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MoonDragon's Health & Wellness
SEBORRHEA
SEBORRHEIC DERMATITIS
(Dandruff & Cradle Cap)




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


DESCRIPTION

Seborrhea, or seborrheic dermatitis, is common skin disorder characterized by scaly, flaky, red patches of skin that result from a disorder of the sebaceous (oil-secreting glands). Seborrhea most often occurs on the scalp (often referred to as dandruff), face (forehead, around the nose and/or ears, in the eyebrows), chest and trunk, but can appear on any other parts of the body as well, such as the navel (belly button), buttocks, underarms, breasts, and groin. It particularly affects the sebum-gland rich areas of skin.

Seborrheic dermatitis may be visually unpleasant and moderately itchy but is a harmless condition. The condition is often persistent but is easily controlled using readily available medication. After treatment, the condition may recur after a time lapse of months or years.

As with other dermatitis conditions, seborrheic dermatitis is often loosely defined as a form of eczema although it differs from other more serious conditions more properly defined as eczema.

THE DIFFERENCES BETWEEN DANDRUFF, SEBORRHEA, & SEBORRHEIC DERMATITIS

While these terms are sometimes used inter-changeably, there are differences. Dandruff causes scaling on the scalp but not redness. With seborrhea, there is excessive oiliness of the skin, especially of the scalp and face, without redness or scaling. Patients with seborrhea may later develop seborrheic dermatitis, which causes both redness and scaling.





CAUSES

The exact cause of seborrhea or seborrheic dermatitis is not known or completely understood. However, there are a number of factors that may influence or increase the risk of developing this disorder. This condition is most common in three age groups - infancy, middle age, and in seniors.

  • Nutritional factors. It may be linked to nutritional deficiencies, such as a lack of Biotin, Vitamin B-6 (pyridoxine) and Vitamin B-2 (riboflavin). An excess or lack of Vitamin A in the diet may also be linked to seborrheic dermatitis.


  • The effects of a yeast organism, Malassezia furfur (formerly known as Pityrosporum ovale), which normally lives in the healthy hair follicles. It is believed that the build-up of yeast in these glands irritates the skin causing redness and flaking.


  • Adult seborrheic dermatitis, which usually effects the scalp and face, is often associated with stress and anxiety. Patients recovering from stressful medical conditions, such as a heart attack, may also develop this condition.


  • People in hospitals or nursing homes are more prone to developing skin disorders including seborrheic dermatitis.


  • It is common in people with oily skin or hair. Infrequent shampooing, and improper care of oily skin can increase the chance of developing seborrheic dermatitis.


  • People with other skin disorders, such as acne, rosacea, and psoriasis are at higher risk of developing this condition.


  • Heredity (genetic factors) can play a role. If your mother or father had problems with seborrhea or seborreic dermatitis, you might as well.


  • obesity may increase the risk of developing seborrheic dermatitis.


  • Environmental factors such as humidity and hot weather can affect on your oil production in your skin, increasing your chance of developing seborrhea and seborrheic dermatitis and other skin problems. For people living in northern climates, winter can worsen seborrheic dermatitis.


  • Immune-system factors appear to be more prone to seborrheic dermatitis. It is often diagnosed in people with AIDS.


  • Seborrheic dermatitis may occur in patients with diseases of the nervous system, such as Parkinson's disease.

  • Hormonal factors may be involved.


  • In infants, the condition most often develops on the scalp and is called "cradle cap." This usually clears without treatment between 8 and 12 months of age. In some infants, seborrheic dermatitis develops only in the diaper area and can be confused with other forms of diaper rash. When seborrheic dermatitis develops after infancy, it tends to come and go.





  • seborrheic dermatitis on ear seborrheic dermatitis on face


    SIGNS & SYMPTOMS

    Seborrheic skin may be yellowish and/or greasy or dry and flaky. The scaly bumps may coalesce to form large plaques or patches. Seborrheic dermatitis can occur at any age, but it most common in infancy. This is known as "Cradle Cap". It can also common in middle age.'

    Seborrhea is more common in men than women and affects 3 percent of the general population. It occurs more commonly in older people who are bedridden or have neurologic conditions such as Parkinson's disease. Seborrhea also affects almost 85 percent of people with AIDS.

    HAIR LOSS

    Side effects to inflammation may include temporary hair loss. If severe outbreaks are untreated for extended intervals, permanent hair loss may result, because of damage to hair follicles.

    SEBORRHEIC DERMATITIS & AIDS

    At the end of 2001 over 40 million men, women, and children were estimated to be living with human immunodeficiency virus (HIV) infection. This virus is an RNA retrovirus that infects certain white blood cells, CD4+ cells. HIV infection leads to a profound alteration of the immune system, putting the infected person at risk for several different types of skin diseases. One of the most common skin diseases experienced by HIV-infected individuals is seborrheic dermatitis.

    Seborrheic dermatitis is a common disease that affects 2-4 percent of the general population. However, up to 85 percent of HIV-infected people experience seborrheic dermatitis at some time after they acquire the infection. The cause of seborrheic dermatitis is unknown, but many investigators believe the yeast, Pityrosporum ovale, plays a role in the disease. It is further postulated that the alteration of the immune system in HIV-AIDS changes the way the skin responds to this yeast leading to the higher rate of infection.

    Seborrheic dermatitis causes redness of the skin, which produces a yellow, waxy scale or flake. In people without HIV-AIDS, the rash of seborrheic dermatitis occurs mainly on the scalp, and around the eyebrows, ears, and mustache. In HIV-infected individuals, the rash also appears on the chest, back, armpits, and groin.

    Seborrheic dermatitis is treated with antifungal shampoos and topical corticosteroids. These treatments are also used for HIV-infected individuals who need to use them frequently. People with HIV-AIDS who are being treated with antiviral therapy have fewer outbreaks of seborrheic dermatitis. In many cases, the severity of the rash corresponds with the degree of clinical deterioration.

    A health care provider should evaluate cases of seborrheic dermatitis that do not respond to typical over-the-counter treatments. However, this does not necessarily imply that a person is HIV-positive. Someone with HIV-AIDS should notify their health care provider if they have a red, flaking rash that is getting worse so they can get appropriate treatment.




    CONVENTIONAL MEDICAL TREATMENT


    DIAGNOSIS

    Seborrhea is not just skin dryness. Actually, the word "seborrhea" means "too much oil." Seborrhea is also known as seborrheic dermatitis or common dandruff. Seborrhea can present as a variety of conditions such as dandruff, thick scales on the scalp, redness on the face or in the armpits, or raw, red patches below the breasts. Although some of these conditions may feel "dry," moisturizing only makes them redder. In other cases the skin may seem oily or even oily and dry at the same time.

    Seborrhea (dandruff) is a skin disorder that results from neither too little moisture nor too much oil. It is a form of skin inflammation (dermatitis) which has no known cause. This condition can appear at any time from infancy to old age, and can come and go more or less at random. Treatment of seborrhea (dandruff) is directed at fighting the skin inflammation. This is done either directly, by using cortisone-based creams and lotions (which reduce inflammation), or by reducing the yeast that builds up on scaly areas and adds to the problem. Note, though, that dandruff is not a yeast infection.

    For most patients, there is no need to perform blood, urine, or allergy tests. In rare cases of chronic seborrheic dermatitis that do not respond to treatment, a skin biopsy or other laboratory test may be necessary to eliminate the possibility of another disease.

    TREATMENT

    There is no way to prevent or cure seborrheic dermatitis, but with proper maintenance and treatment, it can be controlled. Adults who have seborrhea usually experience a waxing and waning course. Seborrheic dermatitis may get better on its own. With regular treatment, the condition improves quickly. Most of the treatments can be found over-the-counter.

    Gentle shampooing with a mild shampoo is helpful for infants with cradle cap. For stubborn cases of cradle cap, a cream or lotion containing a low-dose corticosteroid or an anti-fungal topical such as ciclopirox or ketoconazole may be applied to the child's affected skin.

    Adults often need to use a medicated shampoo and a stronger corticosteroid preparation. A dermatologist may recommend non-prescription medicated shampoos containing tar, zinc pyrithione, selenium sulfide, ketoconazole, and/or salicylic acid.

    In some cases, the dermatologist will write a prescription for a shampoo, cream, gel, or foam. As excessive use of stronger preparations can cause side effects, patients should follow their dermatologist's advice.

    Proper hygiene plays an important role in treatment. Frequent washing with soap gets rid of the oils in the affected areas and improves symptoms. Sunlight inhibits the growth of the yeast; therefore exposure of affected areas to sun is helpful, although caution should be exercised to avoid sun damage. The main medical treatments are antifungal shampoos and topical steroids.

    WHAT DOES NOT HELP SEBORRHEA

  • Moisturizing: General moisturizing lotions do not do much more than smooth out scales and make patches look redder.


  • Switching Brands of Shampoo: Shampoo does not cause dandruff. However, medicated shampoos (see below) can help.


  • Changing Hair Care Routines: There is no "right" shampoo or conditioner. There is not even a correct number of times to shampoo per week. It depends on how old you are and what your personal habits are and your daily lifestyle. Some people may bathe or shower twice a day and others may only bathe or shower every few days or a few times per week. Hair dye does not cause or aggravate dandruff.


  • Switching Antiperspirants: When underarms are red from seborrhea, almost anything will make them redder, including antiperspirants, even though the are only aggravating the seborrhea and not causing it. Almost every antiperspirant on the market contains the same active ingredient, aluminum chlorohydrate, or a related compound.


  • OVER-THE-COUNTER SEBORRHEIC TREATMENT PRODUCTS

  • SHAMPOOS: Here are some ingredients in medicated shampoos that you can look for to help control dandruff or seborrhea of the scalp. All are over-the-counter.
    • Coal tar.
    • Salicylic acid.
    • Zinc pyrithrione.
    • Selenium sulfide.
    • ketoconazole.

    There are several good antifungal shampoos on the market that can be purchased without a prescription. The main shampoos are selenium sulfide found in Selsun, pyrithione zinc found in Head & Shoulders and Sebulon, coal tar found in Sebutone and Tegrin, and finally ketoconazole found in Nizoral.

    All of these shampoos have a medicated smell. The way to use them is to shampoo and leave on for at least 10 minutes then rinse off. The shampoos can be used on the face and other parts of the body as a lotion with the same instructions as long as precaution is used around the eyes. Do this daily until the redness and flaking is controlled then use 2-3 times a week as needed to keep symptoms from returning.

