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By Mayo Clinic staffThe following over-the-counter treatments and self-care tips can help you control and manage seborrheic dermatitis.
- Shampoo daily. Use an anti-dandruff shampoo that contains selenium sulfide, tar, pyrithione zinc, salicylic acid, ciclopirox or ketoconazole as the active ingredient. If you don't see results, try a shampoo with a different active ingredient.
- Use an over-the-counter antifungal cream. Daily application of nonprescription clotrimazole (Lotrimin) may be helpful.
- Apply an anti-itch cream or lotion to the affected area. A nonprescription hydrocortisone cream, containing at least 1 percent hydrocortisone, can temporarily relieve the itch.
- Avoid harsh soaps and detergents. Be sure to rinse the soap completely off your body.
- Wear smooth-textured cotton clothing. This will help you avoid irritation.
- Shave off your beard or mustache. Seborrheic dermatitis can be worse under mustaches and beards. If this is the case for you, shaving might ease your symptoms.
- Avoid scratching whenever possible. Cover the itchy area with a dressing, if you can't keep from scratching it. Trim nails and wear gloves at night.
Cradle cap
Cradle cap usually clears up on its own within a few months. In the meantime, wash your baby's hair once a day with mild baby shampoo. Loosen the scales with a small, soft-bristled brush before rinsing off the shampoo.
If the scales don't loosen easily, rub a few drops of mineral oil or olive oil onto your baby's scalp. Let the oil soak into the scales for a few minutes, and then brush and shampoo your baby's hair as usual. If you leave the oil in your baby's hair, it may allow more scales to accumulate on your baby's scalp.
If cradle cap persists or seems severe, your doctor may suggest a medicated (antifungal) shampoo, lotion or other treatment.
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- Seborrheic dermatitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec10/ch114/ch114h.html. Accessed April 20, 2009.
- Plewig G, et al. Seborrheic dermatitis. In: Wolff K, et al. Fitzpatrick's Dermatology in General Medicine. 7th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2951940. Accessed April 20, 2009.
- Naldi L, et al. Seborrheic dermatitis. New England Journal of Medicine. 2009;360:387.
- Berger TG. Dermatologic disorders. In: McPhee SJ, et al. Current Medical Diagnosis & Treatment 2009. 48th ed. Los Altos, Calif.: Lange Medical Publications; 2009. http://www.accessmedicine.com/content.aspx?aID=747. Accessed April 20, 2009.
- McCall CO, et al. Eczema, psoriasis, cutaneous infections, acne, and other common skin disorders. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2864389. Accessed April 20, 2009.
- Pimecrolimus cream. Food and Drug Administration. http://www.fda.gov/cder/drug/InfoSheets/patient/ElidelPIS.pdf. Accessed April 23, 2009.