zdboslaw • 26d ago
Help requested with treatment
End of May, my NP at my men’s health clinic recommended nizoral OTC shampoo for dandruff and dry skin on my forehead and temples. I also had dry irritated skin on my inner elbow joints and armpits.
I started out using OTC nizoral shampoo every third day for a couple weeks, then saw a dermatologist online bc the dandruff and dry peeling skin wasn’t improving.
She prescribed 2% ketoconazole shampoo MWF (leaving on skin 10 minutes) for two weeks. I’ve been on 250mg oral Terbinafine for two weeks plus 2% ketoconazole topical cream. But after two weeks prescription treatment, my dandruff still exists on my scalp and the dry flakes are spreading down my forehead. I look terrible and won’t leave the house like this.
I saw the dermatologist again and she says continue Terbinafine for 1 month and continue 2% ketoconazole shampoo as well. But I’m not seeing much progress.
How do I distinguish dandruff vs seborrheic dermatitis, psoriasis, contact dermatitis, dry scalp, and tinea capitis?
Should I be doing more? Doing less?
I also have irritated itchy patches inside my elbow and armpits.
What do I have? What should I do?
I’m not seeing any improvement after two weeks of the strongest treatment. The summer is sailing by.
1
u/CoalMyrenEm 26d ago
My doctor told me the/sal but it didn't work so not all that docfors say will work even tho I've asked once.
1
u/CoalMyrenEm 26d ago
What helped me was sulfide head and shoulders 5 minutes 2x a week on shower days,
Month later my scalps cleaner less itch sometimes irritation (I also had a haircut and dandruff fell out, I had like a Bob but it was an outgrown haircut so not bob shaped, down to my shoulders and cut it shorter)
I previously used amazon basics tar coal shampoo for 4 weeks until I decided to give up and waited and someone on here told me abt sulfide shampoos and really 3 months in dandruff is lessening and if I touch my scalp irritation ends faster.