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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!

 

The Video That Went Viral

 

 

When I created this YouTube video in 2016 I had no idea it would receive nearly as many views as it has.  A year later, this video has been viewed over half a million times and has approximately 700 comments, and growing.  On average, it receives anywhere from 30,000 to 65,000 views each month, and by far is the most watched video on my channel!  Whether it’s related to Pityrosporum folliculitis or not, it’s evident there are people all over the world who are dealing and searching for a solution to the small, persistent, and stubborn bumps like the ones I had.

 

While this video is only a small synopsis of Pityrosporum folliculitis, based upon the numerous comments I’ve received and the follow-up emails, this video may have offered people who are dealing with this condition a glimpse of hope.  In case you haven’t seen it, you can click the video to view it or you can read the transcript provided below.

 

*Please Note: In this video, I mention one treatment option and a few risk factors, however, there are several other treatment options and additional risk factors to consider.  Check out this comprehensive blog post What is Pityrosporum Folliculitis to learn more about them.

 

 

Hi guys, welcome back to my channel.  I wanted to talk about these tiny, annoying, pesky little bumps on your forehead.  You have tried salicylic acid.  You have tried benzoyl peroxide.  You have tried almost every single acne product on the market and they do not seem to work.  What is going on?

 

Pityrosporum folliculitis or Malassezia folliculitis is caused by proliferation of a yeast within the hair follicles.  What?  So, basically it is a yeast.  On the surface of the skin, it looks like it is acne except it isn’t.  One distinguishable difference between acne and this yeast is the itchiness it causes.  If the bumps you’re experiencing are accompanied by an occasional itch, chances are you may have this yeast present.  However, ironically, acne may be present, too; due to the fact that skin oiliness is one of the factors that can lead to this condition, and also, as you know, acne. More on that later.

 

Surprisingly, malassezia or pityrosporum can actually be found on the skin of most adults;  the thing is an over-proliferation of this yeast is usually what causes this acne-like breakout to occur, and like any yeast or fungus an over-proliferation occurs only when the conditions are ripe. Then things go crazy!

 

One more important point to make.  While the title of this video is tiny bumps on forehead, this condition can actually be present on the upper back, the chest, the shoulders, and the neck.  It can really be found in quite a few different place.  But I have found when we are talking about acne and when we are talking about skin care, a lot of people have mentioned this tiny bump-like eruption on the forehead.

 

How did you get Pityrosporum folliculitis?  Or how did you get malassezia folliculitis?  Going back to what I said earlier, it can occur from oily skin.  Other factors include obesity, stress, fatigue, or pregnancy.  Even a systemic illness that can cause a weakening in your immune system or taking certain broad spectrum antibiotics and medications can also be factors.

 

How can you tell if you have Pityrosporum folliculitis?  A clinical diagnosis can be determined by either visually observing the area or microscopically having a skin biopsy done.  Sounds intense, I know.

 

The good news is treatment is entirely way more straight-forward.  If you don’t have the time or, let’s face it, the money to go see a doctor, determining whether or not you have acne or a yeast present can be as simple as applying a topical treatment to treat yeast, and seeing if it works.

 

Nizoral AD Shampoo is a commonly used product used to treat this type of yeast.  Its active ingredient is Ketoconazole.  Ketoconazole is an anti-dandruff, anti-fungal agent.  Basically, it treats dandruff, it kills yeast and kills fungus.

 

Apply a thin layer of this product over the affected areas twice a day – morning and night – for ten days.  It is recommended that you leave it on the skin for ten to fifteen minutes before washing off.

 

If you notice a significant improvement after the ten day application, more than likely an over-growth of this yeast was present and the cause of the bumps you saw on your forehead.

 

If you notice mild improvement, both acne and an overgrowth of this yeast may have been present and may still be present.  After a ten day treatment of this product, try treating the remainder of the bumps you have with acne remedies and acne solutions to see if you notice a difference.

 

Lastly, if you did not notice any improvement, more than likely an overgrowth of this yeast is not present.  It could simply be acne that is causing the bumps on your forehead.

 

For more information on how to treat acne and acne skin care, please check out my other videos.  Please make sure you like, comment and subscribe and please let me know what other videos you would like to see in the future.  Talk to you guys later.  Bye.

 

*June 2017 Update: There are several other treatment options and risk factors for this condition.  Check out these blog posts What is Pityrosporum Folliculitis and Treatment Options for Pityrosporum Folliculitis to learn more!

 

How and Why Ketoconazole Works

 

The term “drug class” refers to a set of drugs that share similar characteristics. For instance, they might have a similar chemical structure, behave the same way by binding to the same target, or treat the same disease.

 

Ketoconazole belongs to the azole drug class. Other members of this class include, but are not limited to clotrimazole, econazole, miconazole, fluconazole, and itraconazole. Azoles are famous for targeting a variety of fungi, including dermatophytes like tinea and yeasts like candida and malassezia. For now, we’ll focus on ketoconazole because it’s the most widely used topical antifungal for the treatment of Malassezia yeast infections.

 

Ketoconazole, basically, works to stop fungal growth.

 

But how does it work exactly? Well think of a cell and a cell membrane. Unlike animal cells, ergosterols can be found in the cell membranes of most fungi and protozoans (for now we’ll focus on fungi cell membranes).

 

Why is ergosterol important? It helps to regulate membrane fluidity. They’re basically membrane reinforcers.

 

Antifungal drugs, like ketoconazole, work by targeting ergosterol. In fact, while ergosterol is being synthesized or made, ketoconazole inhibits it. For many fungi, this interference can lead to an increase in cell permeability, leakage of cell components and, ultimately, cell death.

 

Simply put, ketoconazole is effective because it targets ergosterol, making an otherwise impermeable cell membrane permeable. Once the membrane is permeable, cell death is almost inevitable.

 

Ketoconazole comes in two forms – oral and topical. But 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 like toxicity, liver damage and adrenal gland problems to name a few. Yikes! You can read more about it here. For similar reasons, it has been discontinued in many other countries, as well.

 

Topical ketoconazole, however, has not been associated with these effects and is still a valuable drug for some superficial fungal infections of the skin. Nizoral A-D 1% Shampoo is an over-the-counter anti-dandruff shampoo that contains 1% ketoconazole as the active ingredient. This product can be found in some local grocery stores and on Amazon. You can read more about my personal experience with Nizoral A-D 1% Shampoo here.

 

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) contain prescription-strength levels of ketoconazole and, therefore, are not available over-the-counter.

 

While ketoconazole has not yet been clinically proven to treat or stop the growth of Pityrosporum (Malassezia) folliculitis specifically, it has been shown to inhibit the growth of other common fungi in the laboratory. Be sure to discuss with your doctor the possible risks and benefits of using this particular drug.

 

 

 

 

 

  1. Dufourc, E. J. (2008). Sterols and membrane dynamics.Journal of Chemical Biology,1(1-4), 63–77. http://doi.org/10.1007/s12154-008-0010-6
  2. Food and Drug Administration [Internet]. Drug Safety Communication on Nizoral (Ketoconazole) Oral Tablets; [cited 2017 Apr 8]; [about 2 p.]. http://www.fda.gov/downloads/Drugs/DrugSafety/UCM501983.pdf
  3. Food and Drug Administration [Internet]. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2004/076419.pdf
  4. Rosenthal, L., Burchum, J. Feb. 2017. Lehne’s Pharmacotherapeutics for Advanced Practice Providers.