Scalp Psoriasis Treatment Guide: Topical Steroids, Medicated Shampoos & Natural Relief

The goal of treatment for psoriasis on the scalp is to reduce inflammation, slow down the accumulation of skin cells, and gently remove scales. However, because the scalp has hair, you will need products that can penetrate it without irritating the skin or clogging follicles.

1. Medicated Topical Treatments (Mainstay for Scalp Psoriasis)

A. Corticosteroids (Anti-inflammatory)

These reduce redness, itching, and scaling.

• Common options:

  • Clobetasol propionate 0.05% (very strong) (I've been using this and the most effective one so far)

  • Betamethasone valerate 0.1%

  • Fluocinolone acetonide 0.01% (often in oil form, great for scalp)

  • Hydrocortisone 1% (milder, for mild flare-ups or maintenance)

• Best applied at night; leave overnight if possible and wash off in the morning.

Note: Use strong steroids for no more than 2–4 weeks continuously unless your dermatologist directs otherwise, long-term use can thin skin or cause rebound flares.

B. Vitamin D Analogues

These help normalize skin cell turnover.

• Examples:

  • Calcipotriol (Calcipotriene)

  • Calcipotriol + Betamethasone combination (like Daivobet or Taclonex)

Instructions: Usually applied once daily. Great for maintenance after a steroid course.

C. Coal Tar Preparations

Helps slow down excessive skin cell growth and reduce scaling.

• Examples: Neutrogena T/Gel, Polytar, Denorex Tar shampoo.

• Use 2–3 times a week, alternating with a gentle shampoo.

• May have a strong smell and can stain clothing or bedding.

D. Salicylic Acid (Keratolytic)

Helps remove thick scales so medicine can penetrate.

• Examples: Keralyt, Salex, or shampoos containing 2–6% salicylic acid.

• Often combined with steroids (e.g., Clobetasol + Salicylic acid lotion).

•  Apply to scaly patches before shampooing to soften scales.