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My Favorite Products for Pityrosporum Folliculitis

 

 

 

 

I’ve decided to compile a list of my favorite products for Pityrosporum folliculitis (PF).  In other words, these are my holy grails!  These are the products that have helped me with Pityrosporum folliculitis or PF-related symptoms and are products that’ll always have my back.  Truthfully, it’s a list I wish I had found online several years ago and it’s also a list I can still rely on even after my skin has cleared.  Win, win, right?!

 

So, ahem, drum roll, please…

 

 

My Favorite Products for Pityrosporum Folliculitis:

 

1. Nizoral Shampoo

 

Nizoral AD Anti-Dandruff Shampoo - My Favorite Products for Pityrosporum Folliculitis

Nizoral AD Anti-Dandruff Shampoo

 

The amount of success so many people have had with using Nizoral has rightfully earned this product a spot on this list.  Whether you’ve watched the YouTube videos I’ve posted or someone else’s, the positive comments people have left seem to speak for themselves.  And, just in case you’ve never heard of this product now is a good time to look into it.  Like, right now!  And, just for the record, I no longer need to use this to treat PF, but I always have a bottle on hand just in case!  Check out this post to read more about my experience using Nizoral.

 

2. Clay Products

 

Aztec Secret Indian Healing Clay- My Favorite Products for Pityrosporum Folliculitis

Aztec Secret Indian Healing Clay

 

One of the symptoms people with Pityrosporum folliculitis often deal with is oily and sweaty skin.  A weekly clay treatment can be extremely beneficial if you frequently deal with oil and sweat.  Clay naturally works to remove impurities and excess oil, as well as tighten pores.  With lots of different clays on the market, like the one above or this one, men and women equally can do an in-home treatment and reap enormous benefit.  I know I have!

 

3. Probiotics

 

Nature's Bounty Ultra Strength Probiotic 10- My Favorite Products for Pityrosporum Folliculitis

Nature’s Bounty Probiotic 10

 

Probiotics have quickly made their way to the top of most lists in the health industry because of their ability to balance both the good and the bad bacteria.  So, when your gut is in good health, so are other areas of your body, including your skin.  Reduce your dairy, bread, and sugar intake, and consider taking a daily probiotic which has been shown to be an added boost to the skin.  Here’s the one I’ve been taking for over a year now!

 

4. A Gentle Cleanser

 

Cetaphil Gentle Skin Cleanser- My Favorite Products for Pityrosporum Folliculitis

Cetaphil Gentle Skin Cleanser

 

If you’re looking for help in dealing with Pityrosporum folliculitis, a gentle cleanser that doesn’t strip your skin dry must be on that list.  There are several gentle cleansers on the market so testing a few should help in deciding which you like best.  Here’s the one that I currently use and have been using for some time now; it’s definitely my go-to cleanser.

 

5. An Oil-free Moisturizer

 

Cerave Daily Moisturizing Lotion- My Favorite Products for Pityrosporum Folliculitis

Cerave Daily Moisturizing Lotion

 

If you experience oily skin and think skipping the moisturizer is a good idea, think again!  After cleansing, opt for an oil-free moisturizer to keep your skin balanced and hydrated throughout the day.  No heavy, thick, or rich creams which only exacerbate Pityrosporum folliculitis!  A pea or dime-sized amount of a light moisturizer like this one is all that’s needed to maintain your skin’s proper moisture levels throughout the day.  It always does just what I need!

 

 

 

That’s it, guys!  My favorite products for Pityrosporum folliculitis and/or related symptoms are Nizoral shampoo, probiotics, clay products, a gentle cleanser, and an oil-free moisturizer!  These are the products that have been the most helpful in keeping this condition at bay for me.

 

I should also note that simply because I’ve had success with a product doesn’t necessarily mean you’ll have the same results.  I sure hope you do but, at the very least, it just means these products may be worth looking into.

 

Are there other products on the market that could be just as helpful?  Yes, of course!  Check out this post to look into several others.

 

Once you discover what works, the key is to stick with it and repeat that process over and over again for positive results.  If you’re ever in doubt, just remember to keep things simple; less is always more!

