dandruff/seborrheic dermatitis

• what is dandruff/seborrheic dermatitis?

  flakes of skin in the scalp/itchy
• when to refer in dandruff/seborrheic dermatitis?

  • signs of infection
  • unresponsive to treatment
  • suspected psoriasis
• what is 1st line treatment for dandruff?

  ketoconazole 2% shampoo (nizoral)

  • use twice weekly for 2-4 weeks then once weekly
• what is 2nd line treatment for dandruff/seborrheic dermatitis?

  selenium 2.5% Shampoo (selsun)

  • use twice weekly for 2 weeks then once weekly
• what is the 3rd line treatment for dandruff/seborrheic dermatitis?

  • coal tar (t-gel)
  • least effective for dandruff treatment, can cause photosensitivity
• counselling points for dandruff/seborrheic dermatitis?

  treatment applications/shampoos should be left on the scalp at least 5 minutes before rinsing

  • improvements may be seen within 12 weeks of starting treatments