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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyPsoriasisTeam Member asked a question 💭
State College, PA

I have pretty severe psoriasis on my scalp causing a lot of dandruff. I’m on month 2 of Otezla with no relief on my scalp (other areas of my skin, yes, but scalp - no). Does anyone have recommendations for relief that’s not an oily topical or prescription remedy? My hair is also thinning (from psoriasis? from perimenopause? from…?) so looking for hair-sensitive ideas.

May 18
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MyPsoriasisTeam

Here are some hair-sensitive, non-oily options that MyPsoriasisTeam members and dermatologists have found helpful for scalp psoriasis:

Over-the-Counter Shampoos
- Coal tar shampoos — anti-inflammatory and anti-itch benefits
- Salicylic acid shampoos (5–10%) — help soften and loosen scales
- Selenium sulfide shampoos — Show Full Answer

Here are some hair-sensitive, non-oily options that MyPsoriasisTeam members and dermatologists have found helpful for scalp psoriasis:

Over-the-Counter Shampoos:
- Coal tar shampoos — anti-inflammatory and anti-itch benefits
- Salicylic acid shampoos (5–10%) — help soften and loosen scales
- Selenium sulfide shampoos — another common OTC option
- Tea tree oil shampoos — a gentler, more natural option

Natural Rinses & Remedies:
- Apple cider vinegar rinse (1 part vinegar to 1 part water) — can help soothe the scalp
- Dead Sea salts — some members find these calming for irritation
- Neem oil added to conditioner — one MyPsoriasisTeam member noted it "really helps with redness and flakiness" On the hair thinning front, one MyPsoriasisTeam member mentioned that evening primrose oil supplements helped with hair regrowth after scalp psoriasis-related loss, and may also reduce redness and itching. Always check with your doctor before adding supplements.

It's also worth asking your dermatologist specifically about shampoo-based or foam topical options — these tend to be less oily and easier to apply through hair than creams or ointments, and some are available without a prescription.

Gentle hair care matters too — avoiding tight hairstyles, heat styling, and harsh chemical treatments can help prevent flares and further irritation.

May 18

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