I've used all kind of products (participated in the clinical trial of Zoryve), desonide, mometasone, ciclopirox, ketoconazol, etc.etc. What finally helped me was switching to a completely natural approach. I started using a product called Epicderma’s Face & Scalp Elixir. It’s made with ingredients like tea tree oil, rosemary, thyme, organic sulfur, sea salt, MCT oil....which are naturally antifungal and antibacterial, exactly what seb derm needs. No more dependence or rebound.

thank you

The other foam and it too is expensive. My insurance wouldn’t pay for it.
How should I apply ketoconazole topical?

Use exactly as directed on the label, or as prescribed by your doctor.

Using more of this medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.

Do not take by mouth. Topical medicine is for use only on the skin. Do not use on open wounds or irritated skin. Rinse with water if this medicine gets in your eyes, nose, or mouth.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Wash your hands before and after using this medicine.

Clean and dry the skin before applying ketoconazole cream, foam, or gel.

This medicine may be flammable. Do not use near high heat or open flame, or while smoking. Avoid heat or smoking until the medicine has completely dried on your skin.

Ketoconazole shampoo is not for daily use. Allow at least 3 days to pass between uses.

Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication.

Call your doctor if your symptoms do not begin to improve after 2 to 4 weeks of treatment, or if your condition gets worse.

Store ketoconazole topical at room temperature. Protect from light and do not refrigerate or freeze.

Kaye, you are in the same boat as most of us. The foam is working and still in the trial stages, so it cost a lot of money out of pocket. I can’t afford it out of pocket either. Ciclopirox shampoo and face wash works pretty good for me. It’s prescription and I respond well with it. I still have condition and during the hot summer it’s worse. We all respond differently to treatments. Up above ai has listed some great products. I respond to coal tar shampoos too. Hope this helps. Do your research too. You and your doctor know better how you respond to. Good luck and check with your doctor. Stay in contact.