    You can use any of these either all of the time or just once or twice a week, depending on how severe your symptoms are. If the problem quiets down or disappears, stop and use non-medicated shampoos. If one kind of shampoo works for a while and "runs out of gas," switch to another. For resistant cases, you can even alternate two different types.

    1. Nizoral A-D Anti-Dandruff Shampoo: This shampoo is the only one on the list with ketoconazole, an excellent antifungal medication.



    2. Head & Shoulders Selenium Sulfide Shampoo: Head & Shoulders is a brand that has been around for a long time - for a good reason. This shampoo contains selenium sulfide which causing a "tingling" sensation.



    3. Head & Shoulders Pyrithione Zinc Shampoo: Another shampoo by Head & Shoulders has a different formulation than the previous pick. This one contains pyrithione zinc which is also effective for seborrhea. One is not necessarily more effective than the other. Some people just respond better to different medications.



    4. Denorex Pyrithione Zinc Shampoo: Denorex also puts out a pyrithione zinc shampoo that has been around for a long time.



    5. Selsun Blue Dandruff Shampoo: Selsun Blue is another old stand-by. Selsun Blue contains selenium sulfide as the active ingredient.



    6. Sebulex Dandruff Shampoo: This shampoo controls seborrhea with 2% sulfur and 2% salicylic acid. Although it contains sulfur, its distinct smell is not sulfuric.



    7. Neutrogena T-Gel Anti-Dandruff Shampoo: This shampoo contains 3% salicylic acid as the active ingredient. Salicylic acid helps break down the flakes of seborrhea but does not slow down the process of excessive skin turnover. It can be used for moderate to severe cases of seborrhea in combination with one of the above shampoos.



    8. Coal tar is found in Sebutone and Tegrin. Here are some other Coal Tar shampoos.



  • CREAMS: Two additional types of medication that help seborrhea are cortisone creams & lotions and anti-fungal creams & lotions.


  • Topical cortisone steroid creams reduce inflammation and help control itching. You can buy them over-the-counter in either 0.5% or 1% concentrations. They are safe to use on the face and will often help in just a couple of days when applied twice daily until the redness resolves. Save the hydrocortisone for flare-ups and use the antifungal shampoo for maintenance because long-term use can cause side effects like acne and thinning of the skin. These products also are available as scalp lotions that are applied once a day, preferably on damp hair after shampooing. You can use scalp cortisone creams together with medicated shampoos.



    Anti-fungal creams & lotions have been found to be effective. Anti-fungal creams also are applied once or twice a day. As with shampoos, creams and lotions should be applied until the seborrhea subsides. When the seborrhea comes back (and it will, sooner or later), the creams should be used again.



  • OTHER REMEDIES: These may contain a variety of ingredients that may help relieve the symptoms of seborrhea and seborrheic dermatitis.




  • OTC SEBORRHEIC TREATMENT PRODUCTS



    If over-the-counter products do not work, your health care provider or dermatologist can recommend prescription-strength shampoos or cortisone creams that are stronger than those available over-the-counter, but yet are not too strong to use on the face. There also are cortisone-based liquids, gels, and foams that you can apply to the scalp that will not leave your hair limp and matted.

    As with all seborrhea (dandruff) treatments, prescription-strength shampoos and cortisone creams calm down your skin or scalp sensitivity, but they cannot stop the seborrhea (dandruff) from coming back. Most people, however, only have to treat their condition from time to time when it becomes itchy or noticeable.

    SEBORRHEA OF THE EYELASHES

    Seborrhea of the eyelashes can be both annoying and hard to treat. Eye practitioners like to recommend scrubbing the lashes with baby shampoo on a cotton swab. This method may be worth a try, but it often fails. Cortisone-based lotions should be used close to the eye only under medical supervision since continuous exposure of the eye to cortisone can lead to serious eye problems.

    SEEING YOUR HEALTH CARE PROVIDER FOR SEBORRHEA

    You should see your health care provider if you are not sure you have seborrhea. Other conditions that can be similar are psoriasis, rosacea, atopic dermatitis, or superficial fungal infections.

    You should also consult your health care provider if you have tried this over-the-counter treatment and you still have symptoms, especially if you have very thick flakes. Your health care provider may recommend a stronger steroid or a combination medicine to help dissolve the dead skin. Finally, it may not be feasible for some people to shampoo every day. Ask your health care provider about a special steroid preparation in oil that can be used on the scalp like a pomade.





    cradle cap


    CRADLE CAP - INFANT OR NEONATAL SEBORRHEA

    Cradle Cap (infantile or neonatal seborrheic dermatitis, also known as crusta lactea, milk crust, honeycomb disease) is a yellowish, patchy, greasy, scaly and crusty skin rash that occurs on the scalp of recently born babies. It is usually not itchy, and does not bother the baby. Cradle cap most commonly begins sometime in the first 3 months. The rash is often prominent around the ear, the eyebrows or the eyelids. It may appear in other locations as well, where it is called seborrheic dermatitis rather than cradle cap. Some countries use the term pityriasis capitis for cradle cap. It is extremely common, with about half of all babies affected. Most of them have a mild version of the disorder. Severe cradle cap is rare.

    CAUSES: The cause of cradle cap is not clearly defined but it is not caused by an infection, allergy nor from poor hygiene. Possibly it has to do with overactive sebaceous glands in the skin of newborn babies, due to the mother's hormones still in the baby's circulation. The glands release a greasy substance that makes old skin cells attach to the scalp as they try to dry and fall off. There may be a relationship with skin yeasts (Pityrosporum ovale, newly renamed Malassezia furfur). Nutritionally oriented practitioners have speculated that the disorder is caused by the baby's immature digestive system being unable to absorb sufficient biotin and other vitamins of the B-complex.

    WARNING SIGNS: Home remedies are appropriate with mild cases. If the condition thickens, turns red and irritated, starts spreading, appears on other body parts, or if the baby develops a persistent diaper rash, medical intervention is recommended. Fungal infection (tinea capitis) and scabies can mimic cradle cap.

    Cradle cap is occasionally linked to immune disorders. If the baby is not thriving and has other problems (e.g. diarrhea), consult a health care provider.

    PROGNOSIS: Assurances that this condition will clear as the baby matures are very common. However, studies have shown that the condition occasionally persists into the toddler years, and less commonly into later childhood. It tends to recur in adolescence and persists into adulthood. In an Australian study, about 15 percent of previously diagnosed children still had eczema 10 years later. Sometimes, cradle cap turns into atopic dermatitis. Rarely, it turns out to be misdiagnosed psoriasis.

    TREATMENT OF CRADLE CAP: The scalp, behind the ears and the eyebrows are often sites of cradle cap.

  • Cradle cap can be treated or better yet avoided by massaging baby oil into your baby's scalp every second night. Brush the scalp with a soft-bristled baby brush while the baby oil is still on the scalp this will moisturize your baby's scalp and help to remove the scales. Then wash the oil of with baby shampoo and warm water.


  • The common advice of applying (vegetable or mineral) oil liberally to the scalp and letting it soak in overnight or for lesser periods of time seems to conflict with the fact that Malassezia yeasts thrive in oily environments. If the cradle cap is not severe, you may try to comb it out gently after bathing. The softened scales can then be brushed away with a soft brush, comb or cloth, but if not done very gently, this can worsen the condition and bring about temporary hair loss. There has been no study done on these recommendations.


  • Applying petroleum jelly (e.g., Vaseline) liberally overnight is another popular treatment. The softened scales either fall off during the night, or can be brushed off in the morning.


  • Making a paste from sodium bicarbonate (baking soda) and leaving it on the affected area for 10 minutes can also help lift the scales.


  • There is broad disagreement regarding the role of shampoos. Some sources warn against frequent shampooing, others recommend it. Mild baby shampoo is often recommended, while never specifying what "mild" actually means. Baby shampoos often contain detergent surfactants, perfumes, quaternium-15 and other eczemagenic irritants. Again, no studies have been performed.


  • Keratolytic (dandruff) shampoos (e.g with sulfur, selenium, zinc pyrithione, or salicylic acid) are generally not recommended as they sting eyes and may worsen the dermatitis. In stubborn cases some health care provider do recommend them while others warn against the use of medicated shampoos in newborns due to systemic absorption. Dandruff shampoos often contain sodium dodecyl sulfate, a noted skin irritant.


  • Steroid and tar preparations have also been used but have significant drawbacks. Immunomodulators (tacrolimus/Protopic, pimecrolimus/Elidel) have not been approved for babies under two years.


  • Ketoconazole shampoos and creams are taking first place in medical treatment of moderate to serious cradle cap. Research so far indicates that this anti-fungal medication is not absorbed into the bloodstream. Ketoconazole shampoo is currently made with a number of problematic irritants and allergens.


  • There have been several studies where cradle cap cleared swiftly and completely followed by the injection of biotin, either to the baby or the breastfeeding mother. In one study, injection of B-complex worked well also. Injection directly into the vein (rather than into the muscle) is recommended. Small amounts of oral biotin have not shown efficacy in a more recent trial, and many cradle cap compendia have since said that biotin supplementation is ineffective. However, oral supplementation with liquid biotin is favored by some practitioners, but a well-designed study is needed to as certain the effective dosage in oral supplementation (if there is one) or the effect of injected biotin/B-complex in a larger sample.


  • A Swedish study found good results from massaging the scalp with small amounts of borage oil twice a day.


  • Other home remedies recommended in various alternative sources and parent forums are herbal washes (e.g burdock or chamomile), aloe gel, and tea tree oil (Melaleuca oil) shampoo. Tea tree oil and aloe can be sensitizers; any worsening should be an occasion to discontinue the remedy in question. Both remedies have been tested in medical trials and found useful.


  • TREATMENT OF EYELIDS: Typical medical advice is to use diluted baby shampoo on a cotton swab to cleanse the eyelid. There is no agreement on the dilution, which ranges from a few drops to a half cup warm water, to a 50/50 mix. No studies have been performed on the efficacy or safety of this treatment. (Please note the problems with baby shampoo noted above.) In adults, a study comparing soap and baby shampoo to commercial eyelid scrubs found that patients strongly preferred not to put soap or shampoo on their eyelids. Baking soda has also been recommended (a teaspoonful in a cup of boiled water) and is well accepted by adults. Boiled warm water wash may help.

