From the FDA Drug Label
Uses temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: ... seborrheic dermatitis children under 2 years of age: ask a doctor
For a 2-month-old male with seborrheic dermatitis on the face and back of the neck, consult a doctor for treatment advice, as the drug label instructions for hydrocortisone (TOP) state to ask a doctor for children under 2 years of age 1 1.
From the Research
For seborrheic dermatitis in a 2-month-old male, the primary treatment involves gentle washing with mild baby shampoo and warm water daily, followed by gentle brushing with a soft brush to remove scales. Apply a small amount of mineral oil, petroleum jelly, or baby oil to the affected areas 15-20 minutes before washing to help loosen scales. For mild cases, this conservative approach is usually sufficient. If the condition persists or worsens, consult a pediatrician who may recommend a mild topical antifungal cream (like ketoconazole 2%) or a low-potency hydrocortisone cream (0.5-1%) to be applied sparingly once daily for 3-7 days, as suggested by 2. Avoid using over-the-counter steroid creams without medical advice. Seborrheic dermatitis in infants is common and typically self-limiting, caused by overactive sebaceous glands stimulated by maternal hormones, combined with the presence of Malassezia yeast, as noted in 3. Most cases resolve spontaneously by 8-12 months of age as the infant's hormonal balance changes. Some studies, such as 4, have explored the use of non-steroidal topical therapies, but for a 2-month-old infant, the most cautious and recommended approach would be to start with gentle, non-medicated treatments and progress to medicated options under pediatric guidance. Other treatments like sertaconazole 2% cream, as compared to hydrocortisone 1% cream in 5, may be considered for older patients or more severe cases, but are not the first line for an infant. Overall, the goal is to manage symptoms while minimizing exposure to potentially irritating or harmful substances, as emphasized in 6.