Which drugs are used for the treatment of seborrheic dermatitis?

Updated: Nov 13, 2020
  • Author: Marc Zachary Handler, MD; Chief Editor: William D James, MD  more...
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Low-potency topical corticosteroids, such as hydrocortisone, desonide, and mometasone furoate, have shown to be efficacious on the face. [30] Topical steroids have been associated with the development of telangiectasias and thinning of the skin. [30] Although the levels of Malassezia yeast does not correlate with the severity of seborrheic dermatitis, antifungal therapies are first-line therapies. [23] Ketoconazole, naftifine, or ciclopirox creams and gels are effective therapies. [4, 5, 6] Alternatives include calcineurin inhibitors (ie, pimecrolimus, tacrolimus), [7, 8, 9] sulfur or sulfonamide combinations, or propylene glycol. [10, 11, 12, 13, 14, 31] Class IV or lower corticosteroid creams, lotions, or solutions can be used for acute flares. [32] Tea tree oil has been reported to benefit the condition. [33, 34] Systemic fluconazole may help if seborrheic dermatitis is severe or unresponsive. [15] Combination therapy has been recommended. [35]

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