    Cradle cap, also called seborrheic dermatitis, looks like a very bad case of dandruff. It causes a baby's scalp to become red and flaky. Cradle cap can also appear on you baby's face, mostly around the eyes and on their eyebrows. Although the condition can look unsightly, it is very common and nothing to worry about.

    The following baby shampoos are specific for cradle cap:






    MEDICATIONS

    Dandruff (seborrhea) is a skin disorder that results from neither too much moisture nor too much oil. Dandruff can be treated with shampoos that contain tar, salicylic acid, zinc, selenium sulfide, or ketoconazole.

    GENERIC NAME: CHLOROXINE SHAMPOO (Capitrol)

    Uses: This medication reduces excess scaling. It is used in the treatment of scaling scalp conditions such as psoriasis, eczema, cradle-cap and dandruff.

    How To Use: This medication is for use on the scalp only. Use as directed, usually twice a week. For best results, wet scalp. Thoroughly massage a small amount of the medication into the scalp to make a lather. Let the lather remain for 3 minutes; rinse. Repeat application and rinse. Apply carefully to avoid contact with eyes.

    Side Effects: Redness or irritation of the scalp may occur. If these effects continue or become bothersome, inform your health care provider. The following may be signs of an allergic reaction to this drug. Notify your health care provider if you develop: a skin rash, burning/ inflammation/swelling of the scalp. This medication may discolor light, blond, gray or bleached hair. Use with caution. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider if you have other illnesses or drug allergies. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known if this medication appears in breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions: Tell your health care provider of any over-the-counter or prescription medication you may use, especially of: all skin products or shampoos for dandruff or psoriasis. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed.

    Note: Do not share this product with others.

    Missed Dose: If you miss a dose, apply it as soon as remembered; If it is near the time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

    Storage: Store at room temperature between 59-86°F (15-30°C) away from heat and light. Discard unused medication after expiration date on the container.

    GENERIC NAME: COAL TAR (Kole Tar) SHAMPOO - TOPICAL (Denorex, Neutrogena T/Gel, Pentrax, Tegrin, Zetar)

    Uses: Coal tar shampoo is used to treat the itching and skin flaking/irritation caused by certain skin conditions of the head and scalp (e.g., dandruff, seborrheic dermatitis, psoriasis).

    How To Use: Apply this medication onto the hair and scalp usually twice weekly; or as directed by your health care provider. Shake the bottle well before each application/shampoo. Wet your hair thoroughly with water and rub the shampoo into lather on your hair and scalp. Rinse your hair well with water and repeat. This medicated shampoo is for use on the scalp and hair only. Do not use if you have open skin (e.g., sores/wounds) on your scalp. Avoid getting any of this shampoo in your eyes. If eye contact occurs, rinse your eyes thoroughly with water. If eye irritation persists or worsens, contact your health care provider promptly. Avoid getting any of this shampoo on your clothes. This product may stain your clothing.

    Side Effects: Minor skin/scalp irritation or darkened/stained skin may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your health care provider immediately if any of these serious side effects occur: large and/or painful skin sores/pimples on the scalp. An allergic reaction to this product is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider your medical history, especially of: other skin conditions, any allergies. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure or wear protective clothing or a hat when outdoors. Tell your health care provider if you are pregnant before using this medicated shampoo. It is unknown if this drug passes into breast milk. Consult your health care provider before breast-feeding.

    Drug Interaction: Tell your health cafe provider of all prescription and non-prescription medication you may use, especially: other medicated shampoos or topical products. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This product may be harmful if swallowed.

    Note: Do not share this product with others.

    Missed Dose: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

    Storage: Store at room temperature between 59-86°F (15-30°C) away from light and moisture.

    GENERIC NAME: FLUOCINOLONE ACETONIDE SHAMPOO (FS Shampoo)

    Uses: This shampoo is used to treat severe dandruff (seborrheic dermatitis).

    How To Use: This shampoo comes with a capsule of medication that the pharmacist must add to the shampoo prior to dispensing. Shake well prior to using. Apply approximately one ounce of the shampoo to the scalp once daily by working into a lather. Allow it to remain on the scalp for 5 minutes. Then thoroughly rinse your scalp and hair two times. Do not bandage, wrap or cover the area treated unless you are instructed to do so by your health care provider.

    Side Effects: This medication may cause burning, stinging, itching, dryness, lightening of skin color or redness when first applied to the skin. This should disappear in a few days as your body adjusts to the medication. If these effects persist or worsen, inform your health care provider. Skin infections can become worse when using this medication. Notify your health care provider if redness, swelling or irritation does not improve. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider your medical history, especially of: infections or sores in scalp, allergies (especially drug allergies). Though very unlikely, it is possible this medication will be absorbed into your bloodstream. This may have undesirable consequences that may require additional corticosteroid treatment. This is especially true for children and for those who have used this for an extended period of time and if they also have serious medical problems such as serious infections, injuries or surgeries. This precaution applies for up to one year after stopping use of this drug. Tell your health care provider immediately if any of the following side effects occur: vision problems, persistent headache, increased thirst or urination, unusual weakness or weight loss, dizziness. Consult your health care provider or pharmacist for more details, and inform them that you use (or have used) this medication. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known if this drug is excreted into breast milk. Consult your health care provider before breast-feeding.

    Drug Interaction: Tell your health care provider of all prescription and non-prescription drugs you may use, especially of: other skin or hair products. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed.

    Note: Inform all your health care providers you use (or have used) this medication. Do not share this medication with others.

    Missed Dose: If you miss a dose, skip the missed dose and resume your usual shampooing schedule.

    Storage: Store at room temperature away from sunlight. Avoid freezing. Discard after 3 months.

    GENERIC NAME: KETOCONAZOLE (Nizoral, Extina, Xolegel, Kuric)

    Drug Class & Mechanism: Ketoconazole is an anti-fungal medication in the same family of drugs as fluconazole (Diflucan), itraconazole (Sporanox), and miconazole (Micatin, Monistat). It prevents growth of several types of fungi by preventing production of the membranes that surround fungal cells. The FDA approved ketoconazole in June 1981.

    Prescription: Yes

    Generic Available: Yes

    Preparations: Tablets: 200 mg; Shampoo: 1 and 2%; Cream: 2%, Gel: 2%, Foam: 2%

    Uses: Oral ketoconazole treats a variety of fungal infections such as candidiasis of the skin or mouth (thrush), blastomycosis, histoplasmosis, coccidiomycosis, and others. Ketoconazole is also used to treat fungal infections that have not responded to griseofulvin, another antifungal medication. Topical ketoconazole is used for treating ringworm, jock itch, athlete's foot, dandruff, and tinea versicolor.

    How To Use: Ketoconazole may be taken with or without food. The oral dose range is 200-400 mg daily. Topical formulations are administered to affected areas once or twice daily.

    Side Effects: Ketoconazole is generally well tolerated. Ketoconazole can cause rash, itching, nausea, vomiting, abdominal pain, headache, dizziness, fatigue, impotence, and blood count abnormalities. Rarely, ketoconazole has serious allergic reactions (anaphylaxis). Also rarely, ketoconazole has been associated with severe depression, hair loss, and tingling sensations. Liver dysfunction has also been reported. Signs of liver problems include unusual fatigue, loss of appetite, nausea and vomiting, yellowing of the skin (jaundice), dark urine, and pale stools. Development of these symptoms while taking ketoconazole should be reported to a health care provider.

    Precautions: Ketoconazole tablets require stomach acidity to dissolve. Therefore, ketoconazole should be administered at least two hours before taking antacids or other acid reducing medications such as cimetidine (Tagamet) or ranitidine (Zantac). Combining ketoconazole with alcohol may cause a very unpleasant reaction (disulfiram reaction).

    Rifampin (Rifadin, Rimactane, Rifamate, Rifater) reduces the blood concentration of oral ketoconazole, probably by increasing the elimination of fluconazole by the liver. This may reduce the effectiveness of ketoconazole.

    Ketoconazole may increase the concentration of warfarin (Coumadin) in blood by reducing the elimination of warfarin. Therefore, the effect of warfarin may increase, leading to an increased tendency to bleed.

    Ketoconazole also increases the concentration of phenytoin, (Dilantin) cyclosporine, zidovudine (Retrovir), theophylline (Theo-Dur, Respbid, Slo-Bid, Theo-24, Theolair, Uniphyl, Slo-Phyllin), tolbutamide, glyburide (Micronase, Diabeta, Glynase), glipizide (Glucotrol), protease inhibitors [for example, indinavir (Crixivan), ritonavir (Norvir), saquinavir (Invirase, Fortovase)], midazolam (Versed) and triazolam (Halcion). Increased drug concentrations usually increase the incidence of side effects.

    Ketoconazole also may reduce the elimination of some "statins" [for example, simvastatin (Zocor)] leading to an increase in the blood levels of statins and increasing the risk of side effects such as rhabdomyolysis (severe muscle injury).

    Pregnancy: Ketoconazole has not been adequately studied in pregnant women.

    Nursing Mothers: A small amount of ketoconazole is secreted in breast milk. Nursing mothers should probably avoid breastfeeding while using ketoconazole.

    Drug Interactions: : There are no known drug interactions with topical ketoconazole.

    Storage: Tablets should be stored at room temperature, 59-77° (15-25°C) and protected from moisture. Store shampoo 1% between 35-86°F (2-30°C) and protect it from light and freezing. Store shampoo 2% at or below 77°F (25°C) and protect it from light. Store cream and foam at room temperature, 68-77°F (20-25°C). Store gel between 59-86°F (15-30°C).

    GENERIC NAME: KETOCONAZOLE SHAMPOO (Nizoral)

    Uses: This medication is used to control dandruff.

    How To Use: Wet hair and scalp completely using water. Apply enough shampoo to produce sufficient lather to clean hair and scalp. Massage gently over entire scalp for approximately one minute. Rinse hair with warm water. Repeat this process only leave the shampoo on the scalp for 3 minutes. Dry hair thoroughly after the second rinse. Be sure to thoroughly rinse after use. The shampoo should be used twice weekly for 4 weeks with at least 3 days between each shampooing. It can then be used intermittently depending on the response of the condition. Avoid contact with the eyes.

    Side Effects: This medication may cause abnormal hair texture, scalp pustules (pimples), dry skin and itching. There may also be oiliness and dryness of the hair and scalp. Rarely, there may be some hair loss. Inform your health care provider if these should persist or worsen. Also inform your health care provider if there is any chemical sensitivity to the shampoo. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider if you have any pre-existing conditions, such as: illnesses, any allergies. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known if this medication appears in breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions:Tell your health care provider of any over-the-counter or prescription medication you may take, especially: hair or scalp products. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed.

