Seborrheic Dermatitis - Help

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XennoX

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Background:

I was 10 years old and my standard 2 teacher did a check for lice in the kids. She noticed I had a scalp condition (dandruff). She informed my folks who took me to the doc and he diagnosed it as being either Seborrheic Dermatitis or Psoriasis, but he claims to be very certain its the former as I don't have the plaque that Psoriasis develops. My folks tried all sorts of anti-dandruff shampoos and none of them worked until Niz Shampoo came along. I've been using that stuff for the past 13 years, but for the past year or so it doesn't seem to be working any more.

Apparently S. Dermatitis is not curable, only treatable; the problem is as I've mentioned the Niz Shampoo is no longer controlling it. My scalp is constantly shedding flakes, whereas Niz used to reduce the frequency and magnitude of the flakes sometimes giving me months of respite. I wash my hair 3 - 4 times a week (every 2 days).

--

I've just about reached my wits end and its really knocking my self esteem down. I'm too ashamed to try and chat up ladies for fear of them being grossed out.

Any body have anything that can bring it back under control? I've tried alternate therapy like UV treatment which means shaving my hair extremely short and sitting out in the sun for at least 30 minutes a day. Unfortunately that is no longer feasible as I'm an office jockey at the moment.
 
Plain Bulgarian yogurt ... if its yeast related , that would work better than any shampoo... if you still want to use shampoo , use the one with iod-povidon , Betadine medicated shampoo (Dis-chem)

From what I am reading
"NIZSHAMPOO® shampoo COMPOSITION Each 1 gram of shampoo contains ketoconazole 20 mg. Preservative: Imidurea 0,2% m/m
PHARMACOLOGICAL CLASSIFICATION A.20.2.2 Fungicides."
 
I actually think all the shampooing and conditioning over the years will make your scalp dry which will worsen dandruff. I would get off the stuff. Wash just with water and soak your head in the bath regularly and maybe do exercise in the morning before washing so you sweat. Don't try to get rid of skin by putting toxins or brushing. Leave that to your body. If you have a healthy scalp you won't have visible dry skin.
I wouldn't comb you hair without being able to bath/shower afterwards I don't thing people will notice. A brushcut will help in this regard.

If you are less active or not in the sun anymore it probably means you don't sweat as much so your scalp is always dry and easily flakes
 
I was also on Nizshampoo for years - somewhere along the way they changed the formulation. Oddly enough, Head and Shoulders (active ingredient Pyrithione Zinc) works way better for me than Niz. BTW, if the last time you saw a dermatologist was 13 years ago, then maybe another consult is in order?
 
Head & Shoulders also gets my vote. A dermatoligist diagnosed me with the same and ever since I used Head & Shoulders (The classic one, not these newer ones) I've had no problem with dandruff. But you have to use it almost every day. And don't ever get it up your nose :D it burns more than anything I know.

I still have an issue with very dry and flaky skin around and in the ears though, haven't found any treatment for that. Milocort cream which is apparently the best OTC cream you can get doesn't work for me.
 
imranpanji said:
+1

Try this : http://www.xeroderm.co.za/en/product/meditar_shampoo

Can be found in any dischem. Use it for my son, he has eczema and psoriasis seems to be a family thing too
Click to expand...

So I purchased this yesterday and did my first wash. I must comment that the irritation my scalp experiences has been mitigated by quite a lot - there are still flakes but I figure with regular use it will control it. The only issue I have with this shampoo is its smell. It smells like a diluted bitumen.
 
XennoX said:
Background:

I was 10 years old and my standard 2 teacher did a check for lice in the kids. She noticed I had a scalp condition (dandruff). She informed my folks who took me to the doc and he diagnosed it as being either Seborrheic Dermatitis or Psoriasis, but he claims to be very certain its the former as I don't have the plaque that Psoriasis develops. My folks tried all sorts of anti-dandruff shampoos and none of them worked until Niz Shampoo came along. I've been using that stuff for the past 13 years, but for the past year or so it doesn't seem to be working any more.

Apparently S. Dermatitis is not curable, only treatable; the problem is as I've mentioned the Niz Shampoo is no longer controlling it. My scalp is constantly shedding flakes, whereas Niz used to reduce the frequency and magnitude of the flakes sometimes giving me months of respite. I wash my hair 3 - 4 times a week (every 2 days).

--

I've just about reached my wits end and its really knocking my self esteem down. I'm too ashamed to try and chat up ladies for fear of them being grossed out.