 

If you think I should look into another great product you’ve had success with, please share it with me down in the comments!  I’m always interested in hearing what everyone else is using!

 

 

 

Have you tried any of these? What are some of your favorite products? 

 

Using Nizoral Shampoo to Treat Pityrosporum Folliculitis

 

 

Let’s just go ahead and address the biggest elephant in the room, shall we?!  The thought of using shampoo on anything other than your hair is ridiculous, right?  Well, hear me out…

 

Discovering Nizoral Shampoo

 

I first heard about using Nizoral Shampoo for Pityrosporum folliculitis while surfing through an online forum several years ago.  That’s right – shampoo for your hair or your skin!  I couldn’t believe it really, but that didn’t stop me from heading to my local grocery store to grab a bottle of the shampoo.  What stopped me was the fact that I couldn’t find it so I moved on.

Fast forward yet another year and I was still looking online for a solution to the itchy bumps on my forehead that wouldn’t go away.  While visiting multiple websites, Nizoral Shampoo resurfaced yet again in the discussion.  Many said this particular shampoo quickly treated those acne-like bumps.  So I ventured out again and this time I found it!  And that, my friend, is when everything changed.

After a couple of years of trying to get rid of those tiny bumps on my forehead, they were gone within days of using Nizoral Shampoo. Just like that – gone!  I was speechless.

Now I should say I had already started making progress with my skin prior to using Nizoral.  With a consistent skin care regimen, my forehead was beginning to show signs of progress in comparison to previous years.  But, I’ll also be the first to tell you, there was still room for improvement.  And that’s exactly what this product did – it improved things considerably.

 

Nizoral Shampoo for Pityrosporum Folliculitis:

 

Nizoral Shampoo

Here’s exactly how I used Nizoral Shampoo as a treatment for Pityrosporum Folliculitis:

 

Preparation: A day before I conducted a skin patch test in an inconspicuous area (i.e. the inside of the arm) to check for any adverse skin reactions.  Also, prior to using this product, I did not wash my face.  My skin was dry (not wet) and sans any product (no makeup, moisturizer, etc.). 

Duration: Morning and night for 10-15 minutes for 10 consecutive days.

 

 STEP 1 :

  I applied a thin layer of the shampoo directly onto my skin.

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

 

STEP 2: 

After 10-15 minutes, I wet my fingertips and gently lathered the area.

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

 

STEP 3: 

I removed all traces of the product with water.

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

 

STEP 4: 

I used a clean towel to gently pat dry.

Nizoral Shampoo for Pityrosporum Folliculitis

Nizoral Shampoo for Pityrosporum Folliculitis

 

*The images shown above are for demonstration purposes and do not show an actual rash or infection.  To see actual images of Malassezia (Pityrosporum) Folliculitis, please visit the Homepage.

 

So, I essentially used Nizoral Shampoo as a forehead mask for 10 days morning and night.  The remainder of my face (everything but my forehead), I washed with a facial cleanser.  No additional products were applied to my forehead afterwards.  In fact, at no point throughout those 10 days did I apply anything but Nizoral to my forehead.  Personally, I thought it was best if I allowed the product to work “its magic”, if you will, without any external influences like moisturizer or makeup.

By day two or three, I could clearly see a big difference in the texture of my skin.  Some of the bumps were either already gone or soon-to-be-gone.  And by the final day, my forehead wasn’t just clear, it was baby smooth!

I posted two videos on my YouTube channel and discussed how to get rid of forehead bumps with Nizoral Shampoo as well as how I used Nizoral Shampoo to treat Pityrosporum (Malassezia) Folliculitis.  By the way, my video How To Get Rid of Tiny Forehead Bumps, has reached nearly a million views!  In other words, you’re not alone.

 

 

 

 

Potential Side Effects

Some potential side effects of using Nizoral Shampoo on the skin include, but are not limited to, dryness, peeling, and redness at the site of application.  Reducing the amount used or the frequency in application could combat this.  Additionally, conducting a skin patch test in an inconspicuous area beforehand may help in determining other potential adverse reactions prior to using this product.