    Note: This shampoo may remove the curl from a permanent wave in the hair.

    Missed Dose: Use the missed dose and resume your regular schedule. Do not "double-up" the dose.

    Storage: Store at room temperature away from heat and sunlight.

    GENERIC NAME: SALICYLIC/SULFUR SHAMPOO (Sebex, Sebulex)

    Uses: This medication is used to treat dandruff and various other scalp conditions (e.g., seborrhea, psoriasis).

    How To Use: Apply the shampoo to wet hair usually two times a week, or as directed by your health care provider. After applying the shampoo, massage it vigorously into the scalp; rinse the scalp thoroughly and repeat.

    Side Effects: Redness and mild irritation of the scalp may occur. If either of these effects persist or worsen, notify your doctor. Tell your health care provider immediately if any of these serious side effects occur: severe redness of the scalp, rash, swelling. Tell your health care provider immediately if any of these unlikely but serious side effects occur: nausea, vomiting, dizziness, loss of hearing, ringing in the ears, drowsiness, trouble breathing, diarrhea, mental/mood changes. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider your medical history, especially of: cuts or other open wounds on the scalp, allergies (especially other medicated shampoos). This medication is not recommended for use if you have the following medical conditions: diabetes, poor blood circulation. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known if the medication passes into breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions:Tell your health care provider of all prescription and non-prescription medication you may use, especially of: other scalp products. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed.

    Note: Do not share this medication with others.

    Missed Dose: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.

    Storage: Store at room temperature between 36-86°F (2-30°C) away from light and moisture.

    GENERIC NAME: SULFACETAMIDE SODIUM CREAM/GEL - TOPICAL (Ovace)

    Uses: This medication is used to treat dandruff and other skin conditions (e.g., seborrheic dermatitis). It is also used to treat certain bacterial skin infections associated with these conditions.

    How To Use: This medication is for use on the skin only. Avoid getting any of this medication in the eyes, nose, or mouth. Apply a thin layer to the affected area, generally twice daily for 8 to 10 days or as directed by your health care provider. As your condition improves, your health care provider may direct you to continue treatment less frequently to keep it under control (once/twice weekly or every other week). If your condition does not improve or worsens, contact your health care provider promptly for further instructions.

    Side Effects: Irritation, stinging or burning of the skin may occur. If these effects persist or worsen, notify your health care provider promptly. Unlikely but report promptly: severe redness or scaling of the skin, muscle or joint aches. In the unlikely event you have a serious allergic reaction to this drug, seek immediate medical attention. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, unusual tiredness, yellowing of the skin or eyes, stomach pain, nausea, persistent fever, trouble breathing. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Before using this medication, tell your health care provider or pharmacist if you are allergic to it; or to other sulfa drugs such as sulfamethoxazole or to sulfites; or if you have any other allergies. Tell your health care provider your medical history, especially of: asthma. Use of this medication for prolonged or repeated periods may result in a secondary infection (e.g., affecting the skin). Consult your health care provider or pharmacist. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known whether this drug passes into breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions:This drug should not be used with the following medications because it can decrease the effectiveness of: preparations containing silver. Before using this medication, tell your health care provider or pharmacist of all prescription and non-prescription/herbal products you may use. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed.

    Note: Do not share this medication with others.

    Missed Dose: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

    Storage: Store at room temperature between 68-77°F (20-25°C) away from light and moisture. Keep all medicines away from children and pets.

    GENERIC NAME: SULFACETAMIDE SODIUM FOAM - TOPICAL (Ovace)

    Uses: This medication is used to treat dandruff and other skin conditions (e.g., seborrheic dermatitis). It is also used to treat certain bacterial skin infections associated with these conditions.

    How To Use: This medication is for use on the skin only. Avoid getting any of this medication in the eyes, nose, or mouth. Use twice daily for 8 to 10 days or as directed by your health care provider. If you are applying the medication to the scalp, your hair should be towel-dried or dry before use. Shake the can well before use. Turn the can upside down to deliver a small amount of the medication onto your hand. Gently massage the medication with your fingers into the affected area until the foam disappears, allowing the area to air dry. Wash your hands after applying the foam. Do not wash the treated area immediately after applying the foam. You may use hair styling products after the foam has been applied. As your condition improves, your health care provider may direct you to continue treatment less frequently to keep it under control (once/twice weekly or every other week). If your condition does not improve or worsens after 2 weeks, contact your health care provider for further instructions. This medication is flammable. Avoid fire, flame, or smoking during use. To help you remember, use this medication at the same times each day.

    Side Effects: This medication may cause irritation, stinging, or burning of the skin. If any of these effects persist or worsen, notify your health care provider or pharmacist promptly. Tell your health care provider immediately if any of these highly unlikely but very serious side effects occur: joint pain, butterfly-shaped rash around the nose and cheeks, fever, mouth sores. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, high fever, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Before using this medication, tell your health care provider or pharmacist your medical history, especially of: any allergies (especially to sulfa drugs such as sulfamethoxazole). This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known whether this drug passes into breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions:This drug should not be used with the following medications because it can decrease the effectiveness of: preparations containing silver. If you are currently using any of these medications, tell your health care provider or pharmacist before using sodium sulfacetamide. Before using this medication, tell your health care provider or pharmacist of all prescription and non-prescription products you may use, especially of: other skin products for your condition. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medication may be harmful if swallowed. If swallowed, you may experience symptoms such as: nausea, vomiting, and pink/red urine.

    Note: Do not share this medication with others.

    Missed Dose: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

    Storage: Store at room temperature between 68-77°F (20-25°C) away from light and moisture. Do not expose to heat or store at temperatures above 104°F (40°C). Keep all medicines away from children and pets.

    GENERIC NAME: SULFACETAMIDE/UREA SCALP LOTION - TOPICAL (Carmol)

    Uses: Sulfacetamide topical scalp lotion is used to treat certain skin conditions of the top area of the head (scalp). These conditions include skin infections and/or scaly skin problems such as seborrhea dermatitis or dandruff.

    How To Use: Before using this medication, clean/shampoo your hair, scalp, and surrounding affected areas of skin with a non-irritating soap/shampoo product. Apply this medication to the affected areas of the scalp and surrounding skin usually once or twice daily, or use as directed by your health care provider. To apply this medication correctly, part the hair and apply a small amount of lotion directly to the scalp; do this in several areas of the scalp. Gently rub the lotion into the scalp using your fingertips until the entire affected area is moistened with the lotion. After applying the medication, brush your hair for 2 to 3 minutes to remove any excess medication. If any of the information is unclear, consult your pharmacist. If this product is prescribed once daily, it is recommended to apply this medication at bedtime and left on overnight. As your condition improves, your health care provider may instruct you to use this medication less frequently (e.g., once or twice weekly). Use this medication exactly as instructed by your health care provider.

    Side Effects: No side effects are expected to occur. If side effects occur, notify your health care provider promptly. Tell your health care provider immediately if any of these highly unlikely but very serious side effects occur: rash on the palm of the hands or bottoms of the feet. If you notice any of the following unlikely but very serious side effects, stop using this drug and consult your health care provider or pharmacist immediately: joint pain (not present before using this drug), fever, sores in the mouth. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your health care provider or pharmacist.

    Precautions: Tell your health care provider your medical history, especially of: other skin problems (e.g., open skin such as burns, wounds, sores or infections), any allergies (especially to sulfa drugs). This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your health care provider. It is not known whether this drug passes into breast milk. Consult your health care provider before breast-feeding.

    Drug Interactions:Tell your health care provider of all prescription and non-prescription medications you may use, especially: topical products containing silver (e.g., silver nitrate), oral sulfa antibiotics. Do not start or stop any medicine without health care provider or pharmacist approval.

    Overdose: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medicine may be harmful if swallowed. Symptoms of overdose may include: nausea, vomiting, red-colored urine, decrease in amount of urine.

    Note: Do not share this medication with others. This product may appear to darken in color over time. This change in color does not affect this medication and is harmless. This product may also cause a slight yellowish discoloration of white clothing if it comes in contact with the clothing. This effect on clothing is easily cleaned by normal laundering without bleaches.

    Missed Dose: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

    Storage: Store at room temperature between 59-86°F (15-30°C). Do not freeze.

    For more information about related skin disorders, symptoms, treatments, and recommendation see the following links:

    RELATED DISORDERS

    MoonDragon's Health & Wellness: Acne

    MoonDragon's Health & Wellness: Dermatitis

    MoonDragon's Health & Wellness: Dandruff

    MoonDragon's Health & Wellness: Oily Skin

    MoonDragon's Health & Wellness: Seborrhea

    MoonDragon's Health & Wellness: Psoriasis





    HOLISTIC, HERBAL & DIETARY RECOMMENDATIONS


    HERBS

    PLANT-BASED TREATMENTS - PHYTOTHERAPY

    The World Health Organization mentions Aloe vera gel as a yet to be scientifically proven traditional medicine treatment for Seborrheic dermatitis. Other herbs recommended are:

  • Burdock (Arctium lappa). Burdock Root Oil is commonly used to treat skin problems, such as acne, eczema. boils and hives. The multi-purpose herb is an antiseptic as well as an anti-fungal and anti-virus. Burdock tea and oil is also a liver detoxifier that can help the body metabolize wastes and toxins. Seborrhea often responds to massaging Burdock Oil into the scalp.
    • INFUSED BURDOCK ROOT OIL RECIPE

      1/2 Cup Burdock Root (dried & powdered)
      1 Cup Olive Oil

      Infuse Burdock Root into the olive oil and soak for 14 days. Strain well and refrigerate. Sesame oil can be used in place of Olive oil for treatment of dandruff or seborrhea.

