Dandruff & Seborrhoeic Dermatitis: UK Online Doctor Guide
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Dandruff is a mild form of seborrhoeic dermatitis driven by yeast and inflammation.
- Antifungal shampoos (ketoconazole 2%) are highly effective.
- Facial seborrhoeic dermatitis responds to mild antifungal cream and brief mild steroid.
- Stress, cold weather and tiredness worsen symptoms.
- An online GP can prescribe stronger options.
Where it appears
- Scalp (dandruff)
- Eyebrows and sides of nose
- Behind ears
- Mid-chest in men
Treatment
- Ketoconazole 2% shampoo (Nizoral) twice weekly.
- Selenium sulphide or coal tar shampoos as alternatives.
- For face: ketoconazole 2% cream + short course of hydrocortisone 1% for flares.
- Severe cases: prescription-strength antifungals or topical calcineurin inhibitors.
Frequently asked questions
Common questions UK patients ask about seborrhoeic dermatitis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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