My personal experiences and contribution of Helpful information for sufferers of Malassezia Yeast Fungal infections or other, scalp to toe, fungal skin conditions i.e. Demodex, Scabies or Morgellons
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about Malassezia ailments through sharing experiences.
1) ‘Readers Contributions’ (PT 1)
Hello AS,
Thanks! Nice to read other's input. I tried a selenium based shampoo
I have used it before, but just left it on for apx 10 min. My scalp bothers me most during the summer months. In the summer, it is rough. We only have window ac units in our house so it is a challenge to keep cool/comfortable. Winter helps, but it's still uncomfortable. Some days are better than others, but it is just so frustrating and such a cross to carry. It worries me that my family will acquire it and I worry that my health issues all stem from it. I was on antibiotics for apx 2 years (daily) for kidney/bladder problems. After that I had severe unexplained hives for 1 year straight - all over my body 24/7 365. I was hospitalized within the last year for ruptures in my lungs/oesophagus and now I have breathing issues/asthma. My teeth have become noticeably weak within the last 6 months. Do you feel they could somehow relate? It's overwhelming.
Jan 2013
Fungal Skin Problems that Appear Crusty, Red and Circular
If you have circular red crusty sores and never ending hive like itching, and other areas on your body where the skin is thick or hard, wet your entire body and wash with an over the counter (OTC) antifungal shampoo, leaving it on for 3 to 5 minutes in the shower before rinsing off. Use a soft bath brush to scrub your soapy skin while the shower is turned off during this 3 to 5 minute period of time. Use a heater to warm your bathroom to 80 degrees so you can tolerate standing around wet for 5 minutes. After rinsing off, air dry your body with a hair dryer, as using a towel will tend to wipe off the medicine remaining from the shampoo. Afterwards, do not apply any oil based lotions -- the fungus causing the circular sores is malessezia, which is lipophilic, which means it metabolizes fats and oils. A non-comedogenic lotion, like Cetaphil, is a non-oily lotion. You may have been diagnosed as having seborrheic dermatitis, atopic dermatitis, tinea versicolor, eczema, or oily dandruff. If you instead have psoriasis, which produces white irregular scaly patches (instead of red circular patches caused by fungus) an antifungal treatment will not be effective.
Three Effective Over the Counter Anti-Fungal Shampoo Treatments for Malassezia
The most effective OTC shampoo is Hegor 150 (Climbazole 1.5%). Hegor 150 is made in France and is available in the US only on EBay and it will be shipped from Europe.
While you are waiting three weeks for your shipment of Hegor 150, you can mail order OTC Nizoral (Ketoconazole 1.0%) shampoo, which is available only online in the US -- after 2011 it has not been sold in brick and mortar drug stores. Nizoral is effective on malassezia, but less so than the Hegor shampoo. Both Climbazole and Ketoconazole work by slowly dissolving fungal cell walls.
Also consider applying Hibiclens (Chlorhexidine Gluconate 4%) just before you apply the antifungal shampoo, as fungi are capable of working with other microbes to create symbiotic biofilms, but be careful to keep the Hibiclens away from your nostrils, eyes, and ears. This is an off label use of Hibiclens.
The third alternative shampoo is Selsun Blue (Selenium Sulphide 1.0%), which is sold by all drug stores. Selsun Blue is a 1970’s compounding of selenium disulfide that activates the body’s natural defenses against Malassezia but does not dissolve the fungal cell walls, which is why Nizoral and Hegor shampoos are recommended. However, the most useful aspect of Selsun Blue is that it is effective only against Malassezia and can thereby provide a quick, easy to purchase diagnosis. Use it for 3 or 4 days, stand in bright sunlight and scratch your scalp. If you see far more white flakes than you ever saw before, you have an abundance of malassezia. Alternatively, after using any of these shampoos daily for 3 to 4 days, if your skin turns red in blotches, you have an accurate diagnosis that malassezia has colonized your skin.
Nevertheless, if your doctor actually took a skin scraping with a razor blade and looked at it under a microscope to accurately diagnose malassezia, as most veterinarians would do, and then prescribed 2.5% selenium sulphide, you might consider other alternatives. Two years ago doctors were not very well informed about malassezia because the fungi were difficult for researchers to categorize and study, and the human body has an abundance of numerous microbiota. Now, with DNA genome sequencing, much medical research has been published and new perspectives on malassezia have become widely distributed. Nizoral 2.0% prescription shampoo would be an acceptable prescription choice for a doctor, but in any event, Hegor’s Climbazole 1.5% costs only $16 for a 150 ml bottle, is OTC and is more effective.
The use and importing of Climbazole shampoo is legal because the FDA and the EU in 2011 licensed up to 2.0% Climbazole in OTC shampoos. However, as of 2012, only Hegor of France manufactures a shampoo with Climbazole. In addition, Climbazole is soluble in isopropanol whereas Ketoconazole is soluble in ethanol, so Hegor’s Climbazole shampoo does not have the slight smell like Nizoral shampoo. A 150 ml bottle of Hegor 150 lasts about 3 weeks in daily use, so order three bottles at a time because of the 3-week shipping delay.
Head and Shoulders and many other OTC antidandruff shampoos contain zinc pyrithione, 1% or 2%, and are effective only on dry dandruff, in other words, where the dandruff is a non-inflammatory condition of the scalp. Zinc pyrithione is thought to improve the bonding and elasticity of the skin, and as a consequence will not treat any part of the red crusty circular inflammation caused by malassezia. Likewise, none of the other antifungals designed to treat jock itch, foot fungus, or toenail fungus will have any effect on malassezia. Corticosteroid lotions in theory will reduce itching, but because they always contain oils, the lotion will feed the malassezia and make the problem worse.