    Herbal Remedies: Burdock Products & Supplements

  • Celandine (Chelidonium majus). Celandine is most often used for treating gallbladder problems. It stops spasms at the same time it stimulates the production of bile to flush gallstones away. In Traditional Chinese Medicine, celandine is more often used as a pain-relieving cough medication. The sap of the fresh herb is a traditional remedy for warts. Celandine is superior to arnica as a vulnerary; an alcoholic tincture of the root (3 ounces to 1 pint), will be found an unrivaled external application to prevent or subdue traumatic inflammations. Used externally, Greater Celandine has been a traditional treatment for centuries to remove calluses, warts and corns, and recent clinical trials from Russia and China have reported that a tincture of Greater Celandine exhibited anti-viral properties and was successful when applied topically for the removal of warts. The herb has also been used topically for eye inflammations and cataracts, bruises and sprains, ringworm, psoriasis and malignant tumors. Typically used to make teas, but often can be used as an extract or encapsulation. Not recommended for use while pregnant.
      CELANDINE HAIR RINSE

      Using celandine to treat dandruff involves brewing up an herbal scalp rinse. Into 6 cups of water, place 1 teaspoon of Potassium Chloride Powder (a salt substitute). Heat and stir until the potassium chloride dissolves. Chop 4 ounces of fresh celandine or 1/2 cup of the dried herb and add it to the solution. Let stand for 2 hours, then boil slowly for 20 minutes. Strain the plant material out and simmer, reducing the liquid to 1-1/2 cups. Add 8 ounces of Vegetable Glycerine and continue simmering, reducing the liquid slowly to 2 cups. Strain the result. Bottle it and store it in a cool place. Use it once or twice a day as a hair rinse.

    Shaman Shop: Health & Herbs Celandine Extract, 2 fl. oz.

    Herbal Remedies: Celandine Products & Supplements

  • Licorice (Glycyrrhiza glabra). Licorice contains glycyrrhizin, a compound that can minimize the scalp's secretion of oils, keeping oil production down to help control dandruff. Licorice Extract Tincture supplements estrogen and adrenal hormones, soothes mucous membranes, is an expectorant, a laxative, aids the respiratory tract and helps soothe sore throats. For skin problems such as eczema, psoriasis, or herpes, apply licorice oil, cream or salve to affected area twice daily. For dandruff, you can steep a couple of handfuls of dried licorice in a bottle of vinegar and use it as a hair rinse.
    • INFUSED LICORICE OIL RECIPE

      1/2 Cup Licorice Root (dried & powdered)
      1 Cup Olive Oil

      Infuse Licorice Root into the olive oil and soak for 14 days. Strain well and refrigerate. Sesame oil can be used in place of Olive oil for treatment of dandruff or seborrhea.

      HOMEMADE LICORICE OINTMENT

      1 Ounce Beeswax
      1/2 - 3/4 Cup Infused Licorice Root Oil (Recipe Above)
      1/2 Cup Licorice Root, finely minced or powdered

      1. Shave or cut the beeswax into small chunks. In a saucepan, warm the infused Licorice Oil and the Beeswax.
      2. Heat the ingredients over low heat until the Beeswax is just melted. Don't allow the ingredients to boil.
      3. Remove from heat, and add the Licorice Root. Then pour the salve into sterilized containers, and store in a cool, dark place for up to 1 year.

    Shaman Shop: Frontier Licorice Root, European, C/S (Glycyrrhiz glabra), 1 lb.

    Herbal Remedies: Licorice Products & Supplements

  • Plantain (Plantago species). Plantain, like Comfrey, contains allantoin. It is used to treat chronic bronchitis, coughs, peptic ulcer, and urinary tract and bladder infections. It has also been used to help soothe hemorrhoids. The leaves are used externally to treat wounds, burns, dermatitis, and insect bites. To take as a tea, the German Commission E recommends using 1/4-1/2 teaspoon (1-3 grams) of the leaf and drinking 3 cups (750 ml) daily. To treat a cough, take 1/2 teaspoon (2-3 ml) of a syrup or tincture 3 times a day, or 1/2 to 1-1/4 teaspoons (2-6 grams) of the fresh plant can be juiced and taken in three equal portions taken throughout the day. To use externally, the fresh leaves can be applied directly 3 or 4 times per day to the affected area. If fresh leaves are not available, make a tea of dried plantain and use as a hot compress on affected area or mix dried leaves with a little hot water to make a plantain paste, spread on a sterile gauze and apply to the affected area. Wrap and leave on for several hours. Works great for bruises and other skin afflictions. Plantain made into a strong tea can be used as a hair rinse for treating dandruff.


  • Herbal Remedies: Plantain Products & Supplements

  • Comfrey (Symphytum officinale). Comfrey contains allantoin, which promotes the growth of connective tissue, bone, cartilage, and is easily absorbed through the skin. Comfrey Extract Tincture expedites the healing of broken bones, fractures, cuts, lesions, ulcers and poorly healing wounds. It also facilitates the absorption of calcium into bone and increase the replication of skin cells. Comfrey Leaf Ointment can be bought from Herbal Remedies and is a 100% all natural, mild scented, herbal ointment. Comfrey Leaf ointment can be easily made at home for all kinds of wound and skin ailments. A few drops of Comfrey Tincture can be added to your favorite herbal shampoo for anti-dandruff treatment. See Comfrey Salve recipe link below.


  • MoonDragon's Health Therapy: Herbal Ointments - Healing Wound Salve Recipe

    Herbal Remedies: Comfrey Products & Supplements

  • Ginger Root Juice (Zingiber officinale). Scientific studies have shown Ginger to be an effective treatment for nausea and motion sickness. It is also used as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity. Chinese herbalists prescribe Ginger tea at the onset of a cold to ward off infection. Ginger has also been used as a treatment for Raynaud's disease, sciatica, seborrhea, sore throat, swelling, tendinitis, toothache, ulcers, viral infections. Ginger stimulates the circulation and helps blood flow to the surface, making it an important remedy for chilblains and poor circulation to the hands and feet. By improving the circulation, Ginger helps reduce high blood pressure. Ginger also increases sweating and helps reduce fever. Ginger is a strong antioxidant and an effective anti-microbial. It also has anti-coagulant properties and makes an ideal replacement for synthetic blood thinners. Ginger tea is wonderful for use internally and used externally as a compress. Ginger Juice is easy to make by either taking fresh ginger root and running it through a juicer or by placing cut up pieces into a blender with a touch of water or a food processor and squeezing the juice out of the pulp. For treatment of dandruff and seborrhea, take 1 to 2 teaspoons of ginger juice (squeezed from about 2 grated roots) and mix it with 3 tablespoons of Sesame Oil and a half teaspoon of Lemon Juice. Rub the mixture into the scalp 3 times a week.
  • Ledebouriella Seseloides (Fang Feng). Antipyretic, antiseptic, diaphoretic, carminative and antitoxin. It is used in the treatment of influenza, headaches, chills, rheumatoid numbness, joint pains and tetanus. Consult a TCM practitioner for specific dose and use.


  • Shaman Shop: Plum Flower Brand Ledebouriella, 5:1 Extract Powder

  • Smilax China (Smilax china). The rhizome of S. china has strong antioxidant property. Smilax ornata/s. officinalis/S. medica is commonly called Sarsaparilla and is used to treat sexual impotence and has a positive effect on virility, rheumatism and other joint diseases, skin ailments, digestive problems and a tonic for physical weakness. It has been suggested as a possible treatment for the herpes simplex I virus as well as for RSV, a respiratory virus that causes upper respiratory infections. Sarsaparilla root is an alterative, pectoral, diaphoretic, sudorific and is quite distinct appearance. It was shown clinically in 1942 to dramatically improve psoriasis. It is also useful for acne, rashes and hives. To use as a tea, pour 1 cup boiling water over 1 teaspoon of herb, cover and steep 3-5 minutes. Can be used as a hair rinse or compress to treat skin disorders as well as taken internally.
    • Smilax aristolochiaefolia Miller -- yields Vera Cruz or Mexican sarsaparillas
      Smilax febrifuga Kunth -- yields Guayaquil sarsaparilla
      Smilax medica Schldl. & Cham. -- yields Vera Cruz or Mexican sarsaparilla
      Smilax officinalis Kunth -- yields Jamaica, Lima, and Honduras sarsaparillas
      Smilax ornata Lemaire -- yields Jamaica or Costa Rica sarsaparilla Smilax regelii Killip & C. Morton -- yields Honduras sarsaparilla Smilax siphilitica Willd.-- yields Brazilian sarsaparilla

    Shaman Shop: Frontier Sarsaparilla Root, C/S Jamaican (Smilax Officinalis), 1 lb.

    Herbal Remedies: Sarsaparilla Products & Supplements

  • Snakegourd or Snakeground Fruit (Trichosanthes Kirilowii / Fructus Trichosanthis). This plant is commonly used in Chinese herbalism, where it is considered to be one of the 50 fundamental herbs. Recent research has isolated a protein called 'trichosanthin' in the roots and this is undergoing trials as a possible remedy for AIDS. The fruit is antibacterial, anticholesterolemic, antifungal, depurative, emollient, expectorant and laxative. It is used in the treatment of pulmonary infections with yellow and thick sputum, chest pains, stuffy feelings in the chest, constipation and dry stool. It has an antibacterial action against E. coli, Bacillus dysenteriae, B. typhi, B. paratyphi, Pseudomonas, Vibrio cholerae, V. Proteus etc. The fruit is traditionally prepared as a winter soup to ward off colds and influenza. The rind of the fruit is used to treat a number of ailments, including cancer, jaundice, retained placenta, bronchial infections with thick phlegm and sore throat. The seed is antitussive, emollient and expectorant. The root is antibiotic, anti-inflammatory, febrifuge, galactogogue, laxative, oxytocic, sialagogue and uterine tonic.


  • Shaman Shop: Plum Flower Brand Trichosanthes Fruit (Trichosanthes kirilowii), Powdered, 500 gm.

    Herbal Remedies: Trichosanthes Products & Supplements

  • Chinese Licorice - Gan Cao (Glycyrrhiza Uralensis). The sweet saponin glycyrrhizin occurs in the roots of Glycyrrhiza glabra, the original European source, and in Glycyrrhiza uralensis, Chinese licorice. Authorities treat the two as chemically and medicinally identical. As Grieve puts it, "The Liquorice of medicine and commerce is derived from the sweet root of various species of Glycyrrhiza, a genus which contains about fourteen species, natives of warmer temperate countries in both the New and Old Worlds."


  • Shaman Shop: Starwest Botanicals Chinese Licorice Root, C/S, (Clycyrrhiz uralensis), 1 lb.

