HomeAnswersDermatologyseborrheic dermatitisHow can I treat my seborrheic dermatitis?

How to treat seborrheic dermatitis with recurrent dandruff?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At October 15, 2022
Reviewed AtOctober 10, 2023

Patient's Query

Hello doctor,

I was diagnosed with seborrheic dermatitis and took Ketoconazole 2 % shampoo. But, after one month of great evolution, my pruritus is back associated with hair fall. I am a medical student living under some emotional stress. Kindly help.


Welcome to icliniq.com.

As per the history provided, seborrheic dermatitis of the scalp may appear on and off due to multiple factors throughout life for 99 percent of individuals, including hormonal fluctuations, climate changes, stress, history of generalized dry skin, infections, dietary changes, inadequate water intake, sharing of belongings like helmet or caps leading to mild fungal infections of the scalp. I would suggest using Ketoconazole plus zinc pyrithione shampoo twice a week, diluted with water in a 1:3 ratio, apply massage for one minute, Keep for five minutes and wash off. They must be used for at least eight weeks and may be repeated each time there are dandruff issues. Since they may be on and off, there is no cure to completely get rid of them since they form due to changes in skin texture. Take Capsule Itraconazole 200 mg once daily after dinner for two weeks. They may help get rid of the itching associated with it. Take Capsule Becosule (vitamin C, zinc, vitamin B complex) may be used in the above combinations after breakfast for one month. Stagnation of sweat on the scalp is one of the reasons for their appearance; therefore, ensure to wipe off sweat's persistence each time you sweat. Proper hydration helps in reducing their appearance. Ensure consuming at least 15 glasses (250 ml ) of water a day. Consult your specialist doctor, discuss with them and take medications with their consent. Seborrheic dermatitis may be on and off. As I have mentioned, stress management is one of the key factors which help with the regeneration and rejuvenation of scalp skin. Therefore, reduce stress levels by indulging more in leisure activities that lift your mood. Studying medicine may be stressful, but compromising health over it would not be right. Therefore, give your health priority, relax, and take one step at a time. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty


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