Effective Remedies for Seborrheic Dermatitis on the Scalp - Dermatology

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Seborrheic dermatitis


Hello doctor, I would like to ask about my scalp issues.
I am struggling with seborrheic dermatitis, and due to the dry climate, my scalp is very itchy.
When I scratch it, I notice flakes falling off.
Is there any topical solution I can apply to relieve the itching? Are these medications available at the pharmacy? Or are there any over-the-counter medications that I can find at the pharmacy? (It’s quite inconvenient to see a doctor while I’m abroad.)

Xiao Xiao, 20~29 year old female. Ask Date: 2008/10/12

Dr. Jiang Yujiao reply Dermatology


Dear Helen,
Seborrheic dermatitis of the scalp is caused by excessive secretion of sebum from the sebaceous glands, leading to inflammation of the scalp and the proliferation of bacteria and fungi.
You may choose to use an anti-dandruff shampoo or a shampoo containing tar (such as Polytar shampoo) for washing your hair.
Wishing you peace and health,
Director of Dermatology, Taoyuan Hospital, Department of Health, Jiang Yu-Jiao

Reply Date: 2008/10/12

More Info


Seborrheic dermatitis is a common skin condition that primarily affects the scalp, leading to symptoms such as itching, redness, and flaking. It is often exacerbated by dry climates, which can worsen the dryness and irritation of the scalp. Fortunately, there are several effective remedies available for managing this condition, many of which can be obtained over-the-counter at pharmacies.

1. Medicated Shampoos: One of the most effective treatments for seborrheic dermatitis on the scalp is the use of medicated shampoos. Look for shampoos that contain active ingredients such as:
- Ketoconazole: An antifungal agent that helps reduce the yeast that can contribute to seborrheic dermatitis.

- Selenium sulfide: This ingredient helps to reduce flakiness and itching.

- Zinc pyrithione: Known for its antifungal and antibacterial properties, it can help alleviate symptoms.

- Coal tar: This can help slow down skin cell turnover, reducing flakiness and irritation.

These shampoos are typically used a few times a week, and it's essential to follow the instructions on the label for the best results.

2. Topical Corticosteroids: For more severe cases, topical corticosteroids can be applied directly to the affected areas of the scalp. These medications help reduce inflammation and itching. However, they should be used sparingly and for short durations to avoid potential side effects, such as skin thinning.

3. Moisturizers: Keeping the scalp moisturized is crucial, especially in dry climates. Look for non-comedogenic moisturizers or oils that can hydrate the scalp without clogging pores. Products containing ingredients like aloe vera or tea tree oil can also provide soothing effects.

4. Over-the-Counter Treatments: In addition to medicated shampoos, there are various over-the-counter treatments available at pharmacies. These may include:
- Anti-itch lotions or creams: These can provide immediate relief from itching.

- Salicylic acid treatments: These can help exfoliate the scalp and reduce flakiness.

5. Lifestyle Modifications: In addition to topical treatments, consider making some lifestyle changes to help manage seborrheic dermatitis. This includes:
- Avoiding harsh hair products: Some shampoos, conditioners, and styling products can irritate the scalp. Opt for gentle, fragrance-free products.

- Managing stress: Stress can exacerbate seborrheic dermatitis, so finding ways to manage stress through relaxation techniques or exercise can be beneficial.

- Dietary considerations: Some individuals find that certain foods can trigger flare-ups. Keeping a food diary may help identify any dietary triggers.

6. Consultation with a Dermatologist: If over-the-counter treatments do not provide relief, or if the condition worsens, it is advisable to consult a dermatologist. They may prescribe stronger topical treatments or systemic medications if necessary.

In summary, effective remedies for seborrheic dermatitis on the scalp include medicated shampoos, topical corticosteroids, moisturizers, and over-the-counter treatments. Many of these products can be found at local pharmacies, making them accessible for individuals living abroad. However, if symptoms persist or worsen, seeking professional medical advice is crucial for tailored treatment options.

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