MyPsoriasisTeam

It sounds like you're asking: "Why do my psoriasis scales return so quickly despite using tar-based treatments, and what other options might help?"

For persistent scalp psoriasis that isn't responding well to tar-based products, there are several treatment approaches to consider:

1. Rotating different medicated shampoos Show Full Answer

It sounds like you're asking: "Why do my psoriasis scales return so quickly despite using tar-based treatments, and what other options might help?"

For persistent scalp psoriasis that isn't responding well to tar-based products, there are several treatment approaches to consider:

1. Rotating different medicated shampoos containing:
- Zinc pyrithione
- Selenium sulfide
- Ketoconazole

This rotation strategy helps prevent your scalp from becoming resistant to any single ingredient. For more severe cases, you might want to discuss these options with your dermatologist:

1. Prescription treatments:
- Topical corticosteroids (available as creams, lotions, or oils)
- Clobetasol propionate shampoos
- Fluocinolone topical oil

2. Advanced treatments for severe cases:
- Biologic medications
- Phototherapy with hand-held devices
- Corticosteroid injections

Many MyPsoriasisTeam members have found success with biologics, with some reporting clear skin for years after starting treatment. You might also consider trying these natural remedies alongside medical treatments:
- Aloe vera products
- Apple cider vinegar rinse (diluted 1:1 with water)
- Tea tree oil shampoos
- Dead Sea salts

Remember to discuss any new treatment approaches with your healthcare provider before starting them.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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