From the Guidelines
Seborrheic dermatitis can be effectively managed with topical antifungal medications and anti-inflammatory agents, prioritizing treatments that reduce Malassezia yeast and inflammation. When considering treatment options for seborrheic dermatitis, it's essential to focus on managing the underlying causes, including the overgrowth of Malassezia yeast and the resulting inflammation 1. Key treatment strategies include:
- Using topical antifungal medications to reduce the amount of yeast present
- Applying topical anti-inflammatory medications to reduce inflammation and itch
- Maintaining good skin care practices, such as gentle cleansing and moisturizing, to prevent dryness and flaking While the provided evidence does not specify particular antifungal or anti-inflammatory agents, a common approach includes using antifungal shampoos containing ketoconazole or selenium sulfide, and topical corticosteroids like hydrocortisone to reduce inflammation 1. It's crucial to note that seborrheic dermatitis is a chronic condition, and consistent treatment is necessary to manage symptoms and prevent flare-ups. In cases where symptoms persist or worsen, consulting a dermatologist for further evaluation and potential adjustments to the treatment plan is recommended. Regular follow-up and adherence to the treatment regimen can significantly improve the quality of life for individuals with seborrheic dermatitis, reducing morbidity and mortality associated with complications or comorbidities.
From the FDA Drug Label
DOSAGE & ADMINISTRATION SECTION ... Seborrheic dermatitis: Ketoconazole Cream 2% should be applied to the affected area twice daily for four weeks or until clinical clearing. Purpose Anti-dandruff, anti-seborrheic dematitis, anti-psoriasis
The treatment options for Seborrheic dermatitis include:
- Ketoconazole Cream 2% applied twice daily for four weeks or until clinical clearing 2
- Coal tar for anti-seborrheic dermatitis treatment 3
From the Research
Treatment Options for Seborrheic Dermatitis
The treatment options for seborrheic dermatitis include:
- Topical corticosteroids 4, 5, 6, 7
- Antifungal agents such as topical ketoconazole 6, 7
- Calcineurin inhibitors such as pimecrolimus 1% cream 5 and topical tacrolimus 8
- Shampoos containing zinc pyrithione 8, 7 or selenium sulfide 7
- Topical sodium sulfacetamide 7
- Terbinafine solution 7
- Psoralen plus UVA 5
- Oral antifungals 5
Treatment for Specific Areas
For the scalp, treatment options include:
- Antifungal shampoos (long-term) 6
- Topical corticosteroids (short-term) 6
- Shampoos containing zinc pyrithione 8, 7 or selenium sulfide 7 For the face and body, treatment options include:
- Antifungal agents such as topical ketoconazole 6
- Topical corticosteroids (short-term) 6
- Calcineurin inhibitors such as pimecrolimus 1% cream 5
Combination Therapy
Combination therapy of topical steroid or topical tacrolimus, and zinc pyrithione is recommended for treating seborrheic dermatitis of the scalp 8