How is seborrheic dermatitis dandruff treated?

Updated: Nov 13, 2020
  • Author: Marc Zachary Handler, MD; Chief Editor: William D James, MD  more...
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Answer

Dandruff responds to more frequent shampooing or a longer period of lathering. Use of hair spray or hair pomades should be stopped. Shampoos containing salicylic acid, tar, selenium, sulfur, or zinc are effective and may be used in an alternating schedule. [16, 17]  An alternative to a shampoo with zinc is a conditioner rinse with zinc, 0.01% fluocinolone, and acetonide topical oil. Overnight occlusion of tar, bath oil, or Baker's P&S solution may help to soften thick scalp plaques. Derma-Smoothe F/S oil is especially helpful when widespread scalp plaques are present. Selenium sulfide (2.5%), ketoconazole, and ciclopirox shampoos may help by reducing Malassezia yeast scalp reservoirs. [18, 19, 20] Shampoos may be used on truncal lesions or in beards but may cause inflammation in the intertriginous or facial areas.


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