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Positive Optimyst
Oct 25, 2010

by FactsAreUseless
A lot of people get dandruff to different degrees.

I don't discuss it with friends or people but it seems that I accumulate dandruff frequently. It's TMI for me.

I shampoo with Nizoral 2% (over-the-counter where I live) once a week, rinse thoroughly and usually don't use shampoo 5-6 days of the week.

In the last couple of weeks I've gotten something for the first time ever: itching.

My dermatologist told me dandruff can be genetic.

Can the humidity or dry weather affect it?


If you have dandruff what has worked for you?

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Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Cage posted:

Washing my hair more than once a week.

e: To be slightly less of a dick but not much. If I dont use head and shoulders or a generic version I start to get itchy after a few days. However I shower about 6 times a week and wash my hair each time. Im sure you've tried it so sorry about my dumb post.

Cheers for the response.

I used to use shampoo every day.

I have read a lot of the "Ditching shampoo" thread here on A/T.

Lots of chemicals in shampoo and the scalp produces natural oils (so they say).

Therefore a few years ago I stopped washing my hair with shampoo every single day.

I will try using the shampoo I have for "dry hair" and see if it helps.


The thing with Nizoral is that it's not recommended more than once per week.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Cage posted:

Did you have dandruff before you stopped washing daily?

Yes, I had it but I can't recall if I had it more or less than now.

That's difficult to say, because I stopped the daily shampoo use years ago.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

buglord posted:

I've had mild dandruff and used Head and Shoulders for the most part. Dandruff was gone. I also lived in a massively hot and arid environment so its pretty common to get ashy elbows and chapped lips. I moved for college to a place that is the exact opposite, with much cooler temperatures and sky-high humidity. I don't have to use Head and Shoulders anymore, but I find myself using it just out of habit anyway :v:

Personally, I have oily hair and a dry scalp. The former is somewhat mitigated with having short hair nowadays, but i've never tried ditching shampoo because my hair feels gross and oily by the end of the second day.

Perhaps humidity and dryness is a factor, buglord.

It's good that you're flakes friends are gone.

I am growing my hair longer now and it's probably 2 inches longer than it's been in 15 years. Perhaps length is a factor. ?

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

blackguy32 posted:

Do you have eczema? If it's eczema then you need to make sure to apply lotion or cream to your scalp right after you get out of the shower while it's damp to keep it moisturized

I don't know if I have eczema.

I'll google tomorrow and then look at the symptoms.


Thanks for the question and response.

The lotion or cream you mention would be prescribed or OTC, I presume. A specific chemical.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

spog posted:

Are you using Head and Shoulders when you do use shampoo?

Wow.

ESP post.

For the first time in several months I used....today....Head and Shoulders. An old bottle in my shower rack. I almost always use Nizoral (or Selsun) b/c I think...or thought....it was stronger/better.

But the "Head and Shoulders" seems to feel good and work good today.

I'll try again and give a report.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

RICHUNCLEPENNYBAGS posted:

I use a combination of the maximum-strength Head and Shoulders (in the blue bottle) and the regular conditioner. The two actually have different active ingredients. This works better than anything else I have tried.

I'll check both out.

quote:

e: Also I wash my hair daily. Once a week sounds kind of gross (OK, I'm being polite, it sounds really gross).

It's OK to be grossed out.

For almost all of my life I shampooed every day.

Then I started reading articles about the chemicals in shampoo and that we have oil and natural things on our scalp and in our hair that don't necessitate using shampoo every day.

I also never have oily hair. My body or scalp just does not produce it.

I read the "Ditching shampoo thread," here.

That's why I don't. I can always change but I don't see the need.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

spog posted:

I believe that Nizoral treats the condition, but doesn't relieve the symptoms, while H&S relieves the symptoms, but doesn't treat the condition - so you should use both alternately

Yeah, I used Head & Shoulders yesterday and it's doing exactly what you say. H&S does seem to alleviate the symptions - unlike Nizoral.

Today I used not shampoo at all, just a good rinse.

[quote]I think you've already highlighted the need in your first post - get the itching sorted out first.

That's better too (but not completely gone) possibly b/c of using H&S.


Yay.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Scudworth posted:

Not shampooing every day is fine for people with normal hair. It doesn't sound like this applies to you.

I think my hair is normal it's just a scalp issue b/c of genetics, fluctuating weather....or.....I don't know.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

photomikey posted:

Once you started getting chastised about not washing your hair every day, it was suggested that you try it.

