How To Get Rid Of Scalp Psoriasis: 5 Best Treatments

Many people struggle daily with how to treat scalp psoriasis the right way, and a lot of times, many of the products available are confusing; therefore, it is tough to find what actually works.

In this article, you will find the top 5 recommendations from New Zealand’s Dr. Sam Bailey to efficiently treat scalp psoriasis and get rid of it once and for all.

These recommendations include special medicated shampoos, medicated anti-fungal shampoos, left in the scalp applications, UVB-Combs, and full-body targeted tablets. Continue reading to discover more about these solutions.

Also, if you want to try a salt bath solution you can check this recommendation as well.

What Is Scalp Psoriasis?

Scalp Psoriasis is a common skin condition, where you can get thick silvery white scaly patches on top of the red skin on the scalp.

This might happen by itself and be unique to that specific body area or you might get on other areas too. The most common sign of scalp psoriasis is on the back of the head.

What Are the Symptoms of Scalp Psoriasis?

For many patients this is an embarrassing condition, and many of them feel ashamed. This happens because of the flaking scales and the severe dandruff that goes with it.

Some people are susceptible to lose hair with it, the main symptom is the dry and itchy scalp but others report to have no symptoms at all.

It tends to be a chronic problem lasting for many years that tends to come and go with some severity.

What Treatments Are More Efficient for Scalp Psoriasis?

Before discussing treatment options, it is important to remember that most treatments don’t start working until you are using them regularly for at least a couple of weeks. So persistence is key on this one.

The first thing you can try is special medicated shampoos, it is a cheaper solution, and you can buy over the counter.

They work by removing the scales and proceeding to treat the inflammation and the itch. An example is Ionil “T” shampoo, which contains coal tar and salicylic acid.

These work best if you rub them well in the scalp; wait 5 to 10 minutes, then rinse and apply again. Rinse after another 5 minutes, and then you can use your normal shampoo and conditioner afterward if you don’t like the smell of it.

You can use these daily but if they start to hurt your scalp, drop it down to once or twice weekly. An alternative is to use a plain coal tar shampoo like Polytar Plus if you don’t have too much scales in your scalp.

This can be used just like the prior solution.

Coal tar preparations are a solution that has been around for quite some time, and they tend to work very well, but they are a bit messy, and the smell is something that might not please everyone.

Another type of treatment can be medicated anti-fungal shampoos; these are very helpful to dandruff or seborrheic dermatitis. Despite not being so good for Scalp Psoriasis as the coal tar preparations, they can help a little bit as well.

Medicated shampoos need to be left in the scalp for longer periods than a regular shampoo. Ideally you need to wet your hair at least 10 minutes before you apply the shampoo.

Once the shampoo has been applied, massage it gently into your scalp, leave it for another 10 minutes, and then rinse it off to use any normal shampoo or conditioner of your preference.

What Solution There Is for More Severe Cases of Scalp Psoriasis?

For these cases, the next best options are left in the scalp applications. In the first instance, you can try a prescription gel such as Daivobet.

This is both a topical steroid and a vitamin D analog that reduces the skin’s itching and redness. You apply the gel to your scalp at night and then wash it off in the morning.

Typically you should use these up to two or three times per week, otherwise you’ll notice your scalp psoriasis getting worse.

There is also an ointment called Coco-Scalp which you can get over the counter, it contains a combination of coal tar, salicylic acid, and sulfur which is particularly effective.

It is applied by using a small amount into your scalp and massaging it gently. Leave on at least for one hour and then shampoo it off later.

It is important to mention that this product stains a little bit, so if you have any jewelry or clothing that you don’t want to stain, please remember to take it off.

You’ll want to use this daily until your skin and scalp start to improve, and then you can reduce it down to once weekly.

What if Nothing Works for My Scalp Psoriasis?

Finally, if the previous solutions aren’t doing any effect, there are other options you can always try.

There are treatments like UVB-Combs that you can use on your scalp, and depending on your situation, you might also want to talk to your dermatologist about tablets that target your whole body.

Examples of such include Acitretin or Methotrexate, these might be an effective solution if none of the above work.


As you can see there are a lot of options to choose for Scalp Psoriasis problem. If you want to try something more natural you can check another article with healthy solutions as well.

It is important never to give up and eventually you’ll get to know which solution will work better for you.