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Seborrhoeic dermatitis - Management
Antifungal shampoo (treatment)

Age from 1 year onwards
Ketoconazole 2% shampoo: use twice a week
Ketoconazole 2% shampoo
Apply to the affected area twice a WEEK for 2 to 4 weeks until symptoms have cleared.
Supply 120 ml.
Age: from 1 year onwards
NHS cost: £4.66
OTC cost: £8.35
Licensed use: yes
Patient information: Wet hair thoroughly and massage a small amount of ketoconazole shampoo into the affected area. Leave for 3-5 minutes then rinse thoroughly. Do not use more often than directed. If you need to shampoo your hair more often, use your normal shampoo. If your hair is very thick or long use your normal shampoo before using ketoconazole.
Age from 5 years onwards
Selenium sulphide 2.5% shampoo: use twice a week
Selenium sulphide 2.5% shampoo
Apply twice weekly for 2 weeks, then once weekly for 2 weeks, and then as necessary.
Supply 100 ml.
Age: from 5 years onwards
NHS cost: £1.96
OTC cost: £3.45
Licensed use: yes
Patient information: Wet the hair then massage selenium sulphide into the affected area to form a lather. Leave for 3 minutes then rinse thoroughly and repeat. If you need to shampoo your hair more often than twice a week, use your normal shampoo. Avoid using 48 hours before or after applying hair colouring, straightening, or waving preparations.

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