I'm curious to know if you considered the other side of that coin. Have you considered stopping shampoo altogether? I occasionally use conditioner but haven't shampooed in a couple of years, and my hair and scalp has never looked/felt better.

Try shampooing everyday?

I did that for years. I shampooed every single day for almost my entire life and then more and more articles came talking about it not being necessary, and (to say again) the "Ditching Shampoo" thread here on A/T, which was very informative.

I'll buy a bottle of conditioner and try that.

I do think I need conditioner at times.

I have not considered quitting shampoo 100%.

(A friend of mine never washes his hair with shampoo.)

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

DoggPickle posted:

I'm a girl with long thin hair, meaning skinny, waspy-like individual hairs, and I definitely cover it with a shower cap and only wash it every 2 or 3 days, excepting sweaty workouts. It takes me like 2 hours to blow dry it with mousse so I have some volume and then curl it or straighten it, and that lasts a few days barring humidity.

And I think this is a good way to go if you're in my boat but eww those chicks who's "stylist" told them it was BETTER to not wash their hair for days at a time and you want to tell them it looks slimy and disgusting, but you can't because it's your friend and her stylist is so awesome, but not washing your greasy hair just looks horrible. It's like a bad tattoo. You can't tell your friend that it's horrible, because you still want to be friends.

Anyways, I'm almost 40 and I've gotten a weird patch on my temples a couple times now, since I was 25 or so., that lasted a year or more, and it would just flake like the devil, and the only things that really worked were the real acid shampoos, not the ones with TAR or that bullcrap. And I just had to rub the living heck out of the patches and deal with the consequences for a few months, daily washing and lots of combing and not touching my head at work ALL DAY. and they went away eventually. This is a really serious issue for people with dark hair, because it makes it look like you're "dirty" or unkept but its just random weird crap happening on your head and it sucks.

Don't GO IN BLACKLIGHT. :laffo:

2 hours is a LONG time to dry and do the hair, DP.

Good luck on your other issues.

It sounds like your friend(s) have more naturally oily hair, so this might cause the "slimy and disgusting" look when take a break from the Sh-poo.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

spog posted:

I am genuinely happy for you: I know how these things can drive you nuts.

Spog,

Not driven nuts, amigo. Not at all.

I was just askin' a question about a (TMI) topic.

Now share.....or.....else.....how many flakes on ya shoulders?

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Oddhair posted:

I had bad dandruff as a kid, even before puberty. H&S would take care of the major flakes, but I'd still have little snowy bits on my shoulders. Somewhere around 1990 I started using Neutrogena T-Gel coal tar extract shampoo and never looked back, though now their conditioner has salicylic acid instead of more coal tar. There are also salicylic acid shampoos, but neither of these products is particularly harsh in my experience. The shampoo used to smell kind of medicinal and the conditioner was even more so, now they smell like cheap men's cologne to me. I developed psoriasis in my 30s, so already using this shampoo has helped my scalp a lot, but I still also need use topical steroids like desonide and clobetasol.

It's also more effective to leave coal tar shampoo in for ~ 5 minutes, though this can slightly discolor lighter hair.

I'll check out and research the "salicylic acid" shampoos and psoriasis.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pogo the Clown posted:

I'm going to suggest the opposite of most people here and say STOP using the crazy medicated shampoos.

Lots of people have skin reactions to Sodium Lauryl Sulfate (known as SLS), which is a VERY common ingredient in shampoos and conditioners that makes them foam up and give that stereotypical "soapy" feel (also other similar things like SLES, ALES, ALS, etc). It also dries out your skin and can be a common cause of dandruff. My wife and I both used to have dandruff issues, but not in the several years since switching shampoo.

I use a brand called Organic Care (Australia) which is literally the second cheapest brand at my grocery store, so don't think this has to be some expensive free range gluten free baby panda tears type product either. Also, I only wash my hair every second day or when I've been sweating.

Cheers for the info.

I've never considered Organic shampoo.

I'll check into "Organic Care" or some other organic brand.

You list chemicals with acronyms. It's like those dodgy ones on food labels.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

DoggPickle posted:

My hair is like 3 feet long. I let it dry naturally for almost an hour first, which makes it manageably damp, so I don't have to point the hairdryer at my head for 30 minutes and get a hot-head or headache. Then it takes a good 20-30 minutes to dry straight while hanging upside down, and the next 20 or 30 to either curl or straighten. I have a LOT of hair. When it lasts for 2-3 days, it's worth it.

