You can find more information about that in my article The Benefits of Benzoyl Peroxide and How to Reduce Its Irritation. Folliculitis and they mentioned Nizoral Dandruff Shampoo for the face. (38, 39, 40, 41). Ketoconazole and selenium sulfide are antifungal agents used to treat itching, flaking, scaling, and dry skin on the scalp due to dandruff. I am currently using Vanicream face wash and clotrimazole cream USP 1% and I’ve been following this regimen for three days now. It’s no secret that treating pityrosporum folliculitis is complicated business. It contains triglycerides, fatty acids, wax esters, sterol esters, cholesterol, cholesterol esters, and squalene. Alot of money was spent on products that just wouldn’t work. You have saved our skin!!!! tetracyclines) can alter the gut microbiota and skin flora causing malassezia to proliferate. ... I’ve been using this as treatment on my forehead for fungal acne after reading about it on a blog. Alright, but seriously….. Pityrosporum Folliculitis a.k.a malassezia folliculitis is an acne-like breakout often accompanied by itchiness that flares most in areas with a lot of sebaceous activity. I will discuss this in more detail in the “Oils That Won’t Aggravate Malassezia” section. Greetings earthling! A f*cking a**hole that’s what! It’s probably been answered already! Ketoconazole shampoo is a medicated shampoo designed to treat fungal infections affecting the scalp. (156, 157, 158, 159, 160). Let me back up for a second and reexplain. There are plenty of good products out there without petrolatum. $14.84 $ 14. (49) In other words, it can break down the fatty acids in oils and use them to grow as well. They enable the fungus to get nutrition and maintain cellular integrity while reducing the efficacy of the formulation. Bought Nizoral shampoo online, covered my face in it, left it for 5 mins, went to bed and woke up with dry but much clearer skin. You can find these by looking at the ingredient list on the back of your skincare products. (, A case study of a 55 year old immunosuppressed liver transplant patient who completely eradicated, An in vitro study that showed ciclopirox olamine used alone and in combination with zinc pyrithione was more effective than ketoconazole against. However, even this has limitations and might come out negative because it reveals what yeast are on the surface of skin (i.e. There is just so much amazing information that I have read it at least 10 times! I chose products that you recommended from the post about Mal. Unfortunately, this a prescription only drug. He’s used it for seborrheic dermatitis and acne. Firstly, if you’re an adult with acne this should give you food for thought. Designed by Elegant Themes | Powered by WordPress. today you will be learning absolutely everything you need to know about how to DESTROY this thing once and for all. reported that high concentration of Tween 20 inhibited the growth of M. sympodialis despite low concentration of that promoted the growth. There are a couple of fatty acids/derivatives (Sodium Dehydroacetate, Benzoic Acid, Dehydroacetic Acid, Potassium Sorbate, Sorbic Acid) but they’re all outside the trouble spectrum. I went into a lot of detail about this in my CORSX Galactomyces review, but the quick and dirty version is that malassezia increases the activity of the aryl hydrocarbon receptor (AhR), which has been linked to various skin diseases. QUESTION #2: I think my skin is DEHYDRATED and my skin looks pretty dull, in my opinion. I just want my old skin back, and I’m sure many people on here can relate to how self conscious and terrible this can make you feel. The number you see at the end of them, for example polysorbate 20, corresponds to what fatty acid was used as the base during esterification. You can use pure caprylic acid oil to oil cleanse (what I do), or add a few drops of it into your moisturizer of choice. Ciclopirox Olamine is a broad-spectrum antifungal with antibacterial and anti-inflammatory properties. Water, Cyclopentasiloxane, Polypropysilsequioxane, Isododecane, Dimethicone, C30-45 Alkyldimethylsilyl, Polypropylsilsequioxane Silica, Glycerin, Peg-10 Dimethicone, Dimethicone/Polyglycerinej-3 Crosspolymer, Sodium Chloride, Nylon-12, Paraffin, Cyclomethione, Aluminum Hydroxide, Disodium Edta, Disodium Stearoyl Glutamate, Dipropylene Glycol, Disteardimonium Hectorite, Acrylates Copolymer, Phenoxyethanol Chlorphenesin, Ethylparaben, [+/- May Contain CI 77007 / Ultramarines, CI 77491, CI 77492, CI 77499 / Iron Oxides, CI 77891 / Titanium Dioxide]. Tell your doctor if you are pregnant. There was 100% cure rate among the patients that used, 12 patients with pityrosporum folliculitis took 200 mg of, 44 patients (35 men, 9 women) were asked to apply 2% ketoconazole cream twice daily or take 100 mg oral itraconazole. 