For people with psoriasis, the challenge is to loosen and remove scales without drying the scalp. As part of routine care, cleanse your scalp regularly to remove sebum (oils), daily build-up of grime and bacteria, which can cause irritation and inflammation. Minimize the use of blow-dryers and styling products that can contribute to drying-out the scalp and worsening your psoriasis. For scalp psoriasis, tar and salicylic acid shampoos are most frequently recommended, but other medicated shampoos containing antifungal agents such as ketoconazole and zinc pyrithione can be helpful as well.
How the treatment works
- One of the primary causes of dandruff is a naturally occurring fungus known as Malasezzia furfur that is commonly found on skin surfaces.
- Ketoconazole and zinc pyrithione are able to eliminate some of these yeasts and slow the rate of skin cell turnover
- Generally well tolerated
- When formulated in shampoos and conditioners, antifungal agents can reduce the associated itching, dandruff and scaling
- Ease of use
- As with all shampoos, cleansing can cause dryness and irritation
Comments & Suggestions
- Most are safe for daily use, but it is best to adjust the frequency of hair washing based on the condition of your scalp.
- To avoid over-drying the scalp and hair, you can rotate medicated products with a non-medicated shampoo and conditioner
- The shampoos work best if they are rubbed into the scalp and left in for 5 or 10 minutes
- Use of a conditioner can help to replace some of the lost moisture to the hair shaft and minimize the drying effects from washing