Why Nizoral Works

The active ingredient in Nizoral 1% Shampoo is ketoconazole.  I discuss ketoconazole in-depth in this blog post.  It’s actually really interesting and worth reading if you ask me.  But, in short, ketoconazole is commonly used to treat fungal infections of the skin.  You might be wondering what in the world is an antifungal agent doing in an anti-dandruff shampoo.  Well, one of the causes of dandruff is an overgrowth of a yeast-like fungus.  Sound familiar?  So ketoconazole works to treat the dandruff by targeting this yeast-like fungus.  And, interestingly enough, the fungus species responsible for dandruff is the same species responsible for Pityrosporum folliculitis and other skin-related conditions like seborrheic/atopic dermatitis, pityriasis versicolor and others.  So, that’s why Nizoral works – its key ingredient isn’t simply antidandruff, it’s also antifungal!

Prescription-Strength Nizoral

If you’ve received a prescription for Nizoral from your doctor, then chances are the Nizoral you’ve been prescribed contains 2% ketoconazole verses the over-the-counter 1% ketoconazole found in Nizoral 1% Shampoo.  It’s typically prescribed to treat tinea (pityriasis) versicolor and other fungal infections of the skin.

Nizoral Has Not Been Approved to Treat Pityrosporum Folliculitis  

It is important to mention Nizoral Shampoo is not FDA approved to treat Pityrosporum folliculitis.  Hence, it has neither been tested for the usage described above nor do the directions specify it should be used to treat anything other than dandruff. Please don’t rely solely on the information presented here and always read labels, warnings, and directions before using any product.  And, as always, be sure to talk with your doctor about any questions and concerns you might have.  And, again, before using a new product, a skin patch test is always a good idea prior to applying over a larger area of skin.

Contacting Johnson & Johnson

I reached out to the Consumer Care Center at Johnson & Johnson, the makers of Nizoral Shampoo, and informed them of my positive experience with using this product.  I’m not the first person nor am I the last person to use this product quite like this, so I wanted to share my experience.  After all, I consider Nizoral Shampoo to be a game-changer for Pityrosporum folliculitis!  Furthermore, if for some reason, it’s ever discontinued, we’re all screwed.  Royally.

Anyways, I ended up speaking with a representative several days after filling out an online form where I mentioned I’d love to see a similar product formulated specifically to treat or help treat Pityrosporum folliculitis.  I even inquired about any research and development opportunities. I’d be lying if I said I hadn’t done my own research into having a product like this formulated.  There’s no way my entrepreneur spirit would’ve allowed me to pass that up.  Aside from the clinical studies and so forth, there’s a lot involved to formulate a product containing a drug.  And, by “a lot involved,” I mean a lot of money. Like a lot, a lot.

In the end, I answered a lot of questions about my experience with the product and provided some demographic information that I’m assuming they’ll use for research.  No response from them regarding the R&D opportunities, though.  The love was not lost.  I just hope my feedback was helpful.

Was Nizoral a One-Time Use?

Unfortunately, the positive results I experienced did not last forever.  I had to dust out my secret weapon approximately two months later, which is why I always have a bottle on hand just in case.  I would imagine I’d need to use it a lot more frequently if my skin care regimen weren’t as solid as it is.  Check out my skin care regimen here to find out how I keep my skin clear and under control.

Did I get the same baby smooth results after every application of this product?  Yes!  No flukes here!  Still not convinced?  Don’t forget about all those YouTube comments from people all over the world who have had success, too!

And that’s it!  For other products that could possibly help in treating PF, check out these blog posts:  Treatment Options for Pityrosporum Folliculitis and My Favorite Products for Pityrosporum Folliculitis!

 

 

Have you ever used Nizoral Shampoo for Pityrosporum folliculitis? What were your results? Please share in the comments below!

 

What’s Pityrosporum Folliculitis?

 

 

What exactly is Pityrosporum folliculitis?  Pityrosporum folliculitis is also known as Malassezia folliculitis.  Malassezia is a yeast commonly found on skin and is generally harmless.  Generally.  The problem occurs when the environment is ripe causing these yeast to overgrow and invade hair follicles thus causing a fungal infection of the skin.  Often times the result is an acne-like eruption.  In fact, this condition looks so much like acne it’s often misdiagnosed as such!