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 . I just wanted to update and say my skin is improving DRASTICALLY and very quickly. Call your doctor for medical advice about side effects. More about this in the “pityrosporum folliculitis natural treatment” section. Unfortunately, pathogenic malassezia isn’t limited to just pityrosporum folliculitis. Hello! Nizoral (ketoconazole) is an antifungal medication that fights infections caused by fungus. In combination with known antifungal agents, within 8 hours, all concentrations showed at least 1.5 log better reductions in growth in comparison to anti-fungal agent alone.”, I’m gonna keep this short and sweet. In contrast, monoglyceride esters of short chain fatty acids [e.g. THEN I stumbled across fungal acne pictures and thought I may as well give it a go. We’re all colonised with the yeast-y fungus Malassezia furfur after our sex hormones switch on our oil glands at puberty. The only study I was able to find showed that 1% azelaic acid was able to suppress the growth of P. ovale in vitro. And for reference, here a list of fatty acids 4 through 38. Current routine (for sensitive combo skin with oily t-zone, concerns are keeping fungal acne away and brightening) AM – Wash with vanicream cleanser Wash body with free and clear soap Wash hair with free and clear shampoo and conditioner – though I will probably continue to use Nizoral once a week Apply Hada Labo moist lotion If … If a product has no asterisk, that means its free of everything — oils, fatty acids, esters, and fatty alcohols, or essentially ANYTHING that could theoretically cause malassezia to grow or clog pores. (83). — Hada Labo Hyaluronic Lotion *HAS NOT YET ARRIVED SO HAVE NOT BEEN USING 6. Like I mentioned above, pityrosporum folliculitis is poorly understood but there are a few predisposing factors that may cause it to flair. It seems that many people, like myself, are still struggling with reading the ingredient list of products, especially when it comes to esters that comes in so many forms. Let me explain. This includes FATTY ACIDS themselves, OILS, ESTERS, and POLYSORBATES. Ketoconazole topical (for the skin) is an antifungal medicine used to treat infections such as athlete's foot, jock itch, ringworm, and seborrhea (dry, flaking skin or dandruff). Make sense? Do not drink alcohol. UPDATE 10/18/18: if you are going to use MCT oil, make sure it only contains caprylic / capric triglycerides and NO lauric acid! English = esters made with ethanol are the most problematic, followed by isopropyl alcohol esters, and decyl alcohol esters. If this information is helping you rationalize being a couch potato for fear of sweating — don’t let it. Take caution with all the following and use them sparingly, if at all. However, it depends on what esters, alcohol moiety, and species of malassezia we’re talking about. Interestingly enough, zinc pyrithione increases the levels of triglycerides, cholesterol, and ceramides (P<0.05) in the shampoo-treated scalp of dandruff patients. Do not give this medicine to a child without medical advice. And lastly, some species grow slower than others. Nizoral drug interactions (in more detail). As might cholesterol and phospholipids, but that’s debatable. (88) This eliminates the double bonds which make it less susceptible to oxidation (i.e. Yes, I do. Seeing that fungal acne and sebhorric dermatits were related, I went out and bought items compiled on your list, and after 6 months, my face is the clearest it has ever been. By week one M. furfur was almost completely suppressed. eczema (associated with, Seborrheic dermatitis (most commonly caused by, Tinea versicolor a.k.a. I just wash my face and put a thin layer on the affected area and leave for 20mins. UPDATE 3/29/19: all three of the Biore sunscreens above have been reformulated as of February 2019, and contain isopropyl palmitate and stearic acid. A carboxylic acid structure will be more polar and that changes its solubility and other related properties. That is when I found your website and learned EVERYTHING. Had it been another fatty acid within the 11-24 range, M. sympodialis would have used it as a food source to grow. Version: 12.02. fluconazole, ketoconazole, Diflucan, itraconazole, amphotericin b, voriconazole, Sporanox, amphotericin b lipid complex, Amphocin, Fungizone. Today's video is all about Nizoral (ketoconazole) for oily scalp, dandruff, fungal acne, seborrhea, & hair regrowth. (35). olive oil). 