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Nizoral & Other OTC Products Reviewed; Selenium Sulfide 1% Recommended
on July 28, 2010
I have tried many treatments for seborrhoeic dermatitis and dandruff. Here are the results:
I tried both Nizoral/Ketoconazole 1% (OTC) & Nizoral/Ketoconazole 2% (Prescription). Both did not appear to be effective (also, I did not notice much of difference between 1% and 2%). The BENEFITS of Nizoral/Ketoconazole is that it is relatively mild, can be used frequently, does not have a strong fragrance or odor, and does not affect the texture or quality of your hair. The two important DRAWBACKS are the price and the fact that, in my experience, it is ineffective in treating seborrhoeic dermatitis (it doesn't appear to do anything more than a regular shampoo).
Neutrogena T-Gel (coal tar) and salicylic acid are WAY TOO HARSH and should only be used as a last resort, or to treat scalp psoriasis. You can type "Seborrheic Dermatitis Versus Psoriasis" into Google to read the difference between the two (Quickly: scalp psoriasis is the less-common, more-painful condition; its scales often have minor bleeding when scarped off manually). Both coal tar and salicylic acid made my hair extremely rough, tough, and dry. All the conditioner in the world made no difference. I had to wait for new hair to grow and get a haircut to get the my original relatively soft hair hair back.
Zinc pyrithione (Head & Shoulders) is nearly useless. It is popular because it is cheap and was the first widely available treatment for seborrhoeic dermatitis.
RECOMMENDATION: I recommend Selenium Sulfide 1% (sold as "Selsun Blue" or "Head and Shoulders Intensive Treatment" in the Dark-Blue bottle) because it is EFFECTIVE and reasonably priced. I found Selenium Sulfide 1% to be the most effective in treating seborrhoeic dermatitis. It is not as mild as Nizoral/Ketoconazole but it works without excessive drying. On the whole, perople's experience are that Selenium Sulfide 1% and Nizoral/Ketoconazole 1% are the best treatments (if the latter works for you).