Any body have anything that can bring it back under control? I've tried alternate therapy like UV treatment which means shaving my hair extremely short and sitting out in the sun for at least 30 minutes a day. Unfortunately that is no longer feasible as I'm an office jockey at the moment.
Click to expand...

I suffered from this. Strangely when I came to the UK, it completely cleared up after a few months. I always thought it was stress related, but I can't say that I'm any less stressed now than I was living in SA.

Possibly in my case it was environment related. Lived in Joburg. Much drier environment than England.
 
I have the exact same problem.

There isn't a single shampoo that works, with the exception of one,

Coal tar shampoo didn't work and made me smell like the highway.
Head and shoulders only seemed to worsen the condition.
Niz-shampoo did nothing.

If the coal-tar solution does not work for you, I know what definitely will, but I have bad, bad news...

It's called Clobex, comes in a white tube with a yellow label and the bad news is, it's R360 for 125 ml and you can only obtain it with a doc's prescription.

The active ingredient is clobetasol propionate.

It's supposed to be an "apply daily" thing, but I stretch that to once every two/three days so I can still put food in my mouth by the end of the month. It's also applied to dry hair and left in for 10 or so minutes. Doesn't smell great but it doesn't smell like road either.
 
NOOOO .... stay away from clobetasol unless instructed to use by a dermatologist. Class 4 steroids are not something you should be using on your skin unless you have extreme conditions. This thing can cause mad stretch marks and thin your skin badly.

when it comes to steroids alway do step up therapy.

Try the coal tar shampoo if that fails move on to salicyclic acid shampoo if that fails then start steroids use hydrocortisone lotion mixed in your shampoo (locoid) then you can move to the specialised scalp preps such as betnovate scalp then Advantan scalp then clobex.

I would say see a derm before you start with the betnovate scalp you could also use things like elidel in your hair but .... yeah best a derm handle the more mad treatments.

As for coal tar smell well at least you dont have to bath with a 10% solution all over

EDIT:

as for the UV treatment you can do PUVA at a derm it will take 30 seconds no need to shave your head either ....

EDIT 2.0:

I just remembered that dog shampoos generally contain hydrocortisone. If you desperate and restricted by your budget you can experiment with it. Though google it first to see if anyone has tried using dog shampoo. Though I dont know what will happen or can happen
 
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As far as I know you need a UV-B treatment to kill/contain the condition. Apparently the bandwidth needs to be between 311 to 313 nm and that is only attainable with a UV-B lamp.
 
Take a small bottle Ingram's Camphor Cream (The dark green bottle, 75ml). Take the cream out, mix in 4 Grandpa powders, put back into the bottle. Apply to your scalp as often as is convenient, but at least in the night before going to bed.
 
Oh ja and when I prepare water for my marine aquarium, I keep a few cups aside and use that water to wash my face and scalp, works wonders too.
 
XennoX said:
As far as I know you need a UV-B treatment to kill/contain the condition. Apparently the bandwidth needs to be between 311 to 313 nm and that is only attainable with a UV-B lamp.
Click to expand...

that is correct. Though everyone's skin is different so they will do trial and error and see what works best for you
 
XennoX said:
Background:

I was 10 years old and my standard 2 teacher did a check for lice in the kids. She noticed I had a scalp condition (dandruff). She informed my folks who took me to the doc and he diagnosed it as being either Seborrheic Dermatitis or Psoriasis, but he claims to be very certain its the former as I don't have the plaque that Psoriasis develops. My folks tried all sorts of anti-dandruff shampoos and none of them worked until Niz Shampoo came along. I've been using that stuff for the past 13 years, but for the past year or so it doesn't seem to be working any more.

Apparently S. Dermatitis is not curable, only treatable; the problem is as I've mentioned the Niz Shampoo is no longer controlling it. My scalp is constantly shedding flakes, whereas Niz used to reduce the frequency and magnitude of the flakes sometimes giving me months of respite. I wash my hair 3 - 4 times a week (every 2 days).

--

I've just about reached my wits end and its really knocking my self esteem down. I'm too ashamed to try and chat up ladies for fear of them being grossed out.

Any body have anything that can bring it back under control? I've tried alternate therapy like UV treatment which means shaving my hair extremely short and sitting out in the sun for at least 30 minutes a day. Unfortunately that is no longer feasible as I'm an office jockey at the moment.
Click to expand...
I can't remember if mine disappeared when I shaved all my hair, or after I started eating keto for a year and then carnivore for the last 10 years. More likely the improved dietary quality.
 
Shave your head bald.

Use pure butter ghee - apply it daily to the scalp.
 
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