2 things most water systems are treated with. (61). I thoroughly enjoyed this F.C. Do the fatty acid salts like zinc stearate and magnesium stearate feed malassezia? By week two, M. furfur was essentially absent in every subject. I’ll be reading it multiple times to enjoy the full knowledge of this super duper post If you’re anything like me, reading these studies might be a little frustrating because there are a decent number of relapses. Atopic dermatitis a.ka. Excellent work. (32, 33, 34), Another fairly common way pathogenic malassezia is brought about is through antibiotics! Let’s start. Turns out newer research has now brought into question the safety of fatty alcohols. Tom Busby over at the rosacea forums said it best, “It’s easiest to understand the problem as a skin allergy and a fungal overload. cow’s urine. That’s a lot to avoid, but fear not because there’s still awesome stuff you can use. Fungal acne, the kind that can be treated with Nizoral, resembles bacterial acne but is caused by yeast that inflames hair follicles on the skin and causes pimple like bumps. That’s why it’s important that you patch test your skincare products for at least a couple weeks! Ketoconazole can also inhibit the growth of P. acnes and decrease P. acnes lipase activity in a dose-dependent manner. Keratolytic meaning it exfoliates hardened dead skin. They have a 10% azaliec acid suspension and a Niacinamide/Zinc topical treatment I’m curious about. Moisturizer + Squalane Oil — Avene Tolerance Extreme Emulsion + a few Squalane drops 6. It breaks it down into sever, moderate and mild. Azoles (bifonazole, itraconazole, and ketoconazole) = the largest group of anti-fungals. Clotrimazole treats different types of fungal infections including: athlete's foot; ringworm ; fungal nail infection; infected nappy rash; rash in folds of skin (intertrigo) thrush; If you're looking for information on treating thrush, read clotrimazole for thrush. Ketoconazole inhibits the biosynthesis of fungal ergosterol and is capable of selectively inhibiting 17,20-desmolase and 17-alpha-hydroxylase at a dose of 400-600 mg/day. Sorry. Azeliac acid kills em’ both. Thank you for being considerate, skin warrior! Many of the treatments reccommended for pityrosporum are far too harsh for my skin. Something else that causes me to raise an eyebrow about ceramides is their structure. Lauric acid, which has a carbon chain length of 12, makes up 47% of coconut oil! PEG-90 glyceryl isostearate For a comprehensive lists of primers, base makeup, blush, highlighter, shading / contour, finishing powders, shadows, pigments, eyebrow, eyeliner, lip, and setting sprays go to this link! SQUALANE however (i.e. It’s technically a lot more complicated than that. Cool. Mask — Hada Labo 3D Perfecting Mask *I assume goes here, just haven’t used it yet (probably use 1 or 2 times a week?) Select one or more newsletters to continue. And what do you know, this has actually been demonstrated in a recent study. glycerin + fatty acid = glyceride, also known as a glycerol ester. One study found that a 6 month incubation period of candida produced no resistance, which wasn’t the case for fluconazole. They are not completely gone, but I am happy that my skin is on the road to becoming smoother. How to use Nizoral Cream. – De La Cruz Sulfur mask /or Acne.org Benzoyl Peroxide (as contact therapy treatments to get rid of tiny sand grain bumps or other skin colored bumps?) And mind you, azelaic acid creams generally come in 10-20%, so I’d expect its inhibitory powers only go up with concentration. So if anyone can enlighten me with any advice, tips, or knowledge I would be forever grateful. 15 years thinking I had hormonal acne that would clear after a month but never all the way. tested for the medium chain fatty acids capric acid C10, caprylic acid C8, and caproic acid C6. WOW. ... Other recommended topical treatments include creams containing 2 percent ketoconazole… It works but it’s so bad for your moisture barrier. P. acne on the other hand, (the bacteria that causes acne) is anaerobic, i.e. (146, 147), Bonus note: the composition of propolis varies depending on geographical location, what plant it came from, and the species of bees that made it. What’s your opinion whether the CeraVe Ultra-Light Moisturizing Lotion is safe for fungal acne? Capric / Decanoic acid = carbon chain length 10. Just some food for thought and a friendly reminder to patch test if you try products with ceramides! For a comprehensive list of over 1,000 skincare items that are safe, go here. Tried Nizoral last night and bought some of the simple products. How to Treat Fungal / Adult Acne (Malassezia Folliculitis), How to Get Rid of Acne: The Honest Answer, How to Get Rid of Acne Scars Explained (7 Studies) | PIE vs. PIH, How to Pop a Pimple Using Science! How To Fix Dehydrated Skin According to Science: GET YO’ GLOW HOMIE, Probiotics For Skin Explained (60 Studies): Everything You Need to Know in 2020, How to Get Rid of Acne Overnight