r/SebDerm

Just Felt like ranting today

Wish I was a phd or a doctor would have dedicated my life to fix this stupid condition.Alas I'm a software engineer. Been stuck with this since my teens I'm 28 now.No dermat has given me a good solution yet to manage it for more than a few days.

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u/CockroachEven — 1 hour ago

Seborrheic dermatitis not clearing

I have been using nizoral 2% for approximately 5 weeks and haven’t really seen redness go away, a bit less dry but on some days it can still become very dry, I don’t know what to do

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u/Same_Car2886 — 11 hours ago

Itraconazole Therapy for seborrheic dermatitis

My question is:

If even Itraconazole Pills don't slow down your dermatitis, what does it mean? Those pills kill Malassezia Yeast systemically so it actually should work. But what if it does not yet all dermatologists say, that you have seborrheic dermatitis?

In my case nothing works. Not a single topical work. They make my symptoms even worse. Even if the ointment/cream says "for sensible skin" or "anti irritation" etc, my skin reacts too brutal to everything. Only Protopic brings some relief but that's it...but nothing for my Scalp which also reacts too harsh to every Shampoo with dandruff, itchiness and burning.

I think only immunosuppressants can help me but i'm pretty sure that not a single insurance would allow it (especially for incredibly expensive stuff like Biologics).

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u/Malatesta117 — 3 hours ago
🔥 Hot ▲ 251 r/SebDerm

Baby with Seb Derm

My baby got a terrible rash that started on his forehead at 2 months old (he's now 4 mo) it spread to his whole body and pediatrician diagnosed him with sebderm. The whole body rash reduced to general red with rashy spots here and there but one side of his head is constantly oozing and flaking. The flakes spread to his cheeks and whenever they peel there is raw skin underneath. I've been to two dermatologists, the first was horrified and basically asked me "what I did to him" and lectured me about bathing him daily. The second told me its "just eczema" both prescribed me a dozen steroids and anti fungal creams. My pediatrician is very laid back "its just eczema hopefully he'll grow out of it."

I tried the steroids but the rash just came back worse both times I stopped. I've cut out gluten/sugar/dairy from my diet and lost 12 lbs and am basically scared to eat anything. Ive gone to an allergist, an acupuncurist, bought air purifiers, threw out our LR rug, bathe him every other day in colloidal oatmeal and Apple cider vinegar and use the cerave dandruff shampoo once a week but am at a total loss. I can't slather a 4 mo old in steroid cream every day, there's too many horror stories about TSW.

I get that none of you are doctors but why can't I get an answer from the alleged experts? Is this eczema with a bacterial infection that he can't overcome and needs antibiotics? Is this a fungal infection that needs daily dandruff shampoo and I'm not being aggressive enough? Do I leave the scales on and put moisturizer on top to hopefully heal that next layer if skin or are the scales themselves the fungus?? Do I go to yet another doctor?

Please someone give me advice.

u/duckyfresh7 — 2 days ago

Recommendations & Opinions on new products

Hey all, was hoping for some help with this. So, like, first and foremost, I'm a first responder. I'm mentioning this because like, y'all have to understand, if I get called in, sometimes I don't have the time to sit and wait 10min in the shower with shampoo sitting on my head or to do complicated treatments. I try to let the shampoo sit for like 2-5min while I wash the rest of my body, but sometimes that's just not possible.

Anyway. So I have struggled with dandruff my whole life. The flakes range from oily and yellow, to dry and white. Usually dry and white though, even tho I feel like my scalp is oily. Anyway, I have tried 1% Ketoconazole (Nizarol), 1% Zinc (Head & Shoulders, Jupiter, Dove), 1% Salicylic Acid (Dove), 1% Selenium Sulfide (Selson Blue, Head & Shoulders Clinical Line), and prescription 2% Ketoconazole, and Paul Mitchell Tea Tree Shampoo (Their Lavender Mint one and the Special one). With every treatment, it always seems to be the same result, I use it for while, like 6 months, it works amazing, and then all of a sudden my scalp is like nope and the dandruff comes back with a vengeance. For instance, my partner has dandruff too, 6 months ago we switched from Jupiter to the Head & Shoulders Clinical. The Head & Shoulder Clinical worked amazing for both of us during those 6 months. Now it's stopped for me. I tried going to Head & Shoulders Tea Tree and then Dove, those just refused to work.

So I need product recommendations. I'm running out of treatment options here. I thought about trying ByeFlakes (aka Flakes) on a whim here, but it's more expensive than Jupiter and for a smaller bottle. And I'm afraid it's gonna be the same result. I did love Jupiter. Like I used them for the longest time out of any of the other treatments. Jupiter made my hair soft and smelled amazing. But my only thought difference is Jupiter has 1% Zinc, compared to Flakes that has 2%. Maybe my hair will be shocked at the 2%. I also thought about switching back to the Paul Mitchell line. Either doing the Lavender Mint, the Special, or their Lemon Sage (I know it's thickening shampoo, only thought was that Lemon does have antimicrobial properties). I haven't used their Special shampoo since high school (I'm 27 now) and it worked well at the time. I also saw they have a dandruff line available now, but concerned about that because it only has 1% zinc.

