Reddit mentions of Pet MD Chlorhexidine Wipes with Ketoconazole and Aloe for Cats and Dogs, 50 Count

This definitely looks like fungal acne to me aka Pityrosporum (Malassezia) Folliculitis - especially since you said wearing a hat and sweating exacerbates it and that it's spreading. Check out this article. It's super informative.

I've found great success with these wipes for some bumps on my forehead that I figured were fungal. The wipes are for pets but oh well, they have active ingredients that will eliminate the excessive fungal growth and are easy to use (I use 2x per day and on workout days before and after I sweat). Make sure to study the article to see if any of the products in your current routine feed the fungus!

Nizoral also breaks me out badly. I have fungal acne and use 1% ketoconazole wipes. They're marketed for pet use but the ingredient list looks fine to me. I've been using them for 2 months 3x a week and it keeps my fungal acne completely at bay. I get them off amazon (https://www.amazon.com/Pet-MD-Chlorhexidine-Wipes-Ketoconazole/dp/B0180A1J38/ref=sr_1_13)

Active Ingredients : Chlorhexidine 2%, and Ketoconazole 1 % in an alcohol-based solution. Inactive Ingredients: Water, Propylene Glycol, Nonoxynol-9, lactic Acid, Polysorbate 20, Aloe Barbadensis (Aloe) Leaf Juice, Glycerine, Fragrance, Methylisothiazolinone

Try something like this first - our vet recommended them after we started dealing with some catne

Cut the pads In half and then gently wipe its chin


Pet MD Chlorhexidine Wipes with Ketoconazole and Aloe for Cats and Dogs, 50 Count https://www.amazon.com/dp/B0180A1J38/ref=cm_sw_r_cp_api_i_ckHYDb9VSZQK9

We started using these wipes for our pug when he started showing signs of a fold infection. We used them 2x a day (morning and night) and he cleared up within a week.

1. kiss pug's forehead just above the nose often, especially while cupping their face in your palm. getting them used to you loving on them around their sensitive smooshes makes the rest easier.
   
   
2. for routine care - using a damp paper towel, wipe out nose folds and give forehead kisses. wipe again with a dry paper towel to remove moisture.
   
   
3. for care when they are rubbing their face, it is stinky, or periodic routine care - wipe with an antibacterial/antifungal wipe like these: https://smile.amazon.com/Pet-MD-Chlorhexidine-Wipes-Ketoconazole/dp/B0180A1J38/

SimpleSkincareScience recommends medicated pet wipes as a fungal acne treatment; they'd be easy to pack with you.

The SSS fungal acne guide has some great product recs; I'd try Simple Micellar Water decanted into a travel spray bottle for your cleanser and Cerave Baby Cream as your moisturizer. Both are fungal acne safe, cheap and easy to find; so minimal investment if they don't work out long term.

I have a dog who’s super prone to UTIs. For it’s a delightful combination of having posterior bladder displacement (her bladder sits in the wrong spot and can’t fully expand), obsessive drinking behaviors and a hooded vulva that was hiding some weird skin infection to boot. I would highly, highly recommend having your vet take a second look at her anatomical structure to make sure she doesn’t have a recessed vulva and potentially doing a more comprehensive culture from that area. In the meantime you can help things along by using wipes to keep the area clean (I like these guys, use them morning and night).

"malassezia furfur" is often called a yeast or yeast like. "one should always bear in mind that Malassezia yeasts are integral components of the skin microbiota, and therefore the therapeutic target should be controlling the Malassezia population rather than eradicating it."

usually means treating the flair up, then using products that don't feed them. It need a long term treatment. Like a nizoral face mask once a month or "Stridex in the doggy box" as SimpleSkinCareScience puts it.

Pal who wrote the loooong post about malassezia suggested using DOGGIE WIPES on your face cause they have ketoconazole in them. The Nizoral shampoo has the same active and has been the most effective thing I've tried so far for my bumps. Is this absolutely insane or worth a shot? I've been looking for an alternative to the shampoo cause it's so drying, but cannot find a cream with ketoconazole. I may try another anti-fungal product but I'm scared it will not be as effective. Here's a link to the doggie wipes.

Just for funsies, here's a link to the cream I'm considering. Any opinions/guidance on this is appreciated. Thanks!! ✨

So I’m on this same road and recently hunted through EVERYTHING that touches my face (hair products included) for ingredients that feed fungal acne... and if a product has any of those ingredients, it is booted from my routine. Period. That has helped a surprising amount. My routine is prettyyyyy bare bones at the moment, and my skin seems to LIKE it.

I also hate putting shampoo on my face because it BURNS but these ketoconazole wipes are not harsh on my skin. I’m even able to use them at morning and at night without feeling like I’m damaging my face. They’re for pets (I know, I know. Weird.) but they’ve noticeably improved my skin so far and they don’t burn. I have high hopes that being consistent with this will get my skin back to a healthy baseline.