Health Conditions

Topical medications in the form of shampoos, lotions, creams, foams, and oils are the standard of treatment for psoriasis on the scalp. The following medications have been used for scalp psoriasis:

• Medicated shampoos containing salicylic acid help to loosen and remove scales from the scalp. Shampoos containing coal tar work by slowing skin cell growth.

• Topical steroids, such as cortisone creams, may slow down the rapid growth of skin cells and decrease the swelling associated with the rashes.

• Calcipotriene (Dovonex) helps regulate skin cell production and may be used in combination with topical steroids. This product should not be used in combination with products containing salicylic acid because this combination will make Dovonex ineffective.

• Tazarotene (Tazorac) is available as a cream or gel and is applied once a day. This medication is thought to inhibit accelerated skin cell growth.

• Phototherapy may be helpful if topical treatments stop working.

• Systemic (oral) medications may be used, but the benefits of treatment must be weighed against the potential side effects.

A few things to keep in mind when treating scalp psoriasis:

• Be gentle when treating the scalp. Picking or scratching the areas of psoriasis should be avoided. Breaking of the skin can make psoriasis worse.

• Covering the treatment medication with a shower cap may be helpful, but this should only be done only under your doctor's guidance.

• Be sure to use medicated shampoos as directed. It is important to rub the shampoo into the scalp and not just the hair.

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Note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It is not intended to diagnose a health condition, but it can be used as a guide to help you decide if you should seek professional treatment or to help you learn more about your condition once it has been diagnosed.