I don't know guys, what are your thoughts and opinions? I'm trying to get ideas over here before I drop a significant amount of money on a product.

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u/Ready_Nail_5604 — 4 hours ago

I went to the doctor. Didn't help me at all. Going to research treatment on my own

I went to the dermatologist today. He looked at me for a bit, then wrote me a prescription. I will not take any medications from his prescription, because what he advised me to do is ridiculous.

He told me to take:

  • Accutane 20 mg once a day for 5 months (didn't even mention any side effects. Don't want to take it cause i'm afraid of the side effects.)
  • 4 pills of prednizone for a month
  • Solantra
  • Endoform
  • some kind of cosmetic product from ivatherm (i know very little about these last 3).

He didn't prescribe me anything specifically seborrheic dermatitis related and the whole consult took like 5 minutes. He also gave me a list of like 10 dietary restrictions, which is crazy. The dude didn't even confirm what the diagnosis was until i specifically asked him "Is it seborrheic dermatitis?". He kept referring to it as "the condition you have". Didn't even write a diagnosis on the prescription for the meds. I am very disappointed and think his treatment plan is to severe for a non-severe form of seborrheic dermatitis, but i also want to know reddit's opinion on this.

I'm gonna have to take things into my own hands, cause the old communist doctors from my home country are giving me exclusively bs.

After researching on this subreddit. My current list of what i want to buy is ketocozonal or some other antifungal shampoo. Some sort of topical antifungal (probably gonna have to see another doctor for this prescription). I am researching C8 MCT oil and other stuff on this sub. Somebody also told me about Zoryve, however it's not yet approved in Europe. If there is a suitable alternative in Europe and i like what i find while researching, I may consider it. I have only begun doing research so these are still just ideas. The way i want to go about it is to try milder first-line treatments first and then if that doesn't work, try the harsher ones. This doctor jumped straight to the harshest treatment i could imagine.

Is there anything else you would suggest or think I should know about?

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u/EmployeeClean8358 — 1 day ago
▲ 20 r/SebDerm

Seb derm has disappeared

So I used to suffer seb derm. But it's almost gone into remission. When I was diagnosed I lived with the blind down and no sunlight in my room but ever since I opened my curtains and exposed myself to more natural sunlight through a window my seb derm has cleared. Now it's only been 2 weeks but I haven't used any products. What's the link with this? If anybody knows great. Many thanks

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u/Bitter_Message_5781 — 1 day ago
▲ 15 r/SebDerm+1 crossposts

Need Help - So lost

For the last 3 years my face has grown increasingly redder and redder. I have tried metrogel, every single moisturiser the doctors can think of, antibiotics of various kinds, hydrocortisone and even tried just doing nothing. I drink 3 litres of water minimum, use factor 50 SPF even on a cloudy day, wash with a soap alternative and take collagen, B12 and Vitamin D supplements.

I am at the end of my tether and just do not know what to do.

u/Particular_Sir_3525 — 1 day ago
▲ 3 r/SebDerm+1 crossposts

Ongoing irritation of the upper lip. Seems to be worsening.

Any advice for my lip? The upper half gets red and irritated, sometimes it peels and sometimes it’s just tight. It burns occasionally as well. Lately it seems to be spreading and getting worse. I have a history of sebderm and psoriasis if that helps.

u/smiley-penguin — 1 day ago
▲ 13 r/SebDerm

Can't figure out if this is sebderm and I don't have access to a dermatologist

I've been dealing with skin/scalp issues for 10+ years with no help from any primary care doctors I've had in that time. None of them have given me a diagnosis, and have all prescribed different treatments that haven't helped all that much. I'm very disabled so I have a difficult time with consistent self care, so that could definitely be a factor. The last photo was after washing my face, and I've stopped exfoliating due to it getting very red like that, inflamed, and VERY painful.

u/90sbaby97 — 1 day ago

Korean Products Worth to Try for Sebderm?

My friend is flying to Korea in a few months. She offered me to buy some skincare products but I don't know if anything is worth to try regarding sebderm (dandruff and redness). Right now I'm mostly under control using Bioderma DS lotion, The Ordinary niacinamide and Bioderma AR+ Sunscreen.

Do you have some recommendations?

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u/bibliofriend — 2 hours ago

Dermatologist advice

I just saw a dermatologist who was recommended to me, who seems to say that seb derm does not cause hair thinning. He didnt know what Zoryve was.

I've been losing my eyebrow hair, and have flakes, he says its alopecia areta.

He also gave me Etrivex shampoo for my scalp. Is this safe?

Surely this is a poor derm? Feel like I have wasted my money.

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u/Educational_Bath_892 — 5 hours ago

Posting this, to see if some of you have skin similar to mine (Sebderm or not?)

Hey guys, hope y’all doing well and wishing everyone healing. I post this to ask if this looks like sd or other skin condition? To be honest I deal with red spots on my face for more than 1 year. The first photo was taken year 2024, it look so inflamed, but my face now is calmer.

