Best aggressive treatment for seborrheic dermatitis?

[m1976]

I have had seb derm since I was a little girl (I'm 32 now) and used a variety of things to control it, including: tar shampoo, dandruff shampoo, ketoconazole shampoo (this worked beautifully for YEARS), Loprox shampoo, Derma-smoothe, apple cider vinegar (this was desperation), verdeso foam.  I have been under major stress for the last year and a half, and that is when the keto shampoo stopped working.  The Loprox didn't work.  Derma-smoothe seems like it sort of works, but not like it did the first few times I used it.  Apple cider vinegar on my head feels nice and tingly, but the smell is enough to make me gag, and I don't know if it is helping or not.  I've just gotten some samples of the Verdeso foam, and have been using it; it feels good when I put it on, but again, I'm not seeing much difference.  Is there something that will get this under control???  I am so stressed out by this problem. I have to comb my hair all the time with a fine tooth comb to get the gigantic flakes out (because they're stuck in my hair).  I ask my close friends or family to check my head after I shower or do my hair so that I don't have any big flakes showing.  It is disgusting to me and I desperately want relief.  Help!

[Vanessa Lacuesta]

Hi

I understand how frustrating this is for you. Seborrheic dermatitis is a chronic and recurrent skin condition. There is really no definite cure for this. It appears to be aggravated by stress and weather. At this point, it has been associated with fungal or yeast infection.

In seborrheic dermatitis, frequent and vigorous shampooing appears to improve the condition much more than the use of medicated shampoos. Also, the use of topical corticosteroids for severe cases may be able to help.

[m1976]

This tends to dry my hair out considerably, since it is already very frizzy, coarse and dry.  I could use a moisturizing conditioner, and I could use lots of product on my hair to calm it down, add moisture, and smooth it, but I wonder if these products will make my scalp worse because of the oil/moisture?  

Are any of the things I used topical steroids?

[BreeVanDeKamp]

I have a terrible case in my eyebrows right now and it is so embarrassing. I have had hair loss, both from inflammation and from my attempts to get out the flakes. A photographer at my school took a photograph of me up close when I had huge scales in my eyebrows but I was too embarrassed and frankly, frightened and caught up in the moment, to say no. I hate this. I am looking for something to control it as well. I am only in my mid-20s and I hope this gets under control so one day I can look good at my wedding.

[BreeVanDeKamp]

My dermatologist recommended tea tree oil shampoo. I'm trying that now.