Yeah, that's a lot of hair. How long did that take to grow?

quote:

I gave good advice here and was nice, and you just crapped all over me for no reason.

Please don't take it that way. Not crapping on you at all. I appreciate you posting and helping me.

quote:

Go with the salycilic acid shampoos over the Coal tar ones. That's exactly what other people talked about. :black101: Crikey

Cheers for this. I will check it out. Thanks.

quote:

I thought it was useful to mention that "some people" should recognize that just because their stylist says that washing their hair too much is bad, they still have gross oily hair and it's really hard to tell them to go wash their drat hair. That dry-shampoo is NOT WORKING.

Well, like diets, exercise, and most things, we are all individuals in different circumstances with different bodies and different things work for different folks.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

photomikey posted:

I haven't used shampoo in a couple of years. Try it for a month. See what happens.

Perhaps in the future. It all depends on my head....erm....scalp.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

I've had dandruff since my teens (now 34), and in the past ten years also seborrheic dermatitis on my face, and acne since the teens. Lucky me.

I've tried many brands of anti-dandruff shampoo, and the only one that has worked permanently for me is Vichy Dercos Anti-Dandruff Shampoo (the variant for oily hair). I use it 3 times a week (in other words every time I wash my hair - washing every day sounds extreme to me), and I have no dandruff issues nor seb. derm. in my scalp either. It's a bit expensive, but I buy it from a UK online webshop for about £7 a bottle.

Nizoral didn't work for me, but on the other hand, the nizoral cream works for the seb. derm. on my face (skin).

I get the seborrhic dermatitis on my face when the weather gets dry in the Winter. I put that steoidal cream (prescription) for it.

I'll check that product out. I don't have oily hair, however.

I assume it's available in the US.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Oddhair posted:

I forgot to include the old timey treatment I got from my grandparents, but haven't tried. Allegedly it worked well when most or all of these other products weren't available. They said they'd put kerosene in a saucer, then pour out the kerosene, then put water in the saucer, then pour that water onto the hair and let it sit for a few minutes/massage it into the scalp. Afterwards I don't really know if they also used regular shampoo or what but this apparently would suck the dandruff off your head right quick.

I'll pass on that.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Nizoral didn't work for me, but on the other hand, the nizoral cream works for the seb. derm. on my face (skin).

Pilsner,

How do you apply the Nizoral to your face and how much?

Do you pust a little globlet on your finger, just apply, then rinse?

Or, do you suds it up?

Do you only put it on affected areas?

How long do you leave it on for (I assume when in the shower)?



Thanks.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Just to be clear, the active ingredient in the Nizoral cream I use is 2% ketoconazole (made by a company named McNeil). It's a white, medium-thick cream. Just want to make sure you get the right one.

I only put it on affected areas on my face. The seb. derm. on my face is in spots, and it comes and goes. Sometimes spots are bad, sometimes I have months with no issues in a certain spot. For example I have the butterfly pattern around my nose, which is always dry and scaley, and most regularly have spots in front of the ears (where you grow sideburns), on my temples (hair has receded a bit), and sometimes above or between my eyebrows. I'm talking little spots 1-2 inches big, it varies, and the severity (how scaley and dry) also varies. I haven't found a formula for why and when it varies, the only thing I know is that when I visit tropical countries such as Thailand, I have next to no seb. derm. problems. I live in Denmark, which is cold and dry, but even in the summer, it's the same.

Anyway, for each problem area, I apply a small dab (less than half a pea, sometimes less) on my finger, just enough to cover the spot, and massage it in on the spot until it's absorbed. It takes about 10 seconds of rubbing.

Don't suds or put it on while showering - it's a cream that needs to be absorbed on dry skin. :) I use it about 20 minutes after showering, so my skin is clean and dry. I always shower in the evening, then put on the Nizoral cream, then go to bed some hours later. It absorbs really quickly, although if you put it on, then shortly after go outside on a hot sunny day, you might feel it smell a little bit chemical, and your skin might feel a little oily or something. I recommend using it a few hours before bed. One application 3 times per week is fine for me, with rare "patch" usage on other days if a spot is really bad (scaley or dry).

Thanks for the info.

I think humid tropical climates are better for me also.

Yes, I have Nizoral with 2% Ketoconazole.