 

 

Image of Pityrosporum Folliculitis

15 year-old girl with Pityrosporum Folliculitis – Arch Pediatr Adolesc Med.2005;159(1):64-67. doi:10.1001/archpedi.159.1.64 (Image Credit)

 

 

The key difference between Malassezia or Pityrosporum folliculitis and acne is the itch that some say they experience with this condition.  Itchiness, as you might know, is a common symptom of fungal infections.

 

One other notable difference between Pityrosporum folliculitis and acne is the lack of response to acne treatment.  Frankly, acne medications won’t work on Pityrosporum folliculitis for the same reason why they won’t work on Athlete’s Foot.  Two entirely different skin conditions.

 

Aside from acne products being completely ineffective against this skin condition, here’s another reason why you may want to avoid using them.  Many acne medications work by killing bacteria but this only allows for yeasts like Malassezia to flourish. In the absence of bacteria, yeasts have the ability to consume all of the resources and nutrients they would’ve normally had to compete for.  Kill the bacteria and you aren’t just helping yeast live; you’re helping them thrive.

 

Now, here’s where things get a little tricky: acne can still be present along with Pityrosporum folliculitis.  Yes, you read that correctly.  This means you could have acne and an overgrowth of this yeast at the same time.  How?  Well, oily skin is a risk factor for both of these conditions.  The same oil that clogs your pores and causes acne is the same oil this yeast feeds off of.

 

If you think you’re experiencing acne and Pityrosporum folliculitis, try to tackle one condition at a time to avoid complicating matters.  In case you’re wondering which should you try to resolve first, the answer is folliculitis.  Since we know acne treatments may worsen Pityrosporum folliculitis, it’s best to use them only after you have successfully treated the folliculitis.

 

Still, just like other fungal infections of the skin, there’s a possibility of recurrence;  so, even after successful treatment, Pityrosporum folliculitis can come back.  Again, think Athlete’s Foot.  Just because you got rid of it once doesn’t mean it can’t come back again.  Therefore, it’s important to know what the risk factors are and how to prevent it in the first place.

 

DERMAdoctor

The risk factors for Pityrosporum folliculitis include, but are not limited to:

 

  • Obesity
  • Pregnancy
  • Diabetes
  • Stress
  • Taking broad-spectrum antibiotics
  • Taking steroid medication
  • Using oral contraceptives
  • Having a systemic illness
  • Having a weakened immune system
  • Excessive heat and/or sweating
  • Oily, greasy, sebum-rich environment/skin
  • Tight, restrictive clothing

Studies have shown this condition has also been found in healthy individuals, as well.

 

Here are the top ways to prevent Pityrosporum folliculitis or reduce the likelihood of recurrence:

 

  • Spend less time in hot, humid and sweaty environments
  • Keep yourself cool and dry
  • Shower after sweating
  • Wear loose, breathable clothing and especially if exercising or engaging in strenuous activity
  • Avoid applying greasy and oil-based products to the skin and hair
  • Limit usage of broad-spectrum antibiotics and steroid medications unless necessary
  • Boost immune system and maintain a healthy diet
  • Take a daily probiotic like this one or this one.
  • Reduce stress

 

Dr Brandt Skincare

 

Finally, Pityrosporum folliculitis can occur wherever hair follicles are located, but typically appears on the face, back, neck, chest, and shoulders.  It can affect young to middle-aged people, males and females and, unfortunately, is a lot more common than we might think.

 

Nevertheless, this condition is usually only discovered after months and sometimes years of unsuccessfully trying to resolve what is thought to be acne.

 

If you suspect you have Pityrosporum folliculitis, it’s always a good idea to get confirmation from a licensed dermatologist.  If you suspect you might have both acne and Pityrosporum folliculitis, well, a licensed dermatologist can help with confirming that, too.

 

And, here’s the good news: just like acne, depending on the severity, you may be able to treat this condition effectively at home.  Click here to read what might help.

