(2, 3, 172), “Malassezia (Pityrosporum) folliculitis is a fungal acneiform condition commonly misdiagnosed as acne vulgaris. UPDATE 10/18/18: if you are going to use MCT oil, make sure it only contains caprylic / capric triglycerides and NO lauric acid! TREAD LIGHTLY (as Walter White would say), should you try and experiment. Hmmm. Hello! For example, psoriasis has decreased levels of ceramide 1, 3, and 6, whereas eczema and acneic skin is deficient in ceramides 1 through 6. Great product if you have fungal acne it really cleans your face got to be patient but you will see results maybe in a month or so . You can even extract a papule to see the content under the light. Even don’t wear makeup somedays because I don’t have to. However, that being said, I still have so many unanswered questions and curiosities that I am dying to know. liver problems - upper stomach pain, fever, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of the skin or eyes). . It distinguishes itself from traditional acne in that it’s fungus not bacteria causing the breakouts. They work by disrupting the cell membrane of fungus (i.e. I chose products that you recommended from the post about Mal. QUESTION #4: I want to try Micro-needling at my dermatologist office. If all this has been confusing / I’ve lost you, and you have no idea what the hell any of this stuff means, see the “best products for malassezia” section below. My face has not responded to ANY bacterial topicals over the last eight months, and I am constantly “arguing” with my dermatologist (who won’t do a skin scrape) that it is NOT bacterial. Ketoconazole shampoo is a medicated shampoo designed to treat fungal infections affecting the scalp. Folliculitis (which I will mention later), and as of right now, those bumps have definitely reduced! Nizoral® Anti-Dandruff Shampoo. I read the entire post about three times just to absorb all of the information, you did such a phenomenal job. How bout’ them apples! Recall how malassezia feeds on 11-24 carbon chain fatty acids. Nizoral Topical is also used to treat a fungal infection called pityriasis, which causes scaly discolored patches on the skin of the neck, chest, arms, or legs. Note: all of these natural remedies except for cow’s urine worked marginally at best, and I can’t in good conscious recommend that you go put cow pee on your face. Just some food for thought and a friendly reminder to patch test if you try products with ceramides! . For example my shampoo has (glycol distearate- zinc carbonate – sodium xylenesulfonate- magnesium sulfate- sodium benzoate) if it says sodium at the front does it make it non-ester? has a longer shelf life than pure squalene). (122) Testing has demonstrated it inhibits all the following species of fungi: Malassezia, including all it’s main isolates (M. furfur, M. pachydermatis, M. sympodialis, M. globosa, M. obtusa, M. restricta, and M. slooffiae. My face flared about a week after having strep throat and taking antibiotics. That’s why it’s important that you patch test your skincare products for at least a couple weeks! I think the main reason people have trouble with benzoyl peroxide is because it may cause dehydration, and malassezia is exacerbated by a dysfunctional skin barrier. Interestingly enough, zinc pyrithione increases the levels of triglycerides, cholesterol, and ceramides (P<0.05) in the shampoo-treated scalp of dandruff patients. There was a more recent study in 2015 that showed 2% climbazole shampoo was very effective at reducing malassezia population sizes on the skin of infected doggies. However, this only makes up 7.1% of its fatty acid composition. decyl oleate (42). Treats fungal acne: If you’re struggling with stubborn acne symptoms that don’t seem to budge using products marketed to treat acne, you may find some relief with anti-fungal products like Nizoral with the help of your doctor.“Overgrowth of fungus (yeast) is an often overlooked cause of skin acne,” says New York Celebrity Facial Surgeon Dr. Konstantin Vasyukevich. I mean seriously, a recent medical paper in 2014 was literally titled “Malassezia infections: A medical conundrum,” because of how problematic and complex these diseases are becoming. They did this for 3 consecutive days, with subsequent treatment once a week. Like many others, I tried everything. I say this for two reasons: Now back to our originally scheduled programming…. It’s possible that you may be having a reaction to the nizoral, it’s also possible that you may not have fungal acne. I've been through two rounds of Accutane, two years of Retin-A, three years of the Acne.org regimen, hundreds of Stridex/Oxy/other salicylic acid pads, AcneFree and ProActiv systems, etc. In my opinion, sulfur is another one of those ingredients like urea that does not get nearly enough of the love it deserves. These are esters. ethylhexyl