With Black Voodoo Magic. Fun fact #5: my sister cured her hormonal adult acne with sulfur. lecithin do you think it is safe for fungal acne? However, finding this article sooner would have been a lifesaver. .rll-youtube-player, [data-lazy-src]{display:none !important;}, by f. c. | Last updated Jul 14, 2020 | 2,421 comments. Fatty alcohols (Lanette E/N) and fatty acids in ether bond (Brij 721, Cremophor A 25) were not assimilated by any of the test strains. PEG-Glyceryl Stearate When we asked Dr. The last thing you wanna do is use a cream for 3 days and think, “Welp, I don’t see any problems, let me slater this puppy all over my face,” then a month later be like…. While using Nizoral, you may need frequent blood tests to check your liver function. Patients with a prescription of oral ketoconazole for fungal infections should be referred back to their doctors. People with Malassezia-associated diseases have a 10 to 1000-fold higher AhR-activating capacity compared to healthy controls. Here’s a quote from that paper: “2% climbazole shampoo application showed a significant and rapid reduction of Malassezia population sizes. (62). I use it n my babies yeast diaper rashes and they clear in a few hours. They did this for 3 consecutive days, with subsequent treatment once a week. I was thinking of adding in: – Low ph serum (Vitamin C, right?) But it always came back. These are actually used to induce the mycelial phase in vitro because they cause M. furfur to grow the fastest. polyethylene glycol polymer and stearyl alcohol). Alrighty, now let’s go over the rest of the stuff you can use if you have malassezia problems. Pair that with the fact that malassezia varies tremendously depending on geographical location and…. You know what? I have just ordered all new products and am very excited to try them Thank you so much for your time and effort! What is Fungal Acne? Mayser et al. — Hada Labo Hyaluronic Lotion *HAS NOT YET ARRIVED SO HAVE NOT BEEN USING 5. So how does this all relate back to malassezia? Therefore, these emulsifiers are suitable for topicals to be used in the treatment of seborrheic areas and when promoted growth of Malassezia yeasts is not desired. I will list these in the “natural treatment” section below. Available for Android and iOS devices. This is something that is especially frustrating because: All the more reason you should inoculate yourself with high quality probiotics following your antibiotic use. on Lanette N and postulated that fatty alcohols cannot be used by this species as nutrition. Full disclaimer policy can be found here. Hopefully, I haven’t lost you. More information about wood lamp examinations here. 8. Many drugs can interact, and some drugs should not be used together. Benzoyl peroxide washes also are helpful in seborrhea control of the trunk and face. That it’s probably best to just avoid all esters, unless they’re made from capric or caprylic acid. If you try it, let me know about your experiences! (182) Why does this matter? Fungal culture is seldom used in the diagnosis of Pityrosporum folliculitis, because the causative yeasts do not grow on standard fungal media. Fungal acne , the kind that can be treated with Nizoral, resembles bacterial acne but is caused by yeast that inflames hair … 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? A recent study more or less confirmed this notion, illustrating that some petroleum based ingredients like mineral oil lead to observable growth of M. furfur albeit very slowly! Two asterisks (**) = has esters or polysorbates. (, 40 patients were either treated with 200 mg of ketoconazole and 2% ketoconazole shampoo daily, or 200 mg a day by itself. Fungal acne isn’t hard to treat—once you know that’s what you’re dealing with. (137) But don’t worry, this doesn’t mean it’s a bad thing. Just want to ask if you’ve heard of the Aztec Indian Clay mask? Clotrimazole is an antifungal medicine. Bought Nizoral shampoo online, covered my face in it, left it for 5 mins, went to bed and woke up with dry but much clearer skin. I’ll update on whether or not it breaks me out. Recall how that’s one of the two subspecies of yeast that make up M. furfur. Source: Wilde, P. F., and P. S. Stewart. Conventional treatments for fungal acne include topical anti-fungal cream and using anti-dandruff shampoo on your face that contain either 2% ketoconazole or zinc pyrithione and leaving it on your skin for 4-5 minutes before rinsing off. Call your doctor right away if you have fast or pounding heartbeats, shortness of breath, and sudden dizziness. Climbazole and ketoconazole have almost identical in vitro activity against M. furfur. Follow all directions on your prescription label and read all medication guides or instruction sheets. polyglyceryl