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selenium sulfide non-prescription

Generic Selenium Sulfide Non-Prescription
Used for Seborrheic Dermatitis

Selenium sulfide OTC is a 1% shampoo that's available over the counter. It's used to control flaking and itching from dandruff and seborrheic dermatitis of the scalp. This medication works by slowing down the shedding of skin cells. You use it by massaging the shampoo into wet hair, then rinsing it off. You might need to use selenium sulfide OTC at least twice a week to see results. This medication might cause mild side effects, like skin irritation, temporary hair discoloration, and a dry scalp.

Reviewed by:Last reviewed on November 14, 2024
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What is Selenium sulfide OTC?

What is Selenium sulfide OTC used for?

How Selenium sulfide OTC works

Selenium sulfide OTC treats dandruff and seborrheic dermatitis of the scalp by slowing down the shedding of skin cells.

Drug facts

Common BrandsSelsun Blue Maximum Strength, Head & Shoulders Clinical Strength
Drug ClassAntiseborrheic
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityOver-the-counter
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Side effects of Selenium sulfide OTC

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Discoloration of hair
  • Oily or dry hair and scalp

Less Common Side Effects

  • Skin irritation
  • More hair loss than usual

Source: DailyMed

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Pros and cons of Selenium sulfide OTC

Pros

Cons

  • Can sometimes discolor hair
  • Can make the scalp become oily or dry
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Pharmacist tips for Selenium sulfide OTC

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  • Remove any jewelry before using selenium sulfide OTC. This medication can damage silver, gold, and metallic jewelry.
  • Don't apply selenium sulfide OTC to broken skin or inflamed areas. Don't allow it to come into contact with your eyes, mouth, nose, or genitals. Applying selenium sulfide OTC to these areas can cause your skin to become very irritated.
  • Selenium sulfide OTC can cause discoloration of your hair. To lower the risk of this side effect, rinse your scalp and hair well after each treatment.
  • Selenium sulfide OTC can cause your hair and scalp to become dry or oily. If you experience these side effects, ask your dermatologist for recommendations on how to minimize the symptoms.
  • It's unknown if this product can harm an unborn baby. Therefore, it's not recommended to use selenium sulfide OTC during pregnancy. Speak with your prescriber if you find out you're pregnant while using this medication.
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Common questions about Selenium sulfide OTC

Yes, selenium sulfide OTC is considered an antifungal medication. It helps control the growth of a certain fungus that causes skin irritation and flaking.

People who used prescription-strength selenium sulfide 2.25% or 2.3% shampoo did notice more hair loss after starting this medication. Because selenium sulfide OTC 1% contains a lower strength of the medication, it's less likely to cause this side effect. But more research is needed in this area. Speak with your HCP about your concerns for hair loss before using this product.

Selenium sulfide OTC 1% shampoo can be found at most drug stores. If you're struggling to locate it in the shampoo aisle, ask your pharmacist for assistance. Note that higher strength shampoos (selenium sulfide 2.25% or 2.3%) are available by prescription-only and aren't sold over-the-counter.

Based on instructions from the manufacturer, you can use selenium sulfide OTC 1% shampoo at least twice a week. But ask your HCP if it's appropriate for you to use this medication everyday. Using this shampoo might raise the risk for skin irritation.

Prescription-strength selenium sulfide contains a higher concentration of the medication than non-prescription (over-the-counter) selenium sulfide. For example, prescription selenium sulfide comes as 2.5% lotion, as well as 2.25% and 2.3% shampoo. But selenium sulfide OTC comes as 1% shampoo. In addition, prescription-strength selenium sulfide can treat tinea versicolor, dandruff, and seborrheic dermatitis. But over-the-counter selenium sulfide only treats dandruff and seborrheic dermatitis.

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Risks and warnings for Selenium sulfide OTC

Selenium sulfide OTC can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

For external use only

Only use selenium sulfide OTC on the skin or scalp. Don't let it come in contact with your eyes, mouth, nose, or genitals. You should also avoid applying it to broken skin or inflamed areas. Serious skin irritation can occur if applied to these areas. If an allergic reaction happens, you should stop using selenium sulfide OTC and contact your prescriber.

Pregnancy

Selenium sulfide OTC hasn't been studied in pregnant females, and it isn't known whether it's safe for an unborn baby. Though this is generally a concern with prescription selenium sulfide, it's recommended you avoid using it during pregnancy. If you are pregnant or would like to become pregnant, speak with your healthcare team to discuss the safest option for you to treat your symptoms.

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Selenium sulfide OTC dosage

Typical dosage for Selenium sulfide OTC

Shake the bottle well before using. Wet your hair, apply selenium sulfide OTC onto the scalp and massage gently into a full lather, then rinse off thoroughly. Use it at least twice a week or as instructed by your healthcare professional (HCP).

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What are alternatives to Selenium sulfide OTC?

There are a number of medications that your doctor can prescribe in place of Selenium sulfide OTC. Compare a few possible alternatives below.
Selenium sulfide OTC
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