While scalp psoriasis may be limited to the area underneath the hair, it can also affect the neck, ears, or forehead.
Read on to learn more about scalp psoriasis treatments.
Treatment of scalp psoriasis varies depending on the severity of the condition. Some people have only occasional light scaling. Others have crusted plaques that can cover the entire scalp.
If you have scalp psoriasis, your doctor can tailor treatment to your needs. Common scalp psoriasis treatments are discussed below.
Tar derived from coal has been used for years in over-the-counter (OTC) medicated shampoos like T/Gel and T/Sal. It works to slow the fast growth of skin cells, reducing the itching and scaling of the condition.
After applying, leave the product in your hair for the full recommended time. These shampoos are easy to use and effective for people with light scaling on their scalps.
People with heavy scaling on the scalp may benefit from using an OTC salicylic acid ointment before applying other topical lotions or shampoos. The acid helps remove the scales, which can block the effectiveness of other treatments.
Corticosteroids are available in prescription shampoos, lotions, foams, and creams. They are a mainstay treatment for scalp psoriasis and tend to work quickly.
Be sure to use corticosteroids precisely as directed by your doctor. Taking them too long or taking more than prescribed can lead to adverse side effects.
Vitamin D analogs, available by prescription, are effective on the scalp. One standard vitamin D analog for the scalp is calcipotriene, which can be found in ointments like Dovonex.
In many cases, doctors prescribe corticosteroids and vitamin D simultaneously. One popular combination ointment is Taclonex.
Tazarotene (Tazorec), a prescription retinoid drug derived from vitamin A, is commonly used on scalp psoriasis. It decreases inflammation, which can lead to psoriasis flares.
As with any medication, discuss the pros and cons of using tazarotene with a doctor. It may not be suitable for people who are pregnant or may become pregnant.
If your scalp psoriasis is severe and hasn’t responded well to topical treatments, you may be prescribed a systemic medication to help manage your symptoms. This is especially true if you have psoriasis on other areas of your body.
Some common systemic drugs include methotrexate (Reditrex), cyclosporine (Gengraf), and biologic medications like adalimumab (Humira).
For people whose scalp psoriasis does not improve with more conservative treatments, procedures performed in a dermatologist’s office may help.
Corticosteroid skin injections can help relieve a psoriasis flare-up. In addition, your dermatologist may be able to perform laser or light treatments. These treatments can target a specific area of the skin and are usually painless. Some people may experience side effects like skin irritation or discoloration.
Applying topical treatments
Although many effective solutions for scalp psoriasis exist, some can be a little tricky to apply. It can be challenging to see where you’re working, and your hair can sometimes get in the way. These strategies may help:
- Before using treatment, gently comb out any loose scales.
- Part the hair in small sections to apply the treatment directly to exposed skin.
- If possible, ask a friend or loved one to help you.
Whichever treatment option you choose, make sure to always follow the instructions on the product. If you have questions, ask your doctor or pharmacist.
Psoriasis develops when the body produces skin cells more quickly than usual. These cells accumulate on the surface of the skin in patches or plaques.
This cell overgrowth may be influenced by many, including:
- stress
- obesity
- skin injury
- lifestyle factors such as alcohol consumption or tobacco use
- using harsh hair or skin products
- hormonal changes
- HIV
- AIDS
- bacterial infections, such as strep throat
According to the American Academy of Dermatology Association, people with scalp psoriasis may experience:
- flaking and silvery-white scaling
- severe scalp dryness
- reddish or discolored thick patches
- itching
- bleeding
- burning
- tenderness
- hair loss, which usually goes away as treatments take effect
Scalp psoriasis can appear in small patches or may affect the entire scalp. Symptoms may come and go.
Reema Patel, M.P.A., P.A.-C., reviewed the answers to these common questions about scalp psoriasis.
Can scalp psoriasis go away?
Scalp psoriasis is a chronic condition characterized by relapses. To relieve your symptoms and prevent flare-ups, it is essential to follow your doctor’s treatment plan as closely as possible.
Should I wash my hair more if I have scalp psoriasis?
Dermatologists will often recommend medicated shampoos to treat scalp psoriasis. Use these shampoos as often as directed by your doctor.
Scalp psoriasis can cause uncomfortable symptoms like itching, flaking, and scaling. However, treatments are available to provide relief.
Doctors may prescribe topical treatments like shampoos or ointments to manage scalp psoriasis symptoms. In severe cases, systemic medications like biologics may be necessary.
Talk with your doctor about ways to manage scalp psoriasis that are right for you.