
Suggest Treatment For Excessive Sebum Secretion On Face

Dr gave me a shampoo ketoconazole 2% but it does not help ? what can I do to stop this ? Could it be from taking metoprolol tartrate 50 -2xs a day for over 7 yrs ? What other possibilities could it be ? Please help I am already handicapped and my back is all of a sudden giving me great pain and this constant Sebaum problem really makes all my other problems seem worse.. thanks XXXXX
Metoprolol and Amlodepine are safe for skin
Detailed Answer:
Dear Sir,
Welcome to the site.
I am Dr XXXXXXX XXXXXXX and I work as a Sr Consultant Dermatologist.
I have noted your concerns. I agree with you that one recurring problem makes other minor problems seem worse. I will help you cope up with your skin problem efficiently
I have had several patients of your age and nearly on the same set of medication for several years.
Both the mentioned drugs have been in use for long and observed to be remarkably skin safe and especially for the production of sebum. The most common cause of this much sebum production seems to be due to hormonal changes that are a part of the aging process.
Here are the measures that I suggest for respite from the problem.
1 A gentle but effective degreasing face wash (for oily skin) is needed that will take away the greasy secretions effectively. In the initial phase, using such a preparation more than once a day will be better.
2 If the problem is accompanied by severe itching or redness, one might opt for a combination of anti fungal like Ketoconazole along with weak steroid. As control is achieved, one can gradually reduce the steroid content and switch over to plain anti fungal. In some patients I found that Tacrolimus 0.03% worked very well
3 several patients are helped by taking oral ketoconazole, after Liver Function has been assessed to be normal. for some weeks
4 Frequent washing of face helps clear up secretions
5 Having a balanced diet and engagement in hobbies to de-stress is also highly recommended. Keeping your disability in mind, I would suggest meditation and reading or anything with which you are comfortable.
I am sure you will be able to feel better with this information and very soon you will improve.
Our best wishes
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There has got to be a way to fix or atleast do something to correct this at the source.. ?
My other little problems are both more than life threatening ... so this annoyance is really wearing thin.... please help me cut off this horrendous flow of this waxy greasey mess in my face and eyes constantly.... Please ... XXXX
This will surely help you and fast too
Detailed Answer:
Dear Sir,
Welcome back.
Thanks for supplying additional information.
In a situation like yours, I would recommend using Betamethasone solution. It works very well and after a week or so, one needs to switch over to its dliuted form or a compound that is lighter in potency.
I hope this will work efficiently for you.
Salicylic acid containing scalp preparations are good adjunct to the suggested line of action.
The above combination is proven to provide quick relief.
Let me know if there is anything else that I can do for you.
If you feel that your query is answered, then kindly close the thread and rate it.
Best wishes


or for sebaum removal on my scalp ? Do I shampoo with it ? thx XXXXXXX
To be used as local application
Detailed Answer:
Dear Sir,
Welcome back!
Betamethasone solution is a local application of waery solution which is to be applied to the area as a thin layer and left unwiped for at least two to three hours. The purpose of this step is to let preparation remian in contact with the affected skin so that it can exert its impact on that area.
Cleaning is best done with either plain water or a mild face wash while medicated shampoo is to be used at the time of bath wherein the lather is allowed to remain in contact with the scalp skin for at least 8 to 10 minutes before it is washed off.
I am sure you will find this information useful
Best wishes always from us all!


Betamethasone for scalp
Detailed Answer:
Hi
Welcome back!
Betamethasone solution is for scalp use. For face, creams would be more preferable. For face a preparation containing Hydrocortisone would be preferable. You can skip applying anything to the hairs as the site of activity is skin of the head which is called scalp.
Hope this information helps you. Best wishes

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