CeraVe
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In general, there are certain clinical signs that may make someone consider it a fungal/yeast problem rather than bacterial. Generally, bacteria we would suspect if there was pustules or honey-colored crusting. That said, if you are starting to try a new regimen and it is not getting worse, it is reasonable to continue.
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Without seeing you it is hard to say, but often dandruff has certain clinical features which is what the dermatologists may be seeing when considering anti-dandruff treatments. We do have antibacterial treatments if we think the issue is more bacterial or related to folliculitis.
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The environment can definitely play a role and even just changing environments can trigger a flare up, regardless of more humid or less humid. In general, seborrheic dermatitis is known to flare if you don’t wash your hair regularly as it can worsen with the build up of oil in the scalp.
Hi! Thanks for your questions here. Happy to help! 1. In some cases, seborrheic dermatitis also needs a treatment to reduce inflammation, in addition to the anti-fungal ingredients that you have already tried and used. Some ways to target the inflammation are through prescription topicals such as topical steroids or non-steroid solutions. Another shampoo to consider is the CeraVe Anti-Dandruff Shampoo and Conditioner which includes pyrithione zinc but also ingredients to support the scalp barrier. If the flakes are very thick, it can also help to consider a salicylic acid containing shampoo.
2. For someone with PCOS, you can also try a ketoconazole shampoo, spironolactone, and minoxidil to help address hair loss.