isostearate This is usually done through a shave biopsy in one of the areas where it flares most (i.e. I just recently discovered this post, and have been studying it for a week! sucrose cocoate Sulfur is a keratolytic (sloughs off dead skin), which promotes the shedding of fungus from the stratum corneum. It’s frequently misdiagnosed as “normal” acne, which is extremely frustrating because this often leads to unnecessary and prolonged treatment with medications like antibiotics that only further exacerbate the condition. The other website is : https://www.makeyourown.buzz/coco-glucoside/. (50). There are more effective and better “natural” alternatives you can try. Fun fact #3: the skin surface lipids of people with seborrheic dermatitis are deficient in squalene and fatty acids, but rich in cholesterol and triglycerides compared to healthy controls. There are only three oils that are compatible with malassezia! So…. methyl glucose sesquistearate Ketoconazole can cause serious harm to your liver that may result in liver transplant or cause death. Your doctor may occasionally change your dose. In my opinion, urea is the most underrated skincare ingredient available today. PEG-100 stearate Published papers tell us – the most common at-home treatment for fungal acne is a 2% ketoconazole shampoo used as a face wash for 4 to 5 minutes every other day. *PLEASE LET ME KNOW IF ANYTHING IS IN THE WRONG ORDER! (144) This could be especially useful for those with eczema because S. aureus plays role in its pathology. Creams, moisturizers, toners — it doesn’t matter they’re all the same: a oneway trip down breakout boulevard. You may report side effects to FDA at 1-800-FDA-1088. Please keep us updated on your experiences with it, because if they continue to be positive, I might bug you to sell me a sample, ha. The same applies to ceramides. (111) For this reason, I recommend talking to your healthcare provider about using itraconazole or fluconazole instead. Can I get a woohoo? If I had to choose between this and MCT, I’d pick MCT any day. sodium methyl cocoyl taurate (162). Moreover, some alcohols are worse than others. Antibiotics & Drinking Alcohol - Is it Safe? I have purchased many products listed here to do both but not sure which to start…. And we’ve made it! This antifungal agent can be easily found in drugstore anti-dandruff shampoo (such as Nizoral, Ketoconazole 1%). Our data suggests that in some cases the metabolism of fatty alcohols by Malassezia may be possible.”. I am changing dermatologists this week so hopefully they will be more helpful. go freeze your face off to kill malassezia. If the bumps light in coral-orange-red color, its bacterial acne, if they are blue-white-yellow its yeast. Gross what increases the likelihood of having fungal acne, he explained; “Oilier skin types may be more prone to fungal acne. (169, 170, 171). More about this in the “natural treatment” section. For many of us, eradicating these suckers will do the trick and cure us of our skin woes. Ketoconazole also reduces levels of male hormones, or androgens, making it useful for treating certain other health disorders 1 3.Limited research shows that ketoconazole has some effectiveness for treating acne, but your doctor is unlikely to prescribe it for this use 1. The medication ketoconazole is primarily prescribed to cure fungal infections; it slows the growth of fungi 1. Dermarolling Explained (8 Studies): Everything You Need to Know in 2020! Nizoral A-D Anti-Dandruff Shampoo, $14: This anti-fungal shampoo is often prescribed to treat bad cases of dandruff and seborrheic dermatitis as it kills the fungal growth. It didn’t even form any white precipitate like other ingredients known to promote malassezia growth (e.g. Firstly, cholesterol was only ever able to induce mycelium when combined with other esters that would yield problematic fatty acids. You can actually buy cow’s urine on Amazon. This indicated that the requirement for fatty acids was not confined to those with preformed double bonds.” (56). Thank you so so so much. UPDATE 6/18/19: there is now a comprehensive list of over 1,500 safe skincare items that this community has helped compile over the last 3 years . (114). This would probably be easier explained over video, so uh…. Ceramides are the main component of the stratum corneum and epidermis, which are the two outer most layers of skin. However, that being said, I still have so many unanswered questions and curiosities that I am dying to know. “More precisely, they identified glycolipid and glucosylceramide as the first small molecules synthesized by C. albicans that are specifically required for virulence.” (168). hydrogenated coco-glycerides Fun fact #4: to make your own oil cleanser simply mix 85-90% of your