Palmitate Glycerin is a Badass Queen. Nizoral. Keratolytic meaning it exfoliates hardened dead skin. (80). Only problem is that once it does this, octanoate acid is like, “BAM B*TCH! Dermarolling Explained (8 Studies): Everything You Need to Know in 2020! I’m sure I’ll have plenty of comments further down the line as I continue to absorb this, but I have to say it’s quite revelatory, even for someone like me who has done his reading regarding Malassezia-induced conditions. UPDATE 7/25/2019: there is one study out there showing that purified white petroleum led to observable growth of M. furfur. For the heck of it, here’s a sweet quote from Dr. Albert Kligman a.k.a. Had it been another fatty acid within the 11-24 range, M. sympodialis would have used it as a food source to grow. I just recently discovered this post, and have been studying it for a week! My acne is gone and all my scalp problems are gone. These are generally safer and have fewer rates of relapse. I saw huge improvement in the first two weeks but I have to say my new regimen is just amazing. It’s been several years since she wrote this article and has yet to relapse. What is Fungal Acne? Source: M. Nazzaro Porro, S. Passi, F. Caprilli, P. Nazzaro, G. Morpurgo. After you have cleared your skin you may begin experimenting. I use the Nizoral Anti-dandruff Shampoo as a treatment to get rid of my fungal acne. Ketoconazole prevents growth of several types of fungi by preventing production of the membranes that surround fungal cells. The toxicity of ionic surfactants has been previously reported. Source: The Role of Sebaceous Gland Activity and Scalp Microfloral Metabolism in the Etiology of Seborrheic Dermatitis and Dandruff. For whatever it’s worth, I can use esters in my skincare routine ONLY WHEN I combine them with active ingredients or chemical exfoliants. Should you take probiotics with antibiotics. Mask — Hada Labo 3D Perfecting Mask *I assume goes here, just haven’t used it yet (probably use 1 or 2 times a week?) They would just throw acne cream at me. I was drinking bottled water knowing my tap wasn’t the best. It works but it’s so bad for your moisture barrier. I did switch to other safeR products as well, BUT another question. 50% of adults will get dandruff in their lifetime. , arginine In the world of topical therapy, urea is such a drug.” (163). Brand Name: Nizoral. I had my suspicions it was fungal related, but she never believed me. *I know you love Squalane and I use it right now in my routine, but I have been reading comments saying that Squalane clogs pores and now I am getting scared because my pores are already bad. An in vitro study showed it inhibited pityrosporum ovale and pityrosporum pachydermatis, but less effectively than ketoconazole. https://www.target.com/p/cerave-ultra-light-moisturizing-face-lotion-with-sunscreen-spf-30-1-7oz/-/A-52723364. Even if I have fungal sensitivities, that shouldn’t impede my makeup addition, dammit! How to use Nizoral Cream. Check out this graph to see what I mean. One study found that M. sympodialis allergens are released at significantly higher rates at pH 6. Ian described it best by saying, “in the best case scenario, it’s two steps forward, one step back.”. a sedative - alprazolam, midazolam, or triazolam. (88) This eliminates the double bonds which make it less susceptible to oxidation (i.e. You have saved our skin!!!! So much passion ! Moisturizer + Squalane Oil — Avene Tolerance Extreme Emulsion + a few Squalane drops 6. (77). It’s no secret that treating pityrosporum folliculitis is complicated business. I also tried to find information about what fatty acids are attached to the sphingosine component of ceramides. (30). Why it works: scientists aren’t 100% sure yet but it has a lot to do with its ability to reduce the overall fatty acid content (ie the stuff that Malassezia eats to grow) in your skin. I do microdermabrasion, but haven’t noticed any drastic results. An anti-fungal and keratolytic agent. Other = for example zinc pyrithione, which has keratolytic properties and helps shed fungus from the skin. pityriasis versicolor (caused by, Malassezia folliculitis (most commonly caused by. Come to find out my mom had to put Nizoral in my bath water when I was little bc of skin issues. I’ve used butenafine hydrochloride in the past with much success. Like I always say on this blog — yes, sunscreen is important….. Ketoconazole will not treat a viral infection such as the flu or a common cold. Interestingly enough, sun exposure improves rosacea, eczema, acne, and seborrheic dermatitis. Does the derivative still carry the lauric acid? I’ll update on whether or not it breaks me out. UPDATE 7/14/2020: I have since read the whole paper thanks to one of our readers (Hailey) who sent it via email. Malassezia grows optimally at 32 to 37 degrees Celcius (89.6-98.6 