the Use of Fugen Cream for Seborrheic Dermatitis - Dermatology

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Ointment issues?


I previously washed my hair too vigorously, and it hurt while washing.
Later, I went to see a doctor who diagnosed me with seborrheic dermatitis.
The doctor prescribed a cream called Fugen Cream 2% to apply to the painful areas.
Should I apply it even when there is no pain, only when it hurts, or should I continue to apply it regularly? I'm concerned about the potential for steroid resistance if I use the cream intermittently, as the doctor did not clarify this.
Currently, my scalp does not hurt, and I haven't applied the cream.
I also found online that this cream can be used for acne; is that true? Should I wait until my scalp hurts again to use it? Thank you for your help!

Ren, 20~29 year old female. Ask Date: 2015/08/25

Dr. Wu Yuxin reply Dermatology


Because I do not understand the actual condition of your skin, I recommend that you discuss this issue further with your clinical physician.

Reply Date: 2015/08/25

More Info


Fugen Cream, which contains a combination of active ingredients including corticosteroids, is often prescribed for conditions like seborrheic dermatitis. This skin condition is characterized by red, flaky, and itchy patches, commonly affecting areas with a high density of sebaceous (oil) glands, such as the scalp, face, and upper back. The use of topical corticosteroids like Fugen Cream can help reduce inflammation, itching, and redness associated with seborrheic dermatitis.


Usage Guidelines
1. When to Apply: It is generally recommended to apply Fugen Cream during flare-ups when symptoms are present, such as pain, itching, or visible inflammation. However, if your symptoms have subsided, it may not be necessary to continue applying the cream. The goal is to manage the condition effectively while minimizing the risk of side effects associated with prolonged use of corticosteroids.

2. Frequency of Application: If your doctor has not specified a frequency, a common approach is to apply the cream once or twice daily during active flare-ups. Once the symptoms improve, you can gradually reduce the frequency of application. It is important to follow your doctor's instructions closely, as they may have tailored the treatment plan based on your specific condition and response to the medication.

3. Concerns About Resistance: Your concern about developing resistance to corticosteroids is valid. While it is true that overuse of topical steroids can lead to skin thinning and other side effects, intermittent use during flare-ups is generally considered safe. If you find that you need to use the cream frequently, it may be worth discussing with your doctor to explore alternative treatments or adjunct therapies to manage your condition.

4. Use for Other Conditions: Regarding your question about using Fugen Cream for acne, it is essential to note that while some topical corticosteroids can reduce inflammation associated with acne, they are not typically the first-line treatment for this condition. Acne treatments usually involve other classes of medications, such as retinoids, benzoyl peroxide, or antibiotics. Therefore, using Fugen Cream for acne should be done cautiously and ideally under the guidance of a healthcare professional.


Recommendations
- Monitor Symptoms: Keep an eye on your symptoms. If you experience a resurgence of pain or inflammation, it may be appropriate to resume using the cream as directed.


- Consult Your Doctor: If you have any uncertainties about the use of Fugen Cream, including its application frequency or its use for other skin conditions, it is best to consult your healthcare provider. They can provide personalized advice based on your medical history and current condition.

- Consider Moisturizers: In addition to using Fugen Cream, incorporating a gentle, non-irritating moisturizer can help maintain skin hydration and barrier function, which is particularly important in managing seborrheic dermatitis.

- Lifestyle Modifications: Pay attention to potential triggers that may exacerbate your condition, such as stress, weather changes, or certain hair products. Making adjustments in these areas can also help manage symptoms.

In summary, Fugen Cream can be an effective treatment for seborrheic dermatitis, particularly during flare-ups. Use it as directed by your healthcare provider, and do not hesitate to reach out to them for further clarification on your treatment plan.

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