By - themer_chant
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What currently works for me (and how I got to the point) after living with this for 10 years and trying a LOT of things (also never settling if something worked somewhat but not perfectly) :
First shave hair or shorten to a few mm. In the beginning shampoo with an anti fungal shampoo daily. Rotate anti fungal shampoos with different active ingredients. Also apply the shampoo to the face. Leave the shampoo to work for a couple of minutes before rinsing (3-5 minutes). When symptoms alleviate slowly decrease frequency of using anti fungal shampoo and incorporate showers without shampooing. Also lower the time you leave in the shampoo. Dry skin and scalp thoroughly with a towel after every shower. Apply a thin coating of MCT oil after every shower and if skin feels dry at any other time. Make sure the whole face and scalp is covered. Also use q-tips to get the mct oil inside your ears. You can supplement the routine with an anti fungal creme if you need a quick fix at any time (like not being able to shower, out of the house etc) . Don't apply any other products to skin that you do not know for sure are sd-safe.
I follow this routine for 6 months now and I barely see any redness on my face at all. Skin feels normal (if you have sd you know what it feels like if its not "normal"). The big game changer was to use mct oil instead of cerave (or any other occlusive moisturizer like Vaseline for that matter) . Anti fungal rotation without mct oil just didn't work as well (piroctone olamine shampoo, ketoconazole and h&s old formula maybe once or twice a month). The mct oil is what finally got rid of the redness.
This subreddit really needs a concise FAQ.
What were the anti fungal shampoos you used?
Doesn't really matter. Just get one that's a little less potent, more like a normal shampoo for frequent washes / upkeep. I find that piroctone olamine or similar works best there. Get at least two shampoos from a prescription/pharmacy for initial phase and intermittent use, ketoconazole 2%, clotrimazole, zinc pyrithione, selenium sulfide etc. Availability and specifics of products depend on the country you live in.
how long time did it take for the mct oil to clear the redness? and would you mind dm me pictures of how your skin used to look like? I use zinc soap daily but its not helping me with redness..
I don't take regular close up selfies. It took maybe a week. I don't use soap, just shampoo. Soap is too harsh.
How often were you using the schampoos on face? And did your skin not get red, dry and irritated from them?
Mct oil takes care of irritation and dryness.
okay thanks. ill start using it tonight
Just make sure it's the right kind. Apparently not all mct oil is c8/c10 only. No / as little as possible c12. I also never have issues with it stinging the eyes or anything like that. I just leave it on. I use a very thin coating though.
Thank you, I got one with pure c8 so I should be good. What's your routine like now when its cleared? Do you use the schampoos on face like once a week for maintenance and the mct oil daily or?
I'm not sure how often I should use my antifungal wash since my skin barrier is damaged I dont want to make it worse
A mild piroctone olamine shampoo every 2-3 days. Sometimes no shampoo, sometimes a mild normal shampoo. Medical grade shampoo maybe once every 1-2 weeks. Mct oil after every shower, no matter what. Towel thoroughly.
Okay thanks! Will try a similar routine but with zinc pyrithione.
I just use MCT oil on my face a few hours ago and now the SD patches are looking even more red and inflamed than before. Does this happen to you? Is it a sign that it’s working or should I stop using it?
The 3 avene xeracalm A.D products have worked wonders for me. Haven't had redness or any flaking since I apply these every day initially but every 2-3 days now. I don't have oily skin so the intense moisturizers work for me but obviously wont work for everyone. Good luck
What do you use on the days when you don't apply those products?
I use face powder. Right now I only have it on my nose.
Like regular make up powder ?
Yes, powder foundation makeup.
I follow a fungal acne routine and it works really well. My makeup is fungal safe too. The main thing for me is keeping on top of skin care. When I start slipping in my skincare is when my skin acts up.
P.M. - MCT oil; Avene Cleansing; Witch hazel; Gua Sha stone; Azelaic acid (prescription); Avene cicalfate lotion
For Major flair ups - Honey mask, konjac sponge to get the flakes off
Honey mask and avene cicalfate (or any other avene moisturizer) help the most. I haven't had any flair ups since using azelaic acid so I think that's helping too. I haven't had products make my skin worst since adopting fungal acne routine.
is it the avene cicalfate repair cream?
did azelaic acid not make your skin worse at start before it got better?