  • Chinese Goldthread (Coptis Chinensis; Huang Lian). Huang Lian is commonly used in Chinese herbalism, where it is considered to be one of the 50 fundamental herbs. The root is a pungent, very bitter, cooling herb that controls bacterial and viral infections, relaxes spasms, lowers fevers and stimulates the circulation. It is one of the most frequently used herbs in prescriptions for the treatment of diabetes mellitus. Coptis is high in berberine content. Berberine has been shown to be helpful in bacterial, fungal and viral infections. The root is analgesic, locally anaesthetic, antibacterial, antidote, antipyretic, bitter, blood tonic, carminative, cholagogue, digestive, sedative, stomachic, tonic and vasodilator. It is particularly helpful in the treatment of diarrhoea, acute enteritis and dysentery, whilst it is also used in the treatment of insomnia, fidget, delirium due to high fever, leukemia and otitis media. Externally it is used to treat various skin problems such as acne, boils, abscesses and burns whilst it is also used as a gargle for mouth and tongue ulcers, swollen gums and toothache. As an eyewash it is used to treat conjunctivitis.


  • Shaman Shop: Sun Ten Pharmaceutical Co, Goldthread Rhizome (Coptis chinensis; Huang Lian), Granules, 100 gm.

  • Corktree Bark (Phellodendron amurense; Huang Bai). Amur cork tree, Phellodendron amurense, is one of the 50 fundamental herbs used in traditional Chinese medicine. Recently, Phellodendron has also attracted the attention of the pharmaceutical community because of the phytochemicals it produces. Berberine has antibacterial and anti-fungal properties. Jactorrhizine may be anti-mutagenic. Phellodendrine has promise as an immune suppressant. Palmatine may be a vasodilator. The research at this stage is very preliminary. Traditionally, the bark is the principal part of the plant used medicinally, although oil from the fruit is also used. The species grows in Northern China, and in the Khabarovsk and Primorskiy regions of Russia. Used to treat diarrhea due to heat, dysentery, diarrhea, jaundice, thirst due to urinary disturbance, hemorrhoids, hematochezia, bone-steaming due to overexertion and hectic fever, tinnitus, oral ulceration, carbuncles, pinkish leukorrhea mixed with white discharge, herpes. As an antibiotic, it can inhibit Staphylococcus aureaus, pnumococcus, Shigella dysenteriae. Lowers blood pressure. Anti-Trichomoniasis and lowers blood sugar. Used for hemorrhoids with anal fistula. Used for food allergies, candidiasis, giardiasis and middle ear infections.


  • Shaman Shop: Plum Flower Brand, Corktree Bark (Phellodendron amurensis; Huang Bai), Powdered, 500 gm.

  • Sophora Root (Sophora Flavescens; Ku Shen). The root is anthelmintic, antibacterial, antifungal, antipruritic, astringent, bitter, carminative, diuretic, febrifuge, parasiticide, pectoral, stomachic and tonic. It is used internally in the treatment of jaundice, dysentery, diarrhoea and urinary infections. It is used both internally and externally in the treatment of vaginitis, eczema, pruritis, ringworm, leprosy, syphilis, scabies and itching allergic reactions. The plant is anthelmintic and diuretic. It also has antibacterial activity, inhibiting the growth of Mycobacterium tuberculosis and Trichomonas vaginitis.


  • Shaman Shop: Plum Flower Brand, Sophora Root (Sophora Flavescens; Ku Shen), Powdered, 500 gm.

  • Gotu Kola (Centella Asiatica). In the 1970s, Italian and other European researchers found evidence that Gotu Kola significantly improved the symptoms of varicose veins such as the overall discomfort, tiredness, and swelling; however, it is not thought to do much for the appearance of veins that are badly damaged. It has been suggested that hemorrhoid sufferers could use Gotu Kola for the treatment of their symptoms since hemorrhoids are a type of varicose vein. Gotu Kola is also used to improve memory and can be beneficial to Alzheimer's patients. It is also still used to heal wounds and alleviate the symptoms of scleroderma. This plant has also been used to help treat high blood pressure, abscesses, rheumatism, fever, ulcers, leprosy, skin eruptions and chronic skin conditions, nervous disorders and jaundice. The fresh leaves can be given to children for dysentery. An extract of the oil is used to promote hair growth. Gotu Kola is known to thin the blood, and, in large dosages, can help lower blood sugar levels. Internally it can be used to treat the above ailments and externally the herb is applied to wounds, hemorrhoids and joints.


  • Shaman Shop: Temple of Heaven Brand, Gotu Kola Herb (Centella asiatica; Peng Da Wan), Powdered, 1 lb.

    Herbal Remedies: Gotu Kola Products & Supplements

  • Vinegar and Apple Cider are both old folk remedies for treating dandruff. Warm one or both and apply the liquid directly to the scalp and then shampoo.


  • Herbal Remedies: Organic Apple Cider Vinegar (Mother), Organic, Dynamic Health, 16 fl. oz.

  • Aloe Vera has excellent healing properties. Aloe Vera Aloe Vera Gel is a powerful antiseptic and anti-inflammatory. Twice a day topical applications of the pure aloe vera gel, or as directed on label or as needed, should be beneficial.


  • Dandelion, Goldenseal, and Red Clover, taken internally, are good for most skin disorders. Caution: Do not take Goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use it with caution if you are allergic to ragweed.


  • To treat dandruff and scalp problems, herbalists recommend 1 ounce of dried Sage, 1 ounce of Rosemary and 1 ounce of Thyme infused into 2 cups of water for 24 hours and used daily as a powerful antiseptic hair rinse. Papaya can be added if desired. Antiseptic shampoo can be made by adding a few drops of tincture of each herb into a good commercial herbal shampoo.


  • Herbal Remedies: Sage Tincture, 2 fl. oz.

    Herbal Remedies: Rosemary Tincture, 2 fl. oz.

    Herbal Remedies: Thyme Tincture, 100% Organic, Herbal Remedies USA, 2 fl. oz.

    Herbal Remedies: Papaya Juice, Natural Kosher, Dynamic Health, 16 fl. oz.

  • Emu Oil, applied topically, has an anti-inflammatory effect on skin tissues.


  • Oat Straw may be used in a bath to reduce symptoms, especially inflammation and itching.


  • Olive Leaf extract has healing properties for the skin.


  • Tea Tree Oil is a natural antiseptic and antifungal that can be applied directly to the affected area. Tea Tree Oil contains substances known as terpenes that penetrate the top layers of the scalp and carry their disinfectant activities deeper than most emollients. If it is too strong, it can be diluted with an equal amount of Jojoba Oil or distilled water. A few drops of Tea Tree Oil can be added to a few tablespoons of herbal shampoo. Do not take Tea Tree Oil or any other essential oil internally. They are very concentrated and even small quantities of many essential oils can be poisonous.


  • Wild Pansy (Viola Tricolor) grows wild in parts of Europe, the Near East, and Africa, a swell as parts of North America. The aerial parts can be dried and used topically to treat various skin ailments, including seborrhea, cradle cap, and eczema. To make a compress or rinse, pour 1/2 cup of boiling water over 2 teaspoons of wild pansy, steep for 10 minutes, and strain. Use the resulting liquid to make a hot compress, to be removed from affected area when dry or cold. Use this treatment several times a day.





  • CONSIDERATIONS

  • Soaps and detergents such as sodium laureth sulfate may precipitate a flare-up, as they strip moisture from the top layers of the skin, and the drying property of these can cause flare-ups and may worsen the condition. Accordingly a suitable alternative should be used instead.


  • Dermatologists usually prescribe cleaning lotions containing a drying agent with sulfur and resorcinol and/or betamethasone dipropionate (Diprosone) cream.


  • Among dermatologist recommended treatments are shampoos containing coal tar, ciclopiroxolamine, ketoconazole, selenium sulfide, or zinc pyrithione. For severe disease, keratolytics such as salicylic acid or coal tar preparations may be used to remove dense scale. Topical terbinafine solution (1%) has also been shown to be effective in the treatment of scalp seborrhea, as may lotions containing alpha hydroxy acids or corticosteroids (such as fluocinolone acetonide). Pimecrolimus topical lotion is also sometimes prescribed.


  • Chronic treatment with topical corticosteroids may lead to permanent skin changes, such as atrophy and telangiectasia.


  • UV-A and UV-B light inhibit the growth of M. furfur, although caution should be taken to avoid sun damage.


  • According to the American Academy of Family Physicians (AAFP), one treatment that has proven successful, especially when steroid topicals and shampoos are not working, and the patient continues to suffer from rapid hair loss and rashes, has been low doses (10-30 mg daily) of the prescription drug Accutane (Isotretinoin). The exact mechanism isn't known, but it is thought to work by reducing sebum, which plays an important role in seborrheic dermatitis. Patients should be evaluated monthly, while examining the proper liver functions when putting a patient on accutane therapy. Special screening should be in place for women patients, because of the risk of birth defects. This therapy can last, when the condition is chronic and the isotretinoin dose is low, for years. But, patients should be given a one to two month break off this particular therapy every 6 months to see if the condition still is affecting the patient.


  • Other suggested treatments include using an air humidifier, as well as a gentle moisturizer with or without oatmeal. Applying milk of magnesia may help clear up seborrheic dermatitis; one may apply on the face while showering and rinse off at the end of the shower.


  • Cradle cap has been associated with food allergies. For infants, controlling food allergies plus giving supplemental biotin (if there is a deficiency) is most effective. For a child over 6 months old, adding liquid B complex to juice is a good way to administer the needed biotin. Discuss any nutritional supplementation for a very young child with your health care practitioner.


  • An absence of intestinal flora may be responsible for biotin deficiency in infants. Studies have shown that treating both the nursing mother and her infant with biotin can be successful in resolving cradle cap. For adults, treatment with biotin alone does not appear to be effective, but supplementation with biotin combined with the whole vitamin B complex and essential fatty acids produces improvement in many cases.


  • Consuming raw egg whites has produced seborrheic dermatitis in laboratory tests.


  • Colloidal silver is a natural antibiotic that has been known to fight skin conditions such as seborrhea.


  • Herbal Remedies: Colloidal Silver Products & Supplements

  • Some findings suggest that many skin disorders, including eczema and psoriasis, may be related to gluten allergy. A gluten-free diet may be helpful. See the link below for dietary suggestions.


  • MoonDragon's Health & Wellness: Celiac Disease

  • Taking supplemental vitamin B complex has been shown to be the most effective treatment in many cases.


  • MoonDragon's Health & Wellness: Dandruff

    MoonDragon's Health & Wellness: Dermatitis





    NUTRITION RECOMMENDATIONS

  • Drink plenty of quality water to keep the skin hydrated and flush out toxins.


