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The Ultimate Guide to Treating Scalp Psoriasis: Dermatologist-Approved Shampoos and More

What is the best shampoo for scalp psoriasis? How to identify and treat this chronic skin condition. Dermatologist-recommended products and ingredients that can help soothe an itchy, flaky scalp.

Understanding Scalp Psoriasis: Causes, Symptoms, and Differences from Other Conditions

Psoriasis is a chronic autoimmune disease that affects an estimated 125 million people worldwide, with 45 to 56 percent of those individuals experiencing it on the scalp. It occurs when the body’s immune system mistakenly attacks healthy skin cells, leading to an overproduction of new cells that accumulate on the skin’s surface. This results in thick, red, and scaly patches that can be particularly problematic on the scalp.

Scalp psoriasis can be differentiated from other similar-looking conditions like seborrheic dermatitis. While both can cause a red, flaky, and itchy scalp, psoriasis often produces thicker, drier patches that can extend beyond the scalp, whereas seborrheic dermatitis is usually confined to the scalp and accompanied by more greasy, yellow-tinged dandruff flakes.

Top Dermatologist-Recommended Shampoos for Scalp Psoriasis

When it comes to managing scalp psoriasis, the right shampoo can make a significant difference. Dermatologists recommend looking for products containing specific ingredients that can help soothe the scalp and reduce symptoms.

Selsun Blue Moisturizing Dandruff Shampoo

This long-time favorite for dandruff sufferers may also be effective for mild cases of scalp psoriasis. It contains 1% selenium sulfide to combat dry, itchy flakes, as well as aloe to soothe and nourish the scalp.

Philip B Anti-Flake Relief Shampoo

Dermatologist Ava Shamban recommends this shampoo, which features zinc pyrithione (also known as zinc omadine) as the main active ingredient, along with soothing botanicals like sage, juniper, and tea tree oil. It’s a coal tar-free option for those who want to avoid that ingredient.

Head & Shoulders Clinical Strength Dry Scalp Rescue Shampoo

The selenium sulfide formula in this shampoo helps relieve stubborn dandruff symptoms while leaving hair feeling soft and clean. According to dermatologist Wilkerson, the inclusion of zinc pyrithione works synergistically with the selenium sulfide to address the root cause of dandruff and scalp irritation.

Philip B Peppermint Avocado Scalp Scrub

Exfoliating scalp scrubs can be beneficial for psoriasis, says Shamban. This one contains Australian sea salt, as well as hydrating ingredients like peppermint, avocado, and eucalyptus oils to cleanse, soothe, and rejuvenate the scalp.

Key Ingredients to Look for in Scalp Psoriasis Treatments

When selecting products for scalp psoriasis, Shamban recommends keeping an eye out for the following beneficial ingredients:

Salicylic Acid

Salicylic acid can help soften and break down the thick, scaly patches that often develop on the scalp with psoriasis. It also helps other medications and treatments penetrate deeper into the skin.

Zinc Pyrithione (Zinc Omadine)

This ingredient has both antimicrobial and anti-fungal properties, making it effective for addressing the underlying causes of scalp irritation and conditions like seborrheic dermatitis that can co-occur with psoriasis.

Tea Tree Oil

Tea tree oil is another beneficial ingredient for its antimicrobial and anti-inflammatory effects, which can help soothe the scalp and reduce symptoms.

Seeking Professional Treatment for Severe Scalp Psoriasis

While over-the-counter shampoos and treatments can be helpful for managing mild to moderate scalp psoriasis, more severe cases may require prescription medications or other professional interventions. It’s important to consult a dermatologist if your symptoms are persistent or worsening, as they can provide a proper diagnosis and recommend the most effective course of treatment.

Maintaining a Healthy Scalp and Hair with Scalp Psoriasis

In addition to using the right shampoo and other topical treatments, there are several lifestyle and hair care habits that can help support a healthy scalp and hair when dealing with psoriasis:

  • Gently exfoliate the scalp to remove built-up scales and flakes
  • Avoid harsh hair products and styles that may further irritate the scalp
  • Minimize stress, as it can exacerbate psoriasis symptoms
  • Stay hydrated and maintain a balanced, nutrient-rich diet
  • Protect the scalp from environmental aggressors like sun exposure

By understanding the nature of scalp psoriasis, utilizing the right products and treatments, and adopting healthy scalp and hair care habits, individuals living with this chronic condition can find relief and manage their symptoms effectively.