Nizoral A-D does not carry labeling for treatment of SD. However, hydrocortisone, ineffective for dandruff, is effective for SD. Patients with SD on the face or trunk might be advised to engage in a trial of hydrocortisone e.
The pharmacist can also suggest that patients visit a physician to obtain a prescription for topical ketoconazole. Scratching leads to inflammation or infection in some cases. Cradle cap is defined by some authorities as a type of dandruff. Pharmacists can advise parents of several helpful steps when their infant has cradle cap.
When scales are present, the scalp should be washed daily with a gentle, mild shampoo, making sure to thoroughly rinse all soap from the scalp.
If the condition resolves, parents may back off to twice weekly shampooing. To remove scales that seem to be more strongly attached, parents should place mineral oil on the scalp and wrap it with a wet, warm cloth, leaving this in place for an hour before the shampoo. Parents should check the cloth to make sure it remains warm in order to prevent chilling the baby. If these steps do not help, parents should take the child to the pediatrician to ensure that there is nothing more serious occurring.
Dandruff occurs only on the scalp. It is so common that almost everyone has seen it, as the embarrassing flaking of scalp skin that many people find cosmetically unacceptable.
The flakes have a characteristic look, are somewhat oily, and seem to be present on a good part of the scalp. Someone with dandruff may also notice itching in the areas with the worst flaking. Dandruff usually begins in the teen years when you go through puberty. It may improve as you age, although some people struggle with it all their lives. It is more common in men because their oil-producing glands are larger than those of women.
It is worse in winter because the air is drier. Dry air causes the skin to dry out, and dry scalp skin is more prone to develop dandruff. Seborrheic dermatitis may occur on the scalp but also on such oily skin areas as inside or behind the ears, on the creases at the sides of the nose, or on the eyelids, eyebrows, lips, face, upper chest, or back. It also causes scales that are white or yellow.
The affected skin may also be reddened, and it may itch. If one family member has seborrheic dermatitis, others are more likely to develop it.
The condition seems to worsen under certain circumstances, such as stress, fatigue, extreme weather conditions, excess skin oiliness, failure to bathe or shampoo daily, use of alcohol-containing lotions, or presence of acne or obesity.
You can try several products to see if they help dandruff or seborrheic dermatitis. Since both affect the scalp, there are several shampoos you may find beneficial. For dandruff, there are many product options. Follow all label directions for use. Selenium sulfide as found in Selsun Blue is an alternative that is helpful. A product called Nizoral A-D shampoo contains ketoconazole, a medication that attacks the fungus that can contribute to dandruff in some patients.
It is worth a trial to see if the fungus can be controlled in your case. Seborrheic dermatitis responds to all of the medications listed above except Nizoral A-D. Any may be beneficial. You may also try a trial of nonprescription hydrocortisone for seborrheic dermatitis, using a product such as Cortaid.
If your condition fails to respond to these interventions, you may need to visit a physician for a prescription medication such as ketoconazole cream. Applied once daily, it may effectively prevent the seborrheic dermatitis symptoms. Your physician can also check to see whether the condition is a more severe problem. Pray WS. Nonprescription Product Therapeutics. And what about theories that these shampoos are bad for the hair, and actually promote flakes?
Here experts answer some key questions about problem scalps. Many of us will have looked down in horror at a fine sprinkling of white flakes on the shoulder of a dark top.
But many forms of dandruff do not shed. Dandruff is characterised by the formation of fine, white or greyish loose skin scales. The epidermis outer layer of skin constantly changes and skin cells renew themselves all the time. The cells begin to grow from the base layer deeper in the skin and are gradually pushed to the surface, before coming away from the scalp.
Dandruff occurs when skin cells form too fast, meaning more skin cells are shed and become clumps that can be seen by the naked eye. Those with greasy skin types are most at risk because the yeast likes to grow in sebum.
There are variations in the severity and form of the condition. In other cases, they adhere to the scalp and build up to form a thick covering. Other factors such as stress or diet may also trigger the condition. These work by softening the scales so they can be washed away.
However, they have been superseded in effectiveness by shampoos that contain drugs which control the level of micro-organisms on the scalp. These newer options are also less harsh, meaning they can be used often. Marilyn Sherlock, of The Institute of Trichologists, echoes this advice. If once you start using it less regularly, the dandruff returns, he recommends trying shampoos with ketoconazole.
More regular use of ketoconazole may cause skin irritation. There is no known cure for dandruff — the best treatment is to control the problem to keep flakes away. It goes further by adding an active ingredient, pyrithione zinc, that works in-between washes to protect your scalp from the cause of dandruff: Malassezia globosa. The first, and most obvious, is not using it in the best way. Regular washing replenishes the amount of dandruff-fighting active on your scalp, so you always have enough.
Many people use a dandruff shampoo only until the symptoms disappear, and then go back to their regular shampoo. Unfortunately, going back to a regular shampoo just leaves your scalp unprotected, giving Malassezia globosa ample time to aggravate scalp, leading to a new flare-up of dandruff. Both of these can actually wash away the active ingredients left behind by your dandruff shampoo.
When it comes to conditioner, try using an anti-dandruff conditioner.
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