I have dandruff on my scalp, which I understand because it runs in our genes. But I am so confused of what’s going on with my face.

I already went to some of dermatologist and they have some diagnosis one derma said its fungal infection and some said it’s sd.

I’d be glad if you will leave your comment and suggestions, and if you have some advice i’d love to read it. God bless everyone, I am Praying that we will overcome this and get that better confidence🫶🏻

u/Certain-Cream3600 — 23 hours ago

Redness Won’t Go Away

I started with some seb derm on my face January of this year. It progressively got worse, I started off treating it with Nizoral, then recently switched to 2% zinc pyrithione soap. The seb derm has been better, but I definitely have destroyed my skin barrier, my skin on my face is super dry. I am still getting flaking, and dead skin. I have been using dermgentle fungal safe moisturizing cream on my face, and while it helps, I cannot get the redness on my face to go away. I am using zinc soap once every 5 days, and my face around my eyes, forehead and cheeks are just intensely red. The redness is typically worse in the morning. I am very frustrated with this, and am looking for some guidance. I think my skin is too irritated for azelic acid. I went to a dermatologist, and they were of no help unfortunately.

u/Ancient-Fishing7946 — 1 day ago

Homemade scalp serum

About to try a homemade scalp serum of pure C8 MCT oil, ACV, small amount of rosemary essential oil, and powder additives MSM (methylsulfonylmethane) and ascorbic acid (vitamin C).

My intent is sebderm-safe hair growth/quality improvement, reducing inflammation/itch/skin damage, and supporting skin in restoring barrier layer after showers. I’m also working on my dietary vitamins. I’ve been mild intermittent fasting for a couple months (I don’t eat until 4 PM), which has already helped a ton.

Wish me luck, I’ll let you know how it goes.

Edit: my sebderm has already been relatively under control for a couple years due to what I call “green label Nizoral“: Nizoral Psoriasis Salicylic Acid 1% (combined Shampoo & Conditioner - altho I always use an additional conditioner for my long hair - I like Biosilk Hydrating Therapy, it doesn’t bother my sebderm). Before I found the green Niz, my scalp was in crisis mode for awhile.

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u/Serious_Pen275 — 17 hours ago

Seb derm and rosacea safe calming/soothing/hydrating face masks?

I have both seb derm and rosacea that are relatively under control (I use 20% azelaic acid/Skinoren & Soolantra daily, and Elidel for whenever I get a small flare up around my nose every few months) and would love to take a nice relaxing bath with a soothing face mask on like I used to before my skin went downhill!

I know there are sulfur face masks, etc (I have the De La Cruz one) but I mainly use that for when I have a breakout, and not as often lately since my AA really reduces them.

I’m looking for one that’s more calming, soothing, hydrating, etc., rather than for targeting acne or seb derm/rosacea, but it’s so difficult to find one that’s malassezia safe (a lot of soothing ones contain oats!) and doesn’t have rosacea or acne irritating ingredients (like niacinamide, menthol, eucalyptus, alcohol, etc).

Does anyone have any recommendations for ones that worked for them?

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u/Scooby-Snaccs — 5 hours ago
▲ 3 r/SebDerm+1 crossposts

Safe Products (Lotion)

Wondering if anyone has had similar issues with the recent formula change in Aveeno daily moisturizing lotion? I’m unable to use it anymore because it causes burning, irritation , contact dermatitis, and stripped skin immediately after. I’ve even tried watering it down or using with some aloe Vera gel but still have bad reaction.

Not sure if I’d have luck with Vanicream lotion since I did react badly to the bar soap and face wash. I do have to water down the body wash in order to use it (otherwise strips and irritates my skin). I have seborrheic dermatitis and hypersensitive skin so it’s hard to find something that won’t cause flare up or irritate my skin.

*I also use Vanicream gel deodorant since I can’t use the regular antiperspirant or any other ones (tried fragrance free, all natural, crystal deodorant, etc..)

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u/Far-Historian5057 — 16 hours ago

MCT 8+10 vs MCT 8 for seb derm

I’ve been using MCT 8+10 oil for my seb derm for a few months and I thought it was working but it was not. The first day my scalp was somewhat soothed, still flaky but not nearly as bad and less itchy. I didn’t use it again for a week and flaking and itching came back worse than it’s ever been. I’ve tried it a few other times since then and at this point it does nothing for the flaking or itching.

I’ve read a few places that I should have been using pure MCT 8 oil, not the 8+10 because it could feed the yeast. Based off of my reaction to the 8+10 oil, should I bother with the pure MCT 8 oil? I feel like I’ve tried everything to soothe my scalp seb derm and nothing has worked.

If anyone has any product recommendations aside from MCT oil, please let me know.

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u/gardenwalker8 — 1 day ago
▲ 14 r/SebDerm

Finally Selenium Sulfide 2.5% worked for my SebDerm and constant itching

I was struggling with dandruff in hair as well as face (eyebrows, beard, ear canals). I finally tried selenium sulfide 2.5% after I saw a post on this forum and it has been two weeks and no more flare ups. No more itching.

u/knapsackMax — 2 days ago