  • A nutrient-rich diet is essential for healthy skin. Eat a diet consisting of 50 to 75 percent raw vegetables and fresh fruits, in particular, leafy green vegetables, carrots and salads. Eat soured products such as yogurt.


  • Optimize your body and health by using nutritional supplements such as vitamins, minerals (including iron if you are anemic), essential fatty acids and other recommended nutrients.


  • Even a slight deficiency in vitamin B-2 can cause oily skin. Nutritional yeast, wheat germ and organ meats provide both vitamin B-5 and vitamin B-2. Other good sources of vitamin B-2 are whole grains, beans, nuts, and royal jelly. Buckwheat, black beans and whole rice are excellent to supply the body with iron and rejuvenate pale skin.


  • Soybeans and other foods containing biotin can help prevent and treat dandruff and seborrhea. Soybeans have the most, followed by garlic. American Ginseng, oats, barley, Asian ginseng, avocado, cottonseed, alfalfa, sesame, corn, fava beans and elderberry are also good sources.


  • Do not eat any foods containing raw eggs. Egg whites contain high levels of avidin, a protein that binds biotin and prevents it from being absorbed. Biotin is needed for healthy hair and skin. Eating uncooked eggs also poses a risk of Salmonella poisoning. See the following link for more information about food safety.


  • MoonDragon's Health & Wellness: Food Poisoning, Food & Waterborne Illness

  • Do not drink soft drinks or alcoholic beverages. Avoid sugar and anything containing sugar, chocolate, dairy products, white flour, fried foods, seafood, nuts, and junk food.


  • Follow a fasting program once a month.


  • If antibiotics are prescribed, take extra B-complex vitamins and an acidophilus supplement to replace the "friendly" bacteria destroyed by the antibiotics.


  • Echinacea purpurea, a homeopathic preparation, can be used to reduce symptoms.


  • OTHER RECOMMENDATIONS

  • Try changing your hair products. Choose products without chemicals.


  • To minimize the frequency and severity of flare-ups, dry your skin thoroughly after bathing, and wear loose-fitting clothing made of natural fibers that "breathe".


  • Avoid using over-the-counter ointments to treat seborrhea. This can cause an overload on the skin.


  • Do not pick at or squeeze the affected skin.


  • Avoid using irritating soaps, but make sure you keep the affected areas clean. Avoid greasy ointments and creams. Keep your hair clean and make sure you use a non-oily shampoo.


  • If dietary changes and nutritional supplementation do not produce an improvement, seek the advice of a qualified health care professional.





  • NUTRITIONAL SUPPLEMENTS

    Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose.

    NUTRIENTS
    Supplement Suggested Dosage Comments
    Essential
    Biotin (Coenzyme R; Vitamin H) 300-400 mcg 3 times daily. Deficiency has been linked to seborrhea.
    Biotin Coenzyme, 100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges
    Essential Fatty Acids
    (Flaxseed Oil & Primrose Oil are a good sources)
    As directed on label. Supplies needed essential fatty acids. A good healer for most skin disorders. Contains needed linoleic acid.
    Barlean's Flax Oil, 100% Highest Lignan Content, Organic, Pesticide & Herbicide Free, 16 fl. oz.,
    Evening Primrose Oil With Gamma-Linolenic Acid (GLA), Barlean's, 1300 mg, 120 Softgels,
    Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 Softgels
    Vitamin B Complex As directed on label. B vitamins are needed for healthy skin and hair. Use a high-stress, high potency formula. Sublingual forms are best for absorption. The B vitamins, especially Vitamin B-6. are needed for protein metabolism, which is essential for healing and repair. Consider injections (under a health care provider's supervision).
    Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
    Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
    Vitamin B-2 (Riboflavin) As directed on label. A deficiency of Vitamin B-2 has been associated with oily skin. Needed for the synthesis of amino acids, and involved in the growth and repair of skin and GI tissues.
    Vitamin B-2 (Riboflavin), 100% Natural, Nature's Way, 100 mg, 100 Caps
    Vitamin B-3 (Niacin) As directed on label. Improves blood flow to the surface of the skin and helps to reduce oil production. Caution: Do not take niacin if you have a liver disorder, gout, or high blood pressure. Vitamin B-3 (Niacin), 100% Natural, Nature's Way, 100 mg, 100 Caps
    Vitamin B-5 (Pantothenic Acid) As directed on label. The anti-stress vitamin.
    Vitamin B-5 (Pantothenic Acid), 100% Natural, Nature's Way, 250 mg, 100 Caps
    Vitamin B-6 (Pyridoxine) As directed on label. Needed for protein metabolism, which is essential for healing and repair.
    Vitamin B-6 (Pyridoxine), 100% Natural, Nature's Way, 100 mg, 100 Caps
    Plus
    Vitamin B-12
    1,000-2,000 mcg daily. Decreases inflammation. B vitamins are needed for healthy skin and hair. Use a lozenge or sublingual form.
    Instant Energy B-12, 2000 mcg/Packet, NOW Foods, 25 Packets/Box,
    Vitamin B-12, NOW Foods, 5 oz.,
    Vitamin B-12 Lipospray, NOW Foods, 2 oz., Vitamin B-12 (Cyanocobalamin), 2000 mcg, 100 Sublingual Lozenges
    Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important for healing. Protein metabolism depends on zinc. The skin is composed primarily of protein. Used for tissue repair. Enhances immune response. Use zinc gluconate lozenges or OptiZinc for best absorption.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Important
    ConcenTrace As directed on label. Contains essential trace minerals to nourish the skin.
    ConcenTrace Supplement Drops, Trace Mineral, Original Flavor, 8 fl. oz.
    Herpanacine As directed on label. Contains antioxidants, amino acids, and herbs that promote overall skin health and removes toxins.
    Methylsulfonylmethane (MSM) As directed on label. Possesses healing and nutritional properties for the skin.
    MSM Lotion With Aloe (Methylsulfonylmethane), 15%, 4 fl. oz.,
    MSM Cream (Methylsulfonylmethane), 2 oz.,
    MSM Liquid (Methylsulfonylmethane), Pure Lignisul, 16 fl. oz.,
    Pure MSM (Methylsulfonylmethane), 500 mg, 250 Caps
    Panoderm I As directed on label. Contains squalene, a substance found in healthy skin. Acts as a natural antioxidant and prevents damage to the skin due to cosmetics, wind, sun, and pollutants.
    Pycnogenol
    Or
    Grape Seed Extract
    As directed on label.

    As directed on label.
    Powerful antioxidants that strengthen the skin to resist disease. A free radical scavenger that also strengthens collagen.
    Pycnogenol W/ Vitamin E, 100% Natural, Nature's Way, 50 mg, 30 Tabs, Grape Seed (Grapeseed) (Vitus vinifera), 100% Pure, NOW Foods, 16 fl. oz.
    Vitamin A Up to 50,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Deficiency may cause or contribute to seborrhea. Necessary for healing and reconstruction of new skin tissue.
    Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels,
    Vitamin A, Fish Liver Oil, NOW Foods, 25,000 IU, 250 Softgels,
    Dry Vitamin A & D, Nature's Way, 15,000 IU / 400 IU, 100 Caps
    Plus
    Natural Beta-Carotene
    Or
    Carotenoid Complex
    15,000 IU daily. Aids in healing of tissue. Potent antioxidant and precursor of vitamin A.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    AE Mulsion Forte As directed on label. Supplies Vitamin A & E in emulsion form for easier assimilation and greater safety at higher doses.
    Vitamin E 200-800 IU daily. Speeds healing. Increases oxygen intake.
    Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
    Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
    Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
    Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
    Helpful
    Acidophilus As directed on label. Take on empty stomach. To replenish friendly bacteria. Especially important if antibiotics are prescribed. Use a non-dairy formula.
    Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose-Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.,
    Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
    Acidophilus & Bifidus, 8 Billion, NOW Foods, 60 Caps,
    Acidophilus Pearls, Enzymatic Therapy, 90 Pearls,
    Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps,
    Primadophilus Optima, 35 Billion CFU, Nature's Way, 60 VCaps,
    Primadophilus Reuteri Powder, Nature's Way, 5 oz
    Coenzyme Q-10 60 mg twice daily. An important free radical scavenger that supplies oxygen to the cells.
    CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps,
    CoQ10, Now Foods, 400 mg, 60 Softgels
    Coenzyme A As directed on label. Works effectively with CoQ10 to support the immune system's detoxification of many dangerous substances.
    Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels,
    Kelp 1,000-1,500 mg daily. Supplies needed and balanced minerals needed for good skin tone. A good source of iodine.
    Kelp Supplement, Nature's Way, Certified, 650 mg, 100 Capsules,
    Kelp Seaweed, Norwegian, NOW Foods, 100% Natural, 550 mg, 250 Caps
    Dimethylglycine (DMG) As directed on label. Improves tissue oxygenation and enhances oxygen utilization by affected tissue.
    DMG Supplement N,N Dimethyl Glycine, NOW Foods, 125 mg, 100 Caps
    Free-Form Amino Acid Complex As directed on label. Take on an empty stomach. Needed for healing and repair of all tissues. Use a formula containing both essential and non-essential amino acids.
    Amino 1000 Complete, NOW Foods, 120 Caps,
    Amino 1500, Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 Tabs
    Lecithin Granules
    Or
    Capsules
    1 tablespoon 3 times daily, before meals.

    1,200 mg 3 times daily, before meals.
    Needed for better absorption of the essential fatty acids. For cellular protection.
    Lecithin Vegetarian Granules, NOW Foods, 97% Phosphatides, Identity Preserved Non-GE, 1 lb,
    Lecithin Liquid, NOW Foods, Vegetarian, 16 fl. oz.,
    Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGels
    Vitamin C With Bioflavonoids 3,000-6,000 mg daily, in divided doses. An important antioxidant to prevent tissue damage to the skin and to aid in healing.
    Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 Vcaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs





    SEBORRHEA SUPPLEMENTS & PRODUCTS

    Supplements and products for seborrhea and seborrheic dermatitis, a condition that causes itchy, scaly patches of skin on the scalp, face, chest and other parts of the body. Supplements and products for cradle cap and seborrheic dermatitis, a non-infectious skin condition resulting in patchy, oily scales and crusts that appears on the scalp of newborns and infants.

