Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
122 Doctors are Online

Patches of yellowish scales on scalp, scaling & redness on face. Had seborrheic dermatitis. Using nizoral & neutrogena shampoo. Suggestion to control this condition?

User rating for this question
Very Good
Answered by

Practicing since : 2006
Answered : 520 Questions
I had a bad case of seborrheic dermatitis. I continue to get patches of yellowish scales all over my scalp. Right now I shower 2x a week with nizoral shampoo then shampoo with a netrogena clean shampoo afterwards. I only use about a dime sized amount of the nizoral. I am a male with shoulder length hair. Am I using enough nizoral shampoo? In addition I work out about an hour a day. Please provide tips and suggestions to help control my condition so I do not continue to develop these yellowish scales. I also have scaling and redness on my face.
Posted Tue, 22 May 2012 in Skin Hair and Nails
Answered by Dr. Gaurang Krishna 58 minutes later

Thanks for writing in.

As you may already know, Seb Derm is a chronic skin condition with remitting and relapsing course.

Skin and scalp care is very important.

What you are doing in correct, just needs a little fine tuning.

It is always recommended to wash your scalp first with a normal shampoo(like neutrogena) and then apply a medicated lotion/shampoo..this is done so that the medicine gets a direct access to the scalp as the dirt is already washed off by the normal shampoo.

Nizoral may make your hair look dry and fizzy. You may use a conditioner afterwards or you may use Triatop shampoo (nizoral + conditioners). Twice a week is OK. and the amount you are using is reasonable too as you just have to apply it on the scalp. Hair length doesnt really matter.

If this is not helping you as much as you would like, then you may upgrade and use a shampoo containing a little coal-tar along with ketoconazole.

This really helps in resistant cases.

You may also use an antifungal lotion (clotrimazole) once a week overnight application.

The same lotion may be used for facial redness as well.

Some tips..Do not use hair oil, massages, spas, chemicals, steams etc.

I hope I have answered your question.

I shall be available for any further questions, should you have them.

Thanks and regards.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor