Preparations for the treatment of seborrheic dermatitis, skin care for this disease

Creams and ointments for seborrheic dermatitis
Antibiotics and antiseptics, antifungal creams
Anti-inflammatory and regenerating agents
Combined preparations
Zinc preparations
Other treatment methods
Skin care

Creams and ointments for seborrheic dermatitis

The use of local dosage forms most effectively cope with the exacerbation of the disease. It is better to ask your doctor which means should be used. There are a number of general recommendations that are suitable for most patients. It should be remembered that drugs for seborrheic dermatitis are prescribed accordingly to the individual characteristics of the disease course.

Antibiotics and antiseptics, antifungal creams

seborrheic dermatitis on the head photo
Seborrheic dermatitis on the head


It is believed that fungi, which are normally living on the skin, take an active part in the pathogenesis of the disease. This phenomenon is especially pronounced in seborrheic dermatitis of the scalp. For the treatment of fungal infections and to prevent its spread, ointments, creams and shampoos with antifungal effect are used. These drugs are antibiotics.


Clotrimazole is used more often than other substances against seborrheic dermatitis. It is available in several dosage forms for internal and external use. Clotrimazole cream is used for exposed skin, and clotrimazole shampoo is used for the hair part of the head. In severe forms, the same drug can be prescribed in pills.

There are other effective means for these purposes:

  • Fluconazole cream;
  • Nizoral cream;
  • Nizoral shampoo;
  • Sebosel shampoo;
  • Mycozol cream;
  • Mycoral shampoo;
  • Pimafucort cream.

The cream for seborrheic dermatitis is applied to the affected area of ​​the body, the head is washed with a medical shampoo (the reviews about it are quite favorable). The frequency of application is daily, the ointment is applied several times a day, especially on the hands.

Antimicrobial agents (zinc ointment is the most well-known of them) are prescribed to prevent complications. In the mechanism of pathology, the role of bacteria is rather small, but the affected skin becomes the entrance gate for infection, which leads to more severe pathologies, like furuncles, streptoderma, pyoderma, erysipelas.

The list of antibiotic ointments that are prescribed in this case:

  • Levomecol cream;
  • Erythromycin;
  • Resorcin;
  • Metrogyl gel.

All of them have a wide spectrum of action and destroy most pathogens.

If infectious complications of seborrheic dermatitis have not developed, antiseptic agents are used. They are safer and have fewer side effects, but are only suitable for prevention, but not treatment. The most gentle to the skin is Miramistin. It is a drug that creates unfavorable conditions for bacteria, fungi, viruses, preventing them from penetrating the skin. With the same purpose, sodium thiosulfate and zinc ointment are used. They inhibit the proliferation of microorganisms, prevent their spread. Zinc ointment, besides, has peeling properties, promotes the discharge of skin flakes, stimulates the growth of healthy epidermis.

Anti-inflammatory and regenerating agents

These are means of pathogenetic treatment. They do not affect the cause but reduce the severity of inflammatory reactions. Among the anti-inflammatory drugs, ointments with hormones are most effective (Advantan, Hydrocortisone, Celestoderm). In contrast to ointments containing non-steroidal preparations, hormonal creams can be applied to damaged skin, and they are more effective.

Let’s not forget about the Elidel. This drug contains a compound of cromoglicic acid. It belongs to a group of anti-inflammatory drugs but is most effective as a mean of prevention. It is prescribed to patients suffering from the seasonal form of the disease a few weeks before the start of the season. It is also recommended for people whose work involves contact with irritating substances. When used properly, Elidel helps prevent seborrheic dermatitis from worsening.

Regenerating agents accelerate the healing of damaged skin. Bepanten, Bioderma, D-panthenol are the most effective among them. They accelerate the regeneration, enhance the exfoliation of old cells, are a source of valuable nutrients. Some experts refer to the restorative and zinc ointment, as the most popular remedy for seborrheic dermatitis.

Combined preparations

Lotions for seborrheic dermatitis, containing several active ingredients, are available for the convenience of patients. They can contain both anti-inflammatory and antifungal components, as well as cosmetic additives that make the process of applying lotion much more pleasant than the use of therapeutic creams.

Belosalic lotion contains glucocorticosteroid keratolytic component. It is prescribed not only for seborrheic dermatitis but also for a number of other skin pathologies. According to people’s reviews, it has fairly high efficacy. It can be used both for skin lesions and for seborrheic dermatitis of the scalp.

Diprosalic lotion is a combination of an antiseptic and a drying agent with a hormonal anti-inflammatory component. The product lubricates itchy and scaly skin, but it is not suitable for the head. In such cases, a combination with shampoo is needed. Reviews of Diprosalic are rather contradictory. It is effective, but it causes burning and itching quite often when used (this is due to the content of salicylic acid).

