Seborrhea/Dandruff ================== þ Cause of seborrhea/dandruff - " ...generally thought to be caused by an inflammatory reaction to a commensal yeast, Pityrosporum ovale (J McGrath and GM Murphy, Drugs, 41:178, 1991)." þ Treatment of seborrhea/dandruff - "A double-blind, placebo controlled four-wek trial in 246 patients with moderate to severe dandruff compared twice-weekly treatment with ketoconazole 2% shampoo [Rx-only Nizoral, 4 oz/$15.92], selenium sulfide 2.5% shampoo [Rx only, Selsun, 4 oz/11.99] and, as a placebo, the ketoconazole shampoo vehicle. The two drugs were about equally effective, and both more effective than placebo (FW Danby et al, J Am Acad Dermatol, 29:1008, 1993). ... Ketoconazole 2% shampoo appears to be a safe and effective but relatively expensive treatment for dandruff." [Med Ltr 1994;36(927):68]