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Treatment of seborrheic eczema
Seborrheic eczema (or seborrheic dermatitis) is a chronic disease for which there is no definitive treatment.
There are various treatments and home remedies that can be used to reduce symptoms.
Antifungal products
These drugs decrease the yeast cells in the areas of the body affected by Malassezia.
Antifungal agents used in the treatment of seborrheic dermatitis are:
Ketoconazole
Ketoconazole, which is available as:
- Shampoo (Nizoral)
- Foam
- Gel and cream
Some studies show that the product is most effective at a concentration of 2%.
In percentage cases, side effects occur with ketoconazole, which can manifest themselves as follows:
- Skin irritation
- Itch
- Burning skin
Ciclopirox
Ciclopirox (Sebiprox®) is a prescription shampoo and skin care product.
Terbinafine
Terbinafine (Lamisil®) is sometimes prescribed in tablet form for serious episodes, but studies have shown that their effectiveness is limited. Serious side effects of terbinafine include:
- allergic reactions
- Liver damage
Corticosteroids
These drugs improve symptoms by having a soothing effect on:
- Inflammations
- Itch
- Complaints
As a rule, their use is limited in time, as long-term use of corticosteroids can cause serious side effects in large areas of the body.
Women must discuss their situation with the doctor if they are pregnant, because these drugs can harm the child.
Side effects of corticosteroids include:
1. Skin damage
2. excessive hair growth (hirsutism)
3. Susceptibility to
infections 4. high blood sugar
5. Drop in certain hormones
6. Growth retardation
7. Osteoporosis
8. Acne
Examples of cortisone-containing drugs:
- Clobex requires a prescription and is used, for example, as a shampoo or spray for local treatment.
- Betamethasone valerate (Ecoval) is available as a cream or lotion by prescription and is suitable for treating the scalp and other parts of the body.
This active ingredient is also contained in sulmycin ointment with Celestan-V, but together with an antibiotic (gentamicin).
Calcineurin inhibitors These prescription creams
are drugs that inhibit the activity of the immune system.
Research and clinical trials show that the effectiveness of these drugs is similar to that of antifungal or cortisone-containing creams.
The FDA (Food and Drug Administration) advises against long-term use of these drugs because they increase the risk of melanoma.
Inhibitors of calcineurins are:
- Tacrolimus (Protopic®)
- Pimecrolimus (Elidel®)
Active
substances in shampoo Active ingredients in shampoos can be:
1. Selenium sulfide, contained in prescription products.
Some people who use selenium sulfide experience irritation of the scalp and discoloration of the hair as side effects.
2. Zinc pyrithione is available over the counter. It can cause irritation.
3. Sulfur reduces dandruff accumulation and itching.
4. Acetylic acid is a delicate mixture that loosens dandruff on the scalp.
5. Alum stone (or potassium alum) has an antibacterial, anti-inflammatory and astringent effect. It limits the spread of Malassezia yeast cells.
It is important to use the funds in the treatment of seborrheic dermatitis according to the prescription.
If a shampoo brings success for a while, but then seems ineffective, the remedy should be replaced with another on a trial basis.
The recommended time for the treatment, in which the ingredients can unfold their full effect, should be adhered to in order to be able to determine an effect of the shampoo.
Home remedies and natural remedies for seborrheic eczema
Over-the-counter natural remedies and their recommendations often help keep seborrheic dermatitis under control.
1. Wash the head with a medical anti-dandruff agent as directed by a doctor. If the desired result does not occur, a shampoo with another active ingredient should be tried.
2. Use an over-the-counter antifungal cream.
3. Apply an anti-itching cream to the affected areas.
4. Avoid harsh soaps and detergents. It is important to rinse the soap thoroughly from the skin and scalp after washing.
5. Argan and almond oils can be helpful and should be applied to the affected areas of skin one hour before washing.
6. Among the self-applied remedies, sun and UV lamps can also be helpful for seborrheic eczema, but this therapy can not be recommended due to the numerous side effects.
