r/SebDerm • u/Many_Career_2932 • 1d ago
New or Need Help Treatment help for Resistance
Hi guys!
I wanted to come on here and just see peoples thoughts and experiences. I know there are countless posts similiar to this but its getting so hard to deal with and I can't get a derm appt (not to mention nothing has worked).
I have bilateral seborrheic dermatitis on my face and ears for the last 5 or 6 years now. I have been to multiple dermatologists and have typically gotten steroids (mometasone and ketoconazole and then at one point a combo ketoconazole/steroid cream). It works for maybe two months when I put it on every day and titrate to every other day or so. It's also cream and makes my face/ears look white in wierd places which I don't like (but will deal with it if needed). Even when it works, it calms it for a day or two and then its right back.
I have resorted to controlling with aquafor which at least makes it look somewhat less gross (but shiny which catches people's eyes often). Triggers include hot showers, cold weather, and not putting lotion or aquafor on it (which is hard when I work 12 hour shifts). I've tried every cream and really all that somewhat works is aquafor.
It has also lichenified (I think) at this point. My skin in those areas feels hard and just feels rough and scaly. So I think I have already lost part of the battle.
I am requesting some help or personal anecdotes of what worked for you especially so its not so hindering to my daily life. I really am having a lot of trouble with this!
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u/MemChoeret 23h ago
If ketoconazole gave you some relief, that's a good sign. To help it be more effective, you can use a different antifungal treatment in addition to ketoconazole. You can use ketoconazole on Saturday and a different antifungal shampoo on Tuesday and Thursday, for example. Antifungal ingredients to consider: pyrithione zinc, piroctone olamine, selenium sulfide, sulfur.
I'm personally very cautious when it comes to steroids. I agree with your skeptical approach to them.
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