Thanks.
Captain Hook, i also have scalp seborrhoeic dermatitis. I was diagnosed in 2009 with that **it!
I've read somewhere that you also use Stieprox, am i correct? If so, between that and Nizoral, which one you think it's best at control it?
Absolutely, when I was first diagnosed with seborrhoeic dermatitis back in November 2014 my dermatologist prescribed Stieprox which is a 1.5% ciclopirox olamine shampoo. After the treatment phase I never followed up with the maintenance treatment of one shampoo per week and hence relapsed in March 2015, I used 2% Nizoral for a treatment phase and then alternated between the Nizoral and Stieprox for the once weekly maintenance phase from then until August 2015, when I discontinued Stieprox indefinitely and now I use solely Nizoral twice weekly, for both antiandrogenic and growth stimulant benefits in addition to its original indication of seborrhoeic dermatitis prophylaxis.
When comparing the two shampoos, I'd say they are equipotent. I noticed no difference between the two in terms of itch relief, reduction of flaking and scaling and sebum control. They both cleared up my seborrhoeic dermatitis perfectly and would recommend both of them, just see which one you personally prefer as Stieprox does contain a conditioner whereas with Nizoral you need to use a moisturising conditioner afterwards and leave it on for 2-3 minutes otherwise it can dry your hair out.
You're probably wondering why I discontinued the use of Stieprox indefinitely yet still recommend it. Reason being is it is an amazing treatment for seborrhoeic dermatitis but in my opinion it shouldn't be used if you have Androgenetic Alopecia. This is because it inhibits PGE2 release as a result of its ability to inhibit cyclooxygenase (COX). This is great because it has added anti-inflammatory action through COX inhibition but as a side effect of inhibiting PGE2 it is thought that it would blunt hair growth as well, since PGE2 is beneficial for hair growth.
Says so right in the Loprox package insert, another brand of ciclopirox:
http://www.accessdata.fda.gov/drugsatfda_docs/label/2003/20519slr005_loprox_lbl.pdf
While this finding may not be conclusive, I figure since we have two choices in terms of extremely effective seborrhoeic dermatitis treatments, why not choose the one that is beneficial to Androgenetic Alopecia as opposed to the one that *may* be detrimental? Food for thought.