What products to use for seborrheic eczema?
Avoid
natural oils In the case of dandruff and scalp eczema, it is important to know that many natural oils actually promote the Malassezia fungus that causes the disease.
Oleic acid is present in four natural oils that should be avoided:
1. Coconut oil 2. Shea butter
3. Olive oil
4. Castor oil
Recommended herbal remedies that strengthen the skin and have antibacterial effects:
- Sweet almond oil
- Tea tree oil
- Aloe vera has a wound closing effect on skin injuries
- Gingko biloba promotes blood circulation in the capillaries
- Bardana has a detoxifying effect applied internally and supports the kidney and pancreas function
What shampoo helps with seborrheic dermatitis?
In the initial treatment of skin flakes, an over-the-counter anti-dandruff shampoo can be used.
They are very effective and stop dandruff and itching.
Anti-dandruff shampoos contain antifungal drugs such as zinc pyrithione and ketoconazole, which reduce the fungus on the skin.
How often to wash your hair?
Many anti-dandruff remedies are only effective if the affected person washes their hair 2-3 times a week to support the antifungal effect.
Once dandruff treatment and itch control have been completed, you can alternate between a head wash against dandruff and a normal shampoo.
Diet and nutrition for seborrheic eczema
Being overweight is one of the risk factors in seborrheic dermatitis. Thus, fatty foods and sweets, which promote an increase in body weight, should be avoided.
According to the testimonials of many patients, the symptoms of seborrheic dermatitis can disappear due to the following natural diets:
- Blood group diet
- Vegan diet with more than 50% raw foods
- Paleo Diet
These diets are very different from each other, but have the following things in common:
- Avoid processed foods and preservatives.
- drinking little water (no more than 1/2 liter per day); otherwise, swelling and sweating occur.
- Proper combination of foods; it is important to eat little per meal, otherwise you risk slowing down digestion.
- Avoid sweets and chewing gum.
- No consumption of medications and supplements, as the chemical substances are not processed by the body and can produce side effects.
- Avoid cereals as they raise blood sugar levels, cause inflammation, and harden the arteries.
- Abstain from dairy products, as they can cause inflammation of the intestine, as well as poor absorption.
According to the blood type diet, some foods can cause an immune system reaction that causes symptoms and diseases.
The “harmful” foods depend on the blood group of each individual. For example, a food can be:
- provoke dermatitis in a person of blood group 0,
- be harmless to a person of blood type A.
It is a protein-rich diet, as both the body structure and its functions are based on proteins.
Foods that favorably affect the disease on the basis of a vegan raw food diet are:
1. Fruits
2. Vegetables
3. Legumes
4. Potatoes
5. Nuts (without exaggeration) and oilseeds
6. Germinated cereals in small quantities
The Paelo diet is based on foods eaten by prehistoric man:
- Meat
- Fish
- Eggs
- Fruit
- Vegetable
In particular, the following shall be avoided:
- Cereals
- Pulses
- Processed foods
- Dairy products
- Sweets
- Pizza etc.
- saturated and trans fats
Biotin (or vitamin H) is a very useful substance found in the following foods:
- Dairy products; however, these are discouraged as they contain lactose and casein and can cause various health problems.
- Yolk
- Fungi
- Carrots
- Spinach
- Seafood
- Fruit
How long does seborrheic eczema last? Prognosis
Seborrheic dermatitis is a chronic condition that can be controlled by proper treatment.
Often there are inactive periods, which are followed by renewed flare-ups.
Hair lost due to seborrheic dermatitis grows back in the inactive periods.
Milk cap Only the milk cap
passes by itself within a few months. During this time, the following are recommended:
- Wash the child’s head once every two days with a mild shampoo for newborns.
- After washing, put a few drops of almond oil on a cotton ball and soak the scales on the child’s scalp. Leave the oil on for a few minutes.
- If the incrustations feel soft, you can comb with a fine, rounded comb and thus remove the scales.
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