Elocon lotion is prescribed to relieve inflammation. To enhance the effectiveness of treatment, it can be combined with zinc ointment (the interval between applications is at least one hour).

Rozamet cream for dermatitis of various origin, containing metronidazole and cosmetic substances is used to prevent bacterial complications and for more comfortable treatment. Using Rozamet for dermatitis is possible without a doctor’s prescription, but it is advisable to use it strictly for its intended purpose. Thoughtless use of antibiotics in any form can disrupt the normal composition of microflora and provoke resistance of pathogenic bacteria.

Zinc preparations

Zinc cream is a well-known drug to combat various types of dermatitis. Its mechanism of action is based on drying, antimicrobial, keratolytic effects.

zinc ointment
Zinc ointment

Zinc is a fairly toxic metal, and due to its presence, zinc ointment creates unfavorable conditions for bacteria. This helps to avoid complications, increase the effectiveness of antifungal and antimicrobial therapy.

Secondly, the zinc cream helps to soften the upper layers of the epidermis, to remove dead skin scales. Zinc ions contribute to the drying of weeping skin while blocking the formation of crusts. All this contributes to the rapid formation of healthy skin and wound healing.


Other treatment methods

In addition to agents that directly affect the inflammatory process and its pathogens, there are others that can be called auxiliary. They increase the effectiveness of other drugs, improve the condition of the skin, the patient’s well-being or are appointed in severe cases.

Herb decoction

The use of decoctions and infusions of herbs is effective as a symptomatic remedy. In particular, chamomile is used as an anti-inflammatory, antiseptic and keratolytic agent. Calendula is used to prevent infection, drying and accelerating healing. These herbal remedies for seborrheic dermatitis are part of the caring cosmetics because they enhance their effectiveness.


Systemic drugs are prescribed for generalized forms of the disease when significant areas of the skin are affected, the patient’s overall well-being suffers. In such cases, antifungal agents (Fluconazole, Ketoconazole, Itraconazole), antiallergic drugs (Loratadine, Suprastin), hormonal anti-inflammatory drugs (dexamethasone) are prescribed.

Vitamins with seborrheic dermatitis can be administered in various dosage forms. One of the known drugs for the disease is Retin-A. This remedy contains vitamins A, D and E, essential for the skin. Retin-A is produced in the form of ointment or tablets for oral usage. When applied topically, it improves the nutrition of tissues, accelerates healing.

As an analog of Retin-A, Retinol is used. This is a topical solution that contains provitamin A, ethyl alcohol and propylene glycol. The peculiarity of this agent is that it simultaneously nourishes the skin and promotes exfoliation of the cornified epidermis. Retinol is prescribed as part of complex therapy.


Violet ray is used as a mean to quickly stop the exacerbation of seborrheic dermatitis. The procedure is carried out in the beauty salon or dermatological office. The essence of the method is that due to the electric current a field is created that irritates the skin and small vessels. Due to this, the recovery of the epidermis is accelerated.

Skin care

skin care
Skin care

Drugs are needed for the treatment and prevention of exacerbations of the disease. But during remission, the skin requires specific care. For this, there are a number of specific lines of cosmetics. The largest of them is French La Roche-Posay.

Cosmetics La Roche-Posay offers a wide range of products for deep cleansing of the skin, softening of the epidermis, nutrition, superficial peeling. The medical cosmetic products are presented for problematic skin. They can cope with various defects, including dryness or excess production of sebum, provoking the development of seborrhea.

La Roche-Posay products can be purchased in online stores and specialized stores of this brand. If you wish, you can choose a mean for every taste and health of the skin.

Mustela hypoallergenic cosmetics for dry skin will also be a good helper for patients suffering from seborrheic dermatitis. It not only effectively cleanses the skin, gently cares for it, helps to fight the imperfections of the epidermis, but also allows you to avoid allergic reactions, reduces the tendency of the skin to inflammatory processes. The only drawback of the Mustela series is the price.

Emolium’s specialized line helps with dry skin and a tendency to flaking. It allows you to normalize the production of sebum, moisturizes and nourishes the skin. It should be noted that dry skin stimulates the production of sebum, and with normal hydration, this effect ceases. The action of the Emolium series is based on this.

Uriage cosmetics is also designed to cope with dry or oily skin. Various means in this series allow you to choose the right combination for each patient.

Ideally, a dermatologist or cosmetologist should select a set of care products, especially for patients suffering from skin diseases. Before deciding how to smear and wash the skin, you need to thoroughly understand all the subtleties and features of a particular patient.


Seborrheic dermatitis can be treated for years; this process does not stop for a day. During periods of exacerbation, the patient needs to cope with the pathology, during periods of remission — to avoid exacerbation with the help of proper care and timely use of prophylactic agents. Nevertheless, modern drugs allow you to create a sufficiently high quality of life, despite the disease.

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