When you have
psoriasis on your scalp, you need to treat your scalp,
not your hair.
Avoid digging, scratching, and picking at your
Gently remove scales while you are shampooing. You can also use a
scale-loosening product, such as mineral oil, peanut oil, or olive oil, or a
medicated hair dressing. These are rubbed into your scalp at night, covered
with a shower cap, left on overnight, and washed out in the
Shampoo as often as needed to control scaling and to allow
medicines to reach the scalp. Work shampoo into a lather and let it stay on for
at least 5 to 10 minutes before rinsing it out.
Use products such
Mild coal tar shampoos (such as Neutrogena T/Gel,
Polytar, and Zetar). Coal tar has an odor and can stain light-colored hair. Some
coal tar preparations can be put on for several hours and then washed
Anthralin preparations (such as Dritho-Scalp). Anthralin can stain not only the skin, hair, and nails but also
surfaces such as counters and tubs. This product is applied for a certain
amount of time and then washed off.
Shampoos containing zinc
pyrithione (such as Head and Shoulders and Derma-Cap) or selenium sulfide (such as Selsun). These
products may help treat mild psoriasis.
If these methods fail, your doctor may prescribe a stronger
corticosteroid solution, such as 1% fluocinolone
acetonide (for example, Synalar). Limit use to 1 to 2 weeks to avoid rebound
psoriasis (return of more severe psoriasis after treatment).