I will try this as you described.

quote:

Also, in the shower, I use hot water and my fingers to thoroughly "rub" the dead scaley skin off my problem spots. Don't use nails. This procedure is important, so you remove the junk skin before applying cream. Finally, I wash my whole face with the soap from acne.org. When I come out of the shower, my problem spots are pretty red, but after the cream and a good night's sleep, they're only very mildly red (just something you have to live with).

I'll do this too. My doctor never noted this.

quote:

I find that if I have a problem spot, I put cream on it religiously after every shower, and after a few weeks I might be lucky and the skin turns perfect. Even then, I apply a tiny amount on the known problem spots I have (for example, the temples) as a preventive measure.

So, I assume that you cannot apply 2% Keoconazole too much on the skin? From you post below it sounds like this is not a possible issue.

quote:

Steroidal cream? Be careful with that, that's strong stuff, and your body can become a "steroid junkie" as doctors say, which means you get used to it and need more.

It's called "Trincolone."

Yeah, my Doc advised me that it thins the skins and to stop using after 4 days.

quote:

I have tried some steroid cream called Protopic (containing tacrolimus monohydrate cream), and while it seems like a miracle cure against seb. derm., it is as said not recommended to rely on steroid cream for a long period of time. I have found that aggressive treatment with Nizoral cream is enough for me. If I get a bad dry spot, I put cream on it daily, and in generous amounts, and it relieves it within a week or so.

Very helpful information. Much appreciated.

I'll try the Nizoral route.


quote:

The last few times I used the Protopic cream I also got a nasty headache and "warm feeling" in my head for two days, which sucked. I have used liberal amounts of Nizoral cream for around 7 years with no adverse effects.

OK.

Cheers.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Just to be clear, the active ingredient in the Nizoral cream I use is 2% ketoconazole (made by a company named McNeil). It's a white, medium-thick cream. Just want to make sure you get the right one.

I'm looking at my bottle. (I'm in South East Asia).

The bottle is white and read. Ketoconazole 2%. Company is "Janssen."

Manufactured by "OLIC."

I assume it's the same product as yours but we're in different parts of the world.

When I squeeze the droplet of liquid into my hand it's reddish-pink. When I suds up the hair it turns white.


I assume it's the same product.


Quick question: you put on Nizoral after a night shower. I'd like to dry it after my shower in the morning. Just a small amount. You noted it might smell and/or look oily.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

I don't think so, I've never had any adverse effects. But I think a maximum of twice per day should be plenty, if you have a really bad spot.

The first doctor who prescribed it to me (although a prescription is not required to buy it) told me to put it on, and afterwards use a moisturizer, but it really seems like the Nizoral cream moisturizes in itself, so no need.

Best of luck :)

Thanks Pilsner!


Cheers.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Yeah Ketoconazole 2%, reddish-pink liquid is definitely Nizoral shampoo.

Yes.

quote:

I just wanted to make sure you will be using the cream on your face, not the shampoo. I have actually tried buying Ketoconazole 2% cream in Philippines, it's the same as I got in my country.

OK, now I understand. Buy the cream (cream only) for the face, not the shampoo.

Thanks again.

I did put a small dab of the shampoo in pink form, not suds on a little spot and it got redder.

quote:

Sure you can put it on after your morning shower, it'll work fine. My experience is just that in the rare case you'll be outside in hot sun within a hour after putting it on, the skin where you put it on might be a little bit oily and smell strange, but it's no big deal. If you stay inside, no issue.

Cheers.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Arash posted:

Positive Optimyst, when you shower do you use really hot water to wash your hair?

In the months of Jan to Mar I use "warmer than lukewarm, but not "hot."

I hope that makes sense. It's very warm - but not hot.

I use this temp whether I wash my hair or just rinse thoroughly without shampoo.

Where I live I can be very hot and I use cool to cold water during these months of heat and humidity.

However, I need to state that the dryness, itch, and flakes are far worse when it dry, cool, and cold, and dry.

It's very annoying. That dryness, itch, and flakiness.


quote:

I'm asking because, for me at least, using very hot water contributed to my bad dandruff problem. When I started using luke warm to just warm water to wash my hair my dandruff levels decreased but didn't go away entirely. Right now I'm using T/Gel with Coal Tar twice a week and once a week I will use Henna 'n Placenta conditioner made by Hask to keep my scalp moisturized (if you don't mind your hair smelling like flowers for a day I'd say try it). It also makes your hair really soft, it's kinda nice. Anyways, that shampoo, conditioner, and warm water routine has cut my dandruff by something like 80%. Before I could scratch my head and it would be like snow and now it's just some flakes here and there.

