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Dear Sir My Name Is XXXXXXX . I’m 36 Years

Posted on Wed, 20 Mar 2019

Question: Dear Sir
My name is XXXXXXX . I’m 36 years old. This is regarding my seborrheic dermatitis . I have this problem on my face from past 2 years.
I used so many topical creams (Erythego gel, picon 1%lotion, Elidel cream) for this seborrheic dermatitis. I am getting temporary relief only from these medications, but not cured. I don't know what will be side affects with these creams as I am using from past two years... I am also using medicated shampoo for head both for control.

Can you please suggest me, Is there any better treatment for this skin condition? I’m a psoriasis patient too from past 12 years. Right now I’m taking Scapho biological injections and my psoriasis is well in control with this injection. I never had seborrheic dermatitis before, it started from last two years.

Please advise me any good treatment for cure.
Thank you

Answered by Dr. Asmeet Kaur Sawhney (39 minutes later)

Brief Answer:
Capsule itraconazole, topical antifungal steroid cream

Detailed Answer:
Hi
Welcome to ask a doctor service
I have gone through your query.
There is no permanent cure for seborrhoic dermatitis.
You have to keep it under control.
I would recommend you to take oral anti fungal like capsule itraconazole ( capsule onitraz ) 100 mg twice daily for 3 weeks along with application of a topical anti fungal steroid combination like beclomethasone and clotrimazole cream ( zydip C cream) twice daily for 2 weeks followed by once daily and gradually tapering it off over few weeks.
Also continue with the medicated shampoo.
These will help in settling your problem to a great extent.These are prescription drugs and should be taken under the supervision of the doctor.
I hope to have answered your query and would be happy to answer any further queries.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Asmeet Kaur Sawhney (46 hours later)

Hello

My doctor suggested to use sotret - 10mg tablet for seborrheic daily, but I din't use because of fear of side effects.

Is this tablet safe which you are suggesting to use ? and is this steroid cream ok for use on face ?

Are these steroid creams will spoil / damage my face ??

kindly reply me

Answered by Dr. Asmeet Kaur Sawhney (29 minutes later)

Brief Answer:
Capsule and steroid cream are safe to use

Detailed Answer:
Yes the capsule itraconazole I have asked you to take is safe.
The cream is also safe to use but for a short duration.
You can use it twice daily for 2 weeks, then once daily for 10 days and then twice weekly for 2-3 weeks.
This gradual tapering won’t cause any side effects.
They won’t damage your face.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad