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November 23, 2009
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Seborrhea (cont.)

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If over-the-counter products don't work, what can the doctor prescribe for dandruff?

Your physician or dermatologist can recommend prescription-strength shampoos or antifungal and cortisone creams that are stronger than those available over the counter, yet are not too strong to use on the face. There also are cortisone-based liquids, gels, and foams that you can apply to the scalp that won't leave your hair limp and matted. Nonsteroid cream like tacrolimus (Protopic) or pimecrolimus (Elidel) can also help.

As with all seborrhea (dandruff) treatments, prescription-strength shampoos and cortisone creams calm down your skin or scalp sensitivity, but they can't stop the seborrhea (dandruff) from coming back. Most people, however, only have to treat their condition from time to time when it becomes itchy or noticeable.

A word on eyelashes

Dandruff (seborrhea) of the eyelashes can be both annoying and hard to treat. Eye doctors like to recommend scrubbing the lashes with baby shampoo on a cotton swab. This method may be worth a try, but it often fails. Cortisone-based lotions should be used close to the eye only under medical supervision since continuous exposure of the eye to cortisone can lead to serious eye problems.

Dandruff (Seborrhea) At A Glance
  • Dandruff is a form of skin eczema called seborrhea.
  • Treatment of seborrhea (dandruff) is directed at fighting the skin inflammation.
  • Yeast is a fungus that sometimes builds up on scaly areas of seborrhea.
  • The physician may recommend prescription-strength shampoos or antifungal and cortisone creams for seborrhea.

Last Editorial Review: 5/26/2009




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