    Aloe Vera Gel & Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter

    Nature's Way Aloe Vera Gel and Juice provides the unique soothing benefits of the interior potent aloe gel fillet. Aloe Vera Gel & Juice blend contains high amounts of aloe nutrients including polysaccharides.
    Barlean's Flax Oil, Highest Lignan, 1000 mg, 250 Caps

    Barlean's Flax Oil Capsules are the best selling Flax Oil Capsule. Barlean's Flax Oil Capsules are produced from one of the best pure and pristine flax oil providing essential Omega-3 with the highest Lignan content for your good health.
    Borage Dry Skin Therapy, Natural Formula, Children's Lotion, ShiKai, 8 fl. oz.

    ShiKai Borage Dry Skin Therapy Natural Formula Children's Lotion soothes and relieves dry skin. Even Dry Skin from Eczema.
    B-Stress Vitamin Complex With Siberian Eleuthero (Siberian Ginseng Root), Nature's Way, 100 Caps

    If you're looking for herbal stress relief, you'll find B-Stress Vitamin Complex with Siberian Eleuthero, formerly Siberian Ginseng Root to be just what you are looking for.
    Burt's Bees Baby Bee Getting Started Kit

    Burt's Bees Baby Bee Getting Started Kit offers a sampling of eight of Burt's Bees Baby products.
    Burt's Bees Baby Bee Apricot Baby Oil, 3 fl. oz.

    Burt's Bees baby Bee Apricot Baby Oil combines nutritious apricot and wheat germ oils to keep baby skin fresh and glowing. Burt's Bees baby products are designed for your baby's all natural health care.
    Calendula Cream, Nelson's Bach, Organic, 1 oz.

    Nelson's Bach Calendula cream is a soothing multi-purpose skin cream, specially prepared from the Calendula which offers soothing relief for rough, dry, irritated or chapped skin.
    Colloidal Silver Lotion, SilvaSolution, Homeopathic, 4 fl. oz.

    Effective for minor skin irritations, rashes hives, insect bites, sores, burns, inflammation, skin swelling and dry, itchy, cracked skin.
    Emu Oil Soap, Unscented Bar Soap, Thunder Ridge Emu Oil Products

    This Unscented Emu Oil Soap Bar is moisturizing, condition, non-irritating, and accompanied with all the benefits of emu oil.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 2 fl. oz.

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 4 fl. oz.

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Kelp Seaweed Norwegian, NOW Foods, 100% Natural Acophyllum Nodosum, 550 mg, 250 Caps

    Norwegian Kelp seaweed contains nearly thirty minerals which nourish the glands, especially the thyroid and pituitary. Kelp, also known as seaweed, grows in the rich ocean beds, far below surface pollution levels.
    Multi-Vitamin Without Iron, Nature's Way, 100 Caps

    The vitamins and minerals in this Multi Vitamin without Iron play many important roles in the body: antioxidants to protect fats, cells and DNA, coenzyme precursors for energy production and metabolism, and cofactors for hormones and enzymes which regulate body processes.
    Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100mg, 100 Caps

    Niacin or vitamin B-3, is necessary for normal breakdown of fats and fatty acids and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.
    Organic Apple Cider Vinegar (Mother), Organic, Dynamic Health, 16 fl. oz.

    Dynamic Health Organic Apple Cider Vinegar is made from the juices of ORGANIC certified grown apples.
    Scented Emu Oil Soap, Organic Bar Soap, Thunder Ridge Emu Products

    This lightly Scented Emu Oil Soap Bar is organic, moisturizing, conditioning, non-irritating, and accompanied with all the benefits of emu oil.
    Tea Tree Oil Antiseptic Ointment, 2 oz.

    A 100% natural Tea Tree Oil antiseptic ointment that combines a therapeutic dose of pure tea tree oil with the absorption powers of Australian Eucalyptus australiana oil and lavender oil.
    Vegetable Glycerine Oil, Hypoallergenic, 100% Pure, NOW Foods, 16 fl. oz.

    Vegetable Glycerine has a rich oily texture, but is water soluble. Hypoallergenic and 100% Natural, it is safe for all cosmetic purposes.
    Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels

    Nature's Way vitamin A is 100% natural from fish liver oil. It contains no artificial ingredients or preservatives.
    Vitamin B-50 Complex With B-2 Coenzyme, 100% Natural, 330 mg, 100 Caps

    B Vitamins, as found in a Vitamin B Complex, are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    Vitamin B-100 Complex With B-2 Coenzyme, 100% Natural, 631 mg, 100 Caps

    A complete Vitamin B complex of 8 essential vitamins. B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    Vitamin E Oil, D-Alpha-Tocopherol, Vegetarian, 100% Natural, 32,000 IU, NOW Foods, 1 oz.

    This vitamin E oil may be used as a dietary supplement or applied to the skin for cosmetic or other purposes.
    Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, Softgels

    Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.
    Whole Leaf Aloe Vera Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter

    Nature's Way Whole Leaf Aloe Vera Juice offers you the rich benefits of the most potent part of the aloe plant. Whole Leaf Aloe Vera Juice contains an abundance of advantageous components not found in most aloe gel filler products.
    Zinc Lozenges With Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges

    Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.


    DANDRUFF SUPPLEMENTS & PRODUCTS

    Supplements and products for Dandruff, a common skin condition that causes excessive amounts of dead skin to flake from the scalp.

    Avocado Oil, Refined, NOW Foods, 4 fl. oz.

    Avocado oil has a number of uses and may be used as a scalp or skin conditioner or as an emollient. Our refined food grade Avocado Oil is also edible and often used on salads.
    B-Stress Vitamin Complex With Siberian Eleuthero (Siberian Ginseng Root), Nature's Way, 100 Caps

    If you're looking for herbal stress relief, you'll find B-Stress Vitamin Complex with Siberian Eleuthero, formerly Siberian Ginseng Root to be just what you are looking for.
    Chamomile Flowers Herb, German Chamomile, Nature's Way, 350 mg, 100 Caps

    Chamomile flowers have a relaxing effect on the digestive system.
    Chamomile Tea, Caffeine Free, NOW Foods, 30 Tea Bags

    Chamomile Tea is the worlds most popular evening drink because chamomile tea has a soothing effect on many.
    Cream of Coco, All Natural Hair & Body Shampoo, 2 Bars, 6.35 oz.

    Cream of Coco Hair and Body Shampoo is a truly incredible all natural body cleanser.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 1 Gallon

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 2 fl. oz.

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin.
    Grapefruit Seed Extract (GSE) Liquid Concentrate, 4 fl. oz.

    Grapefruit Seed Extract may be used topically as an antiseptic wound cleaner and to treat infections of the skin. Internally, the concentrate is useful as a supportive treatment for a wide variety of ailments.
    Kelp Seaweed Norwegian, NOW Foods, 100% Natural Acophyllum Nodosum, 550 mg, 250 Caps

    Norwegian Kelp seaweed contains nearly thirty minerals which nourish the glands, especially the thyroid and pituitary. Kelp, also known as seaweed, grows in the rich ocean beds, far below surface pollution levels.
    Multi-Vitamin Without Iron, Nature's Way, 100 Caps

    The vitamins and minerals in this Multi Vitamin without Iron play many important roles in the body: antioxidants to protect fats, cells and DNA, coenzyme precursors for energy production and metabolism, and cofactors for hormones and enzymes which regulate body processes.
    MSM Hair Conditioner (Methylsulfonylmethane), 8 fl. oz.

    MSM Hair Conditioner helps moisturize the scalp and hair. Great for itchy scalp, dandruff, dermatitis and psoriasis.
    MSM Hair Shampoo (Methylsulfonylmethane), 8 fl. oz.

    MSM is a special biological sulfur needed by the body to maintain beautiful, strong and healthy hair. TriMedica's MSM shampoo is thick, concentrated and adds body and life to all types of hair.
    Natural (21) Hair Conditioner, Hair Food, 4 fl. oz.

    Hair Foods 21 Plus herbs, rare plants and sea vegetation saturate you hair with 100s of nutrients that strengthen hair and prevent hair loss.
    Nature's Antiseptic Tea Tree Oil & Grapefruit Seed Extract, CJ Puotinen, Paperback

    Nature's Warfare, this book covers tea tree oil and grapefruit see extract use in safely destroying viruses, bacteria, molds, yeasts and parasites that want to live in us and on us.
    Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100mg, 100 Caps

    Niacin or vitamin B-3, is necessary for normal breakdown of fats and fatty acids and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.
    Organic Apple Cider Vinegar (Mother), Organic, Dynamic Health, 16 fl. oz.

    Dynamic Health Organic Apple Cider Vinegar is made from the juices of ORGANIC certified grown apples.
    Patchouli Essential Oil, 100% Organic, 2 fl. oz.

    Using Patchouli in inhalation, baths, and massage has an uplifting effect on depression and anxiety, and can help alleviate fluid retention.
    Royal Coat For Pets, Pet Supplement

    Ark Naturals Royal Coat Provides your pets with an excellent, all-natural source of EFAs (essential fatty acids) they need to maintain healthy skin and shiny coats.
    Selenium, 100% Natural, 200 mcg, 100 Caps

    Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.
    Tea Tree Oil Shampoo, 16 fl. oz.

    Tea Tree Oil shampoo naturally nourishes the hair and scalp. The shampoo removes unwanted build-up from hair left by other shampoos.
    Valerian Root (Valeriana Officinalis), Alcohol Free, With Glycerin Tincture, 100% Organic, 1 fl. oz.

    Most known for its sedative effect on the central nervous system. It is used for anxiety, nervous tension, insomnia, and general stress symptoms.
    Vitamin B-50 Complex With B-2 Coenzyme, 100% Natural, 330 mg, 100 Caps

    B Vitamins, as found in a Vitamin B Complex, are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, Softgels

    Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.
    Whole Leaf Aloe Vera Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter

    Nature's Way Whole Leaf Aloe Vera Juice offers you the rich benefits of the most potent part of the aloe plant. Whole Leaf Aloe Vera Juice contains an abundance of advantageous components not found in most aloe gel filler products.
    Zinc Lozenges With Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges

    Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.


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  • NOTIFY YOUR HEALTH CARE PROVIDER IF...

  • Your symptoms increase in severity, or you develop skin irritation, sores, and/or scabs on your skin or scalp.


  • Your symptoms are not relieved after treatment. You may need to try another therapy method.


  • FOR MORE INFORMATION

    American Academy of Dermatology
    P.O. Box 4014
    Schaumburg, Illinois 60168-4014
    AAD Public Information Center: (888) 462-DERM (3376)
    AAD Member Resource Center: (866) 503-SKIN (7546)
    Web: www.aad.org





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