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Table 13.1

Seborrheic Dermatitis Formulary

SCALP
Shampoos/gels/lotions
Antiseborrheics and antifungalsPyrithione zinc (Head & Shouldersa) shampoo
Coal tar (Neutrogena T-Gela) shampoo
Coal tar (Zetara) shampoo and emulsion
1% Selenium sulfide (Selsun Bluea) shampoo
13.5% Selenium sulfide shampoo
1% Ketoconazole shampoo (Nizorala)
2% Ketoconazole shampoo (Nizoral), ciclopirox 0.77% (Loprox shampoo and gel)
Keratolytics(agents that remove excessive scale)Sulfur 2%, salicylic acid 2% (Sebulexa) shampoo, or Salex cream or lotion, or Keralyt gel
Salicylic acid (Neutrogena T-Sala) shampoo
Topical corticosteroids
Medium potency (class 4)Betamethasone valerate 0.1% (Valisone)
Desoximetasone (Topicort) gel 0.05%, betamethasone valerate 0.12% (Luxiq foam)
Fluocinolone acetonide (Capexb) shampoo 0.01%
High potency (class 2)Fluocinonide (Lidex) gel or solution 0.05%
Superpotency (class 1)Clobetasol gel, foam, or solution 0.05%
FACE AND INTERTRIGINOUS AREAS
Topical steroids
Very low potency (class 7)Hydrocortisone cream or ointment 0.5% to 1%a
Low potency (class 6)Desonide (DesOwen) cream, lotion 0.05%, desonide 0.05% foam (Verdeso)
Medium potency (classes 4 and 5)Hydrocortisone valerate (Westcort) cream, or ointment 0.2%
Topical creams/ointments
AntifungalsKetoconazole (Nizorala) 1% cream, ciclopirox 0.77% (Loprox gel), and econazole cream 1% (Spectazole)a
Ketoconazole (Nizoral) 2% cream, gel (Xolegel), foam (Extina)
ImmunomodulatorsTacrolimus 0.03% and 0.1% (Protopic) ointment
Pimecrolimus 1% (Elidel) cream

a Available over the counter.

b This shampoo contains a midpotent topical steroid. It is used two or three times weekly, as needed.