Scalp psoriasis can be tricky to manage, but there are quite a few treatment options available — from over-the-counter products to prescription medications. Here's a breakdown:
Over-the-Counter (OTC) Options
- Shampoos containing coal tar or salicylic acid to reduce scaling, redness, and itching
- Selenium sulfide Show Full Answer
Scalp psoriasis can be tricky to manage, but there are quite a few treatment options available — from over-the-counter products to prescription medications. Here's a breakdown:
Over-the-Counter (OTC) Options:
- Shampoos containing coal tar or salicylic acid to reduce scaling, redness, and itching
- Selenium sulfide shampoos
- Moisturizers like coconut oil (used occasionally, not daily) to soothe dryness
Prescription Treatments:
- Topical corticosteroids (creams, lotions, oils, or shampoos) — often the first-line prescription option
- Clobetasol shampoo, which is highly effective for managing scalp buildup
- Fluocinolone topical oil, which can treat the entire scalp
- Nonsteroidal topicals like vitamin D analogs or retinoids
- Corticosteroid injections directly into the scalp in some cases For Moderate to Severe Cases:
- Phototherapy (light treatment), including handheld excimer laser devices
- Systemic medications like biologics or immunosuppressants
Natural & Home Remedies (used alongside medical treatment):
- Apple cider vinegar rinse (1 part vinegar to 1 part water)
- Tea tree oil shampoos
- Dead Sea salts
- Neem oil added to conditioner
- Extra-virgin olive oil applied overnight under a shower cap
It's worth noting that not every remedy works for everyone. One MyPsoriasisTeam member found coconut oil caused hair loss, while others swear by it. Finding the right combination can take some time, so working closely with a dermatologist is really important to figure out what works best for you.
2 days ago