Fungal acne, also known as Malassezia folliculitis, is often mistaken for traditional acne but requires a completely different treatment approach. The good news? You don’t always need a prescription to manage it effectively. This guide breaks down the best over-the-counter (OTC) products to soothe and clear fungal acne-prone skin. Always consult a medical professional before following any health advice or setting out a new health plan.
Nizoral Anti-Dandruff Shampoo (Ketoconazole 1%)
Originally for dandruff, this shampoo contains ketoconazole—an antifungal that effectively combats Malassezia, the yeast responsible for fungal acne. Use it as a face or body wash a few times per week to reduce breakouts without disrupting your skin’s natural barrier.
Selsun Blue Medicated Shampoo (Selenium Sulfide)
Selenium sulfide helps reduce yeast overgrowth on the skin. Though labelled for dandruff, dermatologists recommend it as a topical wash for fungal acne on the chest, back, and face. Use 2–3 times weekly and rinse thoroughly to avoid irritation.
Zinc Pyrithione Bar Soap
Zinc pyrithione has antifungal and antibacterial properties. Look for bar soaps like Noble Formula or Vanicream Z-Bar. Gentle enough for daily use, this ingredient soothes inflammation while targeting Malassezia-related breakouts without overdrying the skin.
CeraVe Hydrating Cleanser
While not antifungal, this gentle, non-comedogenic cleanser helps maintain the skin’s barrier and hydration. It’s ideal for pairing with stronger antifungal treatments to prevent dryness or irritation, especially for those with sensitive, fungal acne-prone skin.
The Ordinary Niacinamide 10% + Zinc 1% Serum
Niacinamide reduces inflammation and sebum production—two contributors to fungal acne flare-ups. Zinc adds antimicrobial properties. This lightweight serum supports skin clarity and barrier repair without feeding fungal growth, making it a safe addition to your routine.
Stridex Maximum Strength Pads (Salicylic Acid)
Salicylic acid exfoliates inside pores and reduces oil buildup. Although not antifungal, it helps unclog pores and prevents yeast buildup. Use sparingly on oily areas, and follow up with a gentle moisturizer to avoid irritation or over-drying.
La Roche-Posay Toleriane Double Repair Moisturizer
Many heavy creams can worsen fungal acne, but this lightweight, oil-free moisturizer contains ceramides and niacinamide—great for hydration and barrier repair. It’s free from esters and oils that feed Malassezia, making it safe for compromised or sensitive skin.
Azelaic Acid Suspension (The Ordinary or Paula’s Choice)
Azelaic acid has both antibacterial and antifungal properties. It reduces redness, post-acne marks, and Malassezia proliferation. Incorporating this into your routine 1–2 times daily can improve skin texture while preventing future fungal breakouts.
Mineral-based sunscreens (Zinc Oxide or Titanium Dioxide)
Chemical sunscreens can trigger fungal acne. Choose mineral formulas with zinc oxide or titanium dioxide for broad-spectrum UV protection without pore clogging. Look for brands like EltaMD, Blue Lizard, or La Roche-Posay Mineral formulas.
Avoid Fatty Acid-Rich Oils and Esters
Check ingredient labels and avoid products with fatty acids, esters, or polysorbates (e.g., olive oil, lauric acid), as these feed Malassezia. Stick to fungal acne-safe products, and use online ingredient checkers to vet your skincare routine.
Conclusion
Managing fungal acne doesn’t always require prescription medication. With the right over-the-counter products and careful attention to ingredient labels, you can achieve clearer, healthier skin. As always, consult with a healthcare provider or dermatologist to confirm the diagnosis and treatment strategy.