Cheers, I'll make a note on the Temps of my showers and washes.


Appreciated.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Myrddin_Emrys posted:

Here s a pro tip. Dont use shampoo at all instead use a hypoallergenic moisturiser such as Aqueous or Aveeno.

I'll look into it Myrddin_Emrys,

You're a "pro?"


Tell us about your flakes.....

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Steroidal cream? Be careful with that, that's strong stuff, and your body can become a "steroid junkie" as doctors say, which means you get used to it and need more.

Can you give more details on this, Pilsner?

This year I've used it more than ever before because of the outbreaks.

I apply it 3 times per day on affected areas but do not use more than 4 days in a row and only use 'as needed.'


Thanks if you can explain the 'body getting used to it and needing more.'

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Hehe, "pro tip" is just an expression.

http://www.urbandictionary.com/define.php?term=protip
http://knowyourmeme.com/memes/protip

That's not very helpful advice. Personally I don't quite know the difference between Psoriasis and Seb. Derm., but you can try reading online. You can't just write any dandruff off as Psoriasis, though.


I'm not a doctor, but my ex-wife was a doctor (albeit not skin doctor), and she talked about the dependency you can develop for steroidal creams. Try googling for "Topical Steroid Addiction" and "steroid cream withdrawal" and you will see many results about the topic.

I'll definitely do this.


Much appreciated.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless
I'm bumping to see if anyone has any information (Pilsner?) on Clotrimazole.

It's an anti-fungal cream. I asked a Pharmacist in the Philippines for Nizoral cream and she gave me Clotrimazole. I have not tried it yet. I read the reports on side effects and suce.

There is no mention of it being a steroid.

Has anyone every tried Clotrimazole it for Sebhoric Dermatitus?

I'll look for Nizoral cream when I return from holiday.

Also Pilsner (and anyone). I believe that my body became addicted to the steroidal cream b/c I had to use it more during the Winter. More than evey before.

I'm not sure what to do.


Thanks in advance.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

I wish I could help, but I think I've emptied my brain of knowledge regarding the issue in my previous posts.

I don't know about Clotrimazole, but I'd try to get Cetoconazol Nizoral cream instead. I know I've bought it personally in Phili, at a pharmacy in Cebu (basement of Metro in Ayala).

Thanks again.

I just returned from the Phils, but I was in Subic for a week. I only found Clotrimazole but I only asked in 3 pharmacies.

OTC in PI, but I assume you can get it in your native country (although I presume it's prescription there if it's 2%).



Appreciate your response.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless
I found the Nizoral cream 2% Ketoconazule in South East Asia.

I'll follow your route and how you apply it, Pilsner.

I will try applying it after removing the dead skins with finger (carefully) and then apply it 20 minutes later.

I will do it once per day like you, but you noted with a bad flair you can apply it more than once per day (I think you stated that from what I re-read).

I will apply it in the AM and PM before bed.


Cheers.

P.S. Beers on me if you every come to South East Asia.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Good to hear. :) Are you filipino? I have a girlfriend and a friend who is planning retirement in Phili, so I visit now and then. I will probably visit Cebu/Bohol area early 2018.

No, I'm a caucasion Yank living in South East Asia.

I hear Cebu is interesting.

I've got an ol' friend that is retired in Cebu. I'd like to visit him. He's getting on in years.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

El Puerco posted:

dry heat is a problem

When I visited Phoenix last year (which has dry heat) it seemed to aggravate it, but in humid areas where I've lived, it made it better.

I wonder how I'll try to adapt to the dry Phoenix heat?

You mentioned doing thing inside the house. Thanks.

So, if I get an aquarium and jut fill it with water in the living room it will add humidity to my room / apartment?

But as for going outside, I don't think I have option.

Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Pilsner posted:

Same for me..... when I visit South East Asia, I have next to no issues with it. But even in the most humid (around 50-60% humidity) Scandinavian summer, my seb. derm. is the same as in the (dry) winter.

Affects me the same way Pilsner, except Pacific Northwest Summers (US) don't aggravate it. (Don't know why.)

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Positive Optimyst
Oct 25, 2010

by FactsAreUseless

Fork of Unknown Origins posted:

I have to switch between H&S and Selsun every few months. It'll start coming back and then I switch and it goes away again, then eventually it comes back again and I switch again and it goes away.

I've gone between using both as well.

Perhaps the body is adapting and a change is needed from time to time. ?

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