chosen oil with 10-15% cromollient SCE. I’ll see you on the other side! There’s also additional research that shows glucosyl-ceramide can feed other yeasts like candida. Retinoids like tretinoin or adapalene (differin) are other options to consider. If you need a visual here’s a google search. Because I know not everyone is comfortable with longterm use of anti-fungals, I will be going over all your “natural” treatment options. just stop using everything and you’ll cure yourself. That being said, I am trying to figure out what is the most beneficial for me (since ya know I started this whole switch 10 DAYS AGO!). That kicked off years of many doctors ignoring me when I asked if the face problem could be related to the dermatitis. It's used to treat skin infections caused by a fungus (yeast). , Click here: https://www.patreon.com/simpleskincarescience. What is Dandruff? Well, when malassezia is exposed to an ester it breaks down the corresponding glycerol or alcohol component of that ester to utilize the fatty acid. Let’s be real, these aren’t that important because the ingredients aren’t left on skin. That’s it. Recall from the information above how M. furfur shows slight growth in the presence of other sphingoid bases like phytosphingosine. Here’s a photo from that study. It makes your skin feel all smooth and protected. Exciting stuff, right? glyceryl monostearate These are all the questions that really stuck in my mind, but hopefully I can get your thoughts… Read more ». I know it’s terrible to switch skincare products frequently, but it feels like nothing works on my skin and I’m starting to question everything I use. doesn’t require oxygen. These are listed in the “best products” section below. It feels like small grains of sand underneath my skin predominantly on the forehead and nose, while my cheeks appear to be more comedonal (may not be related- but the rash is absolutely pityrosporum). Saying malassezia feeds on 11-24 carbon chain length fatty acids is catch all phrase used for safe measures. Ketoconazole shampoo is a medicated shampoo designed to treat fungal infections affecting the scalp. My only guess is that the petroleum used had trace amounts of other food grade material. You’ll want to remember these asswads. I’ll let you decide whether this otherwise excellent repairing skincare ingredient is worth avoiding. I use the Nizoral Anti-dandruff Shampoo as a treatment to get rid of my fungal acne. (92, 93). :p. Here’s the take away from the video: esters are bad if they contain fatty acids that are within the C11-C24 range. Until now, the results of the metabolism of fatty alcohols by Malassezia were not known. And I use pure caprylic acid oil (see on Amazon) or MCT oil because culture testing has shown it’s the fatty acid that inhibits the growth of malassezia the most. Just take a look at this bar graph. And while we’re on the subject of propolis, interestingly enough two recent studies (in vitro and in vivo) showed that propolis extract exhibits antimicrobial activity against M. pachydermatis, staphylococcus, and candida (among other strains and species). The Ketoconazole ingredient in this shampoo sinks down into your pores and kills the built up of yeast in your hair follicles. I can’t already see a huge improvement. baby oil without fragrance. Caprylic and capric acid are both outside this problematic range. QUESTION #1: Should I add any steps in? QUESTION #4: I want to try Micro-needling at my dermatologist office. Yes, that’s actually a thing. Compared to the GYEP agar plate consisting of 2% glucose, 1% peptone, 0.3% yeast extract (which was used as a control), purified white petrolatum showed the least observable growth compared to other ingredients. Malassezia likes pH 5.5 to 7.5, which is at the higher end of the acid mantle, (84) or the normal pH of healthy human skin which is around 4.7. an ester of ethanol and octanoate acid). Her incredible before and afters can be found here. Just remember that studies have shown malassezia can metabolize fatty acids in quantities as small as 0.01%! I get a lot of questions about whether I oil cleanse. However, in practice it might give problems from potential impurities (see white petroleum section) and because it’s fairly occlusive. The composition of human sebum that has been exposed to pathogenic malassezia is abnormally high in free fatty acids. Never in a million years did I think I would buy a shampoo to wash my face with. :'( Stay strong my Filipino brothers and sisters! PEG-8 Laurate As we mentioned earlier, malassezia folliculitis is often misdiagnosed as acne. (77). Similar results were obtained in other areas such as the paranasal folds, and the author reported no tolerance and no rebound effect.
2020 nizoral fungal acne