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Seborrheic dermatitis on the scalp requires consistent treatment with medicated shampoos and proper scalp care. Start with over-the-counter shampoos containing ketoconazole, selenium sulfide, or pyrithione zinc, using them 2-3 times per week. Studies show ketoconazole shampoo reduces symptoms in 85% of patients within 4 weeks. For stubborn cases, dermatologists may prescribe stronger topical antifungals or corticosteroid solutions. Essential steps include gentle scalp massage during shampooing, avoiding harsh products, and maintaining good scalp hygiene. Managing stress and getting adequate sleep also help, as flare-ups often correlate with stress levels. Consistency is key - most people see improvement within 2-4 weeks of regular treatment.
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