 

 

 

 

References:
  1. Ayers K, Sweeney SM, Wiss K. Pityrosporum Folliculitis Diagnosis and Management in 6 Female Adolescents with Acne Vulgaris. Arch Pediatr Adolesc Med.2005;159(1):64-67. doi:10.1001/archpedi.159.1.64
  2. Ayers K, Sweeney SM, Wiss K. Pityrosporum Folliculitis Diagnosis and Management in 6 Female Adolescents with Acne Vulgaris. Arch Pediatr Adolesc Med.2005;159(1):64-67. doi:10.1001/archpedi.159.1.64 (Image Credit)
  3. Dermatology Online Journal 19(8). 2013. De Andrade, V., Dias, A.C. Pityrosporum Folliculitis in an immunocompetent individual: clinical case description. http://escholarship.org/uc/item/94d335b1
  4. American Osteopathic College of Dermatology [Internet]. Kirksville (MO).; 2017. Pityrosporum Folliculitis; [ cited 2017 Feb 5]; [about 2 p.]. Available from: http://aocd.site-ym.com/?page=PityrosporumFollicu

Treatment Options for Pityrosporum Folliculitis

 

If you have Pityrosporum folliculitis, you may be able to skip the dermatologist and treat this pesky condition right at home.  But it depends.

 

In some research studies, topical treatments like creams and ointments were extremely beneficial against Pityrosporum folliculitis.  In other studies, the most effective treatment occurred when oral medication and topical treatments were used simultaneously.  The varying degrees of treatment may depend on how severe your condition is.

 

Nevertheless, the following treatment options are worth looking into and, in many instances, you may be able to try them right in the comfort of your home.

 

Pityrosporum Folliculitis Treatment Options:

 

  • One of the most common anti-fungal medications used to treat Pityrosporum folliculitis is ketoconazole.  Ketoconazole comes in two forms – oral and topical.  However, as of May 2016, the Food and Drug Administration advised against using oral ketoconazole tablets to treat fungal infections of the skin due to several serious side effects.  Topical ketoconazole, however, has not been associated with these effects and is still a viable option.  Nizoral A-D 1% Shampoo is a dandruff shampoo that contains 1% ketoconazole as the active ingredient.  This topical, over-the-counter product is available at most grocery stores and Amazon.  Be sure to read about my personal experience using Nizoral to treat this condition.

 

  • Shampoos containing selenium sulfide such as Head & Shoulders or Selsun Blue have also been reported to provide some relief.  These products can be found at most grocery stores and Amazon.

 

  • ID Monolaurin Gel Face and Body Acne/Sweat Acne Treatment is advertised as offering anti-yeast, anti-bacterial, anti-viral, and anti-protozoal properties.  This product, in clinical studies, had a 100% successful rate in treating Pityrosporum folliculitis, according to their website.

 

 

 

  • Bentonite clay is worth mentioning simply because of its ability to deeply cleanse pores!  It may not be associated with treating this condition, but it’s widely known for removing buildup of excess oil and sebum.

 

The following options listed below may require a prescription or consult with a licensed dermatologist or healthcare professional.

 

  • Additional members of the Azole family include anti-fungal agents clotrimazole, fluconazole, and itraconazole.  Similar to ketoconazole, they have also been used to treat certain yeasts with varying degrees of effectiveness.  These drugs more often than not require a prescription from a doctor.

 

  • Brand name products such as Xolegel 2% Gel (for seborrheic dermatitis), Nizoral 2% Shampoo (for tinea versicolor), Ketoderm 2% Cream (for dermatophytes and candidiasis of the skin), and Extina 2% Foam (for seborrheic dermatitis) all contain prescription-strength levels of ketoconazole.

 

  • Photodynamic therapy and salicylic acid peels may also help but, it seems, more research is needed in these areas.

 

As noted above, there are several options that could help in treating or reducing the symptoms associated with Pityrosporum folliculitis.  Since this condition can return, be sure to also spend some time learning about the risk factors and how to prevent it to reduce the possibility of recurrence.

 

Can you think of any other products that might be helpful? Please share! The more comprehensive this list is the better!