I've been dealing with seborrheic dermatitis for a while now, and I'm getting really frustrated. A year ago, my doctor suggested azithromycin, and it worked initially, but the condition came back after a week. I tried azithromycin again for another five days, but it didn't help at all this time. So, I saw another doctor who recommended doxycycline with vitamin C for a week. It seemed to get better, but then it flared up again just two days after I finished the meds. It's been really annoying trying these antibiotics without long-term relief. What do you think I should do next? Could there be something else going on?

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

Consult Now

Seborrheic dermatitis can be challenging to treat, especially if it keeps recurring despite multiple courses of antibiotics. Since azithromycin and doxycycline have not provided long-lasting relief for you, I recommend trying a different approach. You can ask your doctor about using ketoconazole shampoo for your scalp and affected areas. Apply it twice a week for 4 weeks. In addition, you can use a topical corticosteroid cream like hydrocortisone 1% cream on the affected skin once daily for 2 weeks. This combination can help manage the symptoms and reduce the recurrence of seborrheic dermatitis.

Dr. Ibrahim Suggests...

Consult a Dermatologist

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Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.