Fahrenheit). If you’re anything like me, reading these studies might be a little frustrating because there are a decent number of relapses. Thank you so much for this extremely important contribution!!! I know I need to avoid the C11-C24 so are these the same thing or because it says fatty alcohols, is it a different carbon chain? Not to mention, we have enzymes on the skin called ceramidases that break down ceramides into its respective parts (free sphingosines and fatty acids), which can then be utilized by malassezia. You can find esters in your skincare products easily because they end in -ATE, like isopropyl palmitate, decyl oleate, glyceryl stearate etc. Yes. (55) And while we’re on the subject of hydrogenated oils, let me quickly insert a quote on that subject matter: “After hydrogenation the fatty acid fraction proved to be at least as active in promoting growth as the original scalp-surface lipid. (58, 59, 60). UPDATE 10/6/17: someone from reddit came across this blog post and took inspiration after the study above. Lactic-acid producing bacteria like lactobacillus is fine. Anti-Acne Diet Based on 70 Studies (2020): What to Eat for Clear Skin! (140), UPDATE 1/7/2020: Fourthly, azelaic acid reduces the expression of TLR-2 receptors. This is because maintenance regimens are typically needed to keep malassezia in check unless you completely wipe out the little boogers from your system. The differences in what species causes the problem probably has to do with climate. And for whatever it’s worth, I recently had a conversation with a biochemist about whether he thought fatty alcohols would feed malassezia. Store at room temperature away from moisture, heat, and light. Pityrosporum Folliculitis Natural Treatment Options. Take your time with it. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Firstly, if you’re an adult with acne this should give you food for thought. Azeliac acid kills em’ both. Let’s be real, these aren’t that important because the ingredients aren’t left on skin. The high amount of azelaic acid might render these inconsequential. Here’s a quote directly from him: “Discovering azelaic acid was a breakthrough for me…. About 15 minutes a day when the UV index is 3 or greater. Keep in mind that, “sensitization to malassezia is most likely a combination of a dysfunctional skin barrier, genetic background, and environmental factors,” (86) as a pair of researchers put it, so practicing proper skincare with pH appropriate products is still in your best interest. Today's video is all about Nizoral (ketoconazole) for oily scalp, dandruff, fungal acne, seborrhea, & hair regrowth. I can’t already see a huge improvement. First, if anyone is peeping the new Fenty Beauty line by Rihanna, I’ve reviewed the ingredients on the Pro Filt’r Soft Matte Longwear Foundation (which comes in 40 diverse, nuanced shades) and they all seem safe. Another tale-tell sign is if you breakout out from literally EVERYTHING. English = esters made with ethanol are the most problematic, followed by isopropyl alcohol esters, and decyl alcohol esters. (114). It’s effects on malassezia has been less studied, but I did find some research that showed honey is beneficial for seborrheic dermatitis and dandruff; recall how there is overlap with these and pityrosporum folliculitis. I am getting confused because I thought the Hada Labo one I bought counts as that, but I guess not… – Serums for after the Hada Labo Toner and before moisturizer (open to recommendations) QUESTION #1.1: I said above that I am using Nizoral for two weeks straight, 15 mins, twice a day. upper back, chest, shoulders, scalp, or t-zone area of the face). For example, this really awesome case study of someone who won their 14 year battle with tinea versicolor (caused by M. globosa) by taking sulfur baths a few times a week. Great product if you have fungal acne it really cleans your face got to be patient but you will see results maybe in a month or so. Besides that weak evidence, I have my own theories as to why it would work. Here’s an example of a 2% ketoconazole shampoo. I know it’s overwhelming, I know it’s long, but trust me — your question has probably already been answered. I’m not sure if you are still responding, but I have a question that was not mentioned… does laundry detergent affect this particular skin condition? Pityrosporum folliculitis is typically found on the upper trunk, which is: the upper back; chest ; shoulders ; The condition tends to occur in areas where your skin is oilier. Some medicines can make it harder for your body to absorb ketoconazole. People with Malassezia-associated diseases have a 10 to 1000-fold higher AhR-activating capacity compared to healthy controls. My first question is if coconut derivative compounds such as this one or Cocamidopropyl betaine or anything with “coco” in it is still safe to use?