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Real members of MySebDermTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Ketoconazole cream not working on my redness in nose my nose bridge

A MySebDermTeam Member asked a question 💭
January 23
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MySebDermTeam

Why isn't ketoconazole cream working for redness on the nose and nose bridge?

If ketoconazole cream isn't helping with redness, it may be time to explore other treatment options with your doctor. Sometimes seborrheic dermatitis requires a different approach or combination of treatments to manage symptoms effectively.

Here Show Full Answer

Why isn't ketoconazole cream working for redness on the nose and nose bridge?

If ketoconazole cream isn't helping with redness, it may be time to explore other treatment options with your doctor. Sometimes seborrheic dermatitis requires a different approach or combination of treatments to manage symptoms effectively.

Here are some alternatives your doctor might recommend:

* Topical corticosteroids - These can reduce inflammation and redness more directly. Options include fluocinolone, alclometasone, or higher-strength hydrocortisone
* Phosphodiesterase 4 (PDE4) inhibitors - Roflumilast (Zoryve) is a newer foam treatment specifically approved for seborrheic dermatitis that targets inflammation and helps with discoloration
* Calcineurin inhibitors - Medications like pimecrolimus (Elidel) or tacrolimus (Protopic) can be effective alternatives, especially if you need a break from steroids
* Combination therapy - Some people find success using ketoconazole alongside other treatments

A MySebDermTeam member shared: "After applying medicated creams, I always finish my routine with a daily moisturizing face cream." Adding a gentle, noncomedogenic moisturizer might also help support your skin barrier.

It's worth discussing with your dermatologist why the ketoconazole isn't providing relief. They can assess whether you need a different strength, a different medication entirely, or a combination approach for better results.

January 23
A MySebDermTeam Member

Normal time to use the Ketoconazole cream is 4-6 weeks before you see any results. It didn’t help me until I added hydrocortisone and polysporin to ketoconazole cream.

January 28
A MySebDermTeam Member

Ketoconazole cream is anti fungal, for redness and inflammation you use a steroid like hydrocortisone. Limit your use of hydrocortisone and read instructions of using hydrocortisone.

January 23
A MySebDermTeam Member

Possible Reasons for Ineffectiveness

Incorrect Diagnosis

The redness might not be a fungal infection, which ketoconazole treats. Conditions like rosacea, seborrheic dermatitis, or acne can present similarly.
Inconsistent Use

For the best results, it's crucial to apply the cream consistently and as directed. Missing applications can hinder progress.
Contact Dermatitis

Sometimes, the skin can react negatively to a product, leading to further irritation rather than improvement.
Severity of Condition

If the redness is severe, a stronger treatment or a combination of treatments might be necessary.
Next Steps

Consult a Dermatologist: They can provide a proper diagnosis and recommend an alternative treatment tailored to your specific condition.
Patch Test: Consider performing a patch test with any new skincare product to check for sensitivity.
Skincare Routine: Ensure your skincare routine is gentle and suitable for sensitive skin.
Monitor Triggers: Note any potential triggers that cause flare-ups, such as certain foods, skincare products, or environmental factors.
If possible, share more about any other symptoms or previous treatments you've tried, as this may help in finding a solution.

January 23

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