Managing Seborrheic Dermatitis: Can I Continue Using Retinoids?

Seborrheic dermatitis and issues related to retinoids?

Hello Doctor: I have issues with acne and pimples, so I visited a dermatologist who prescribed me with clindamycin ointment and a cleanser.
Additionally, my nasal wings were very dry, and the doctor prescribed me with ADE ointment.
After using it for a few days, my nasal wings and cheeks became red, very itchy, and started to peel.
Since I was in another city at that time, I consulted another dermatologist who told me that it was seborrheic dermatitis.
He advised me to stop using the ADE ointment and prescribed me other oral medications and ointments.
After taking the medication for a week, I improved.
I would like to ask if I can continue using retinoids now? The second doctor mentioned that for seborrheic dermatitis, I can use more moisturizing toners and lotions.
Should I still apply moisturizer? Could it potentially lead to more acne and pimples? Is seborrheic dermatitis incurable? Thank you, Doctor.

Nina, 20~29 year old female. Ask Date: 2024/02/15

Dr. Wu Yuxin reply Dermatology

It is recommended to pause the use of A acid for one to two weeks.
Seborrheic dermatitis cannot be completely eradicated and tends to recur easily.
Other clinical issues cannot be addressed without observing the actual lesions.

Reply Date: 2024/02/15

More Info

Seborrheic dermatitis is a common skin condition characterized by red, flaky, and itchy patches, often occurring on the scalp, face, and other oily areas of the body. Managing this condition can be challenging, especially when considering the use of retinoids and other topical treatments.
To address your specific questions:
1. Can I continue using retinoids?
Retinoids, such as tretinoin (often referred to by brand names like Retin-A), are commonly used to treat acne and can help with skin cell turnover. However, they can also be irritating, especially for individuals with sensitive skin or conditions like seborrheic dermatitis. If you have experienced redness, itching, and peeling after using retinoids, it may be wise to pause their use until your skin has fully recovered from the flare-up. Once your skin is stable, you might consider reintroducing retinoids gradually, starting with a lower concentration or using them less frequently (e.g., every other night) to assess how your skin reacts.

2. Should I continue using moisturizing products?
Yes, using a moisturizer is crucial, especially when dealing with seborrheic dermatitis. A good moisturizer can help maintain the skin barrier and reduce dryness, which can exacerbate the condition. Look for non-comedogenic, fragrance-free moisturizers that are specifically formulated for sensitive or acne-prone skin. Ingredients like ceramides, hyaluronic acid, and glycerin can be beneficial. While some may worry that moisturizing could lead to breakouts, the right products should not clog pores or worsen acne. It's essential to find a balance that keeps your skin hydrated without triggering additional acne.

3. Is seborrheic dermatitis curable?
Seborrheic dermatitis is generally considered a chronic condition that can be managed but not completely cured. Many people experience flare-ups that can be triggered by various factors, including stress, hormonal changes, weather conditions, and certain skincare products. The goal of treatment is to control symptoms and reduce the frequency and severity of flare-ups. This often involves a combination of medicated shampoos, topical antifungals, corticosteroids, and proper skincare routines.

4. What should I do if my skin reacts negatively to treatments?
If you notice that your skin is reacting negatively to any treatment, it’s essential to consult with your dermatologist. They can help you identify the cause of the irritation and adjust your treatment plan accordingly. It may involve switching to gentler products or incorporating anti-inflammatory treatments to soothe your skin.

In summary, managing seborrheic dermatitis requires a careful approach to skincare. While retinoids can be beneficial for acne, they may not be suitable during active flare-ups of seborrheic dermatitis. Prioritize moisturizing and consider consulting your dermatologist for personalized advice on how to balance your acne treatment with the management of seborrheic dermatitis. Regular follow-ups with your dermatologist can help you navigate your treatment options effectively and adjust your regimen as needed.

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