From the Guidelines
It is not recommended to use T-gel (coal tar) on your face for seborrheic dermatitis due to the potential for irritation, photosensitivity, and staining. Coal tar products like T-gel are primarily designed for use on the scalp, not facial skin which is more sensitive and delicate 1. For facial seborrheic dermatitis, better options include:
- Antifungal creams containing ketoconazole 2% (like Nizoral)
- Zinc pyrithione products
- Mild corticosteroid creams like hydrocortisone 1% for short-term use during flare-ups A gentle skincare routine using non-soap cleansers and avoiding harsh products is also important. If you apply medicated products to your face, use them as directed, typically once or twice daily for 1-2 weeks until symptoms improve. The use of coal tar can lead to adverse effects such as folliculitis, irritation, contact dermatitis, and photosensitivity/phototoxicity, as noted in the guidelines for the management and treatment of psoriasis in pediatric patients 1. If your seborrheic dermatitis is persistent or severe, consult with a dermatologist for personalized treatment recommendations.
From the Research
Treatment Options for Seborrheic Dermatitis
- Seborrheic dermatitis is a chronic inflammatory skin disorder that can be treated with various topical agents, including antifungal, anti-inflammatory, and keratolytic agents 2, 3, 4, 5.
- Coal tar preparations, such as T gel, are among the treatment options for seborrheic dermatitis, although they are not the primary treatment choice 2, 5.
Using T Gel on the Face
- While coal tar preparations can be used to treat seborrheic dermatitis, their use on the face is not commonly recommended due to potential skin irritation and staining 5.
- There is limited evidence specifically addressing the use of T gel on the face for seborrheic dermatitis, and most studies focus on scalp treatment or do not specify the use of coal tar on the face 2, 3, 6, 4.
Alternative Treatment Options
- Topical antifungal agents, such as ketoconazole, are commonly used to treat seborrheic dermatitis of the face and body 3, 4.
- Topical corticosteroids and calcineurin inhibitors can also be effective in treating seborrheic dermatitis, but their use should be limited due to potential adverse effects 3, 6.
- Other treatment options, such as selenium sulfide, pyrithione zinc, and salicylic acid, may also be considered for seborrheic dermatitis treatment 4, 5.