Psoriasis can be a bothersome and persistent skin condition, especially when it affects the scalp. If you’re one of the millions dealing with scalp psoriasis, fret not! This article will provide you with a comprehensive overview of effective treatment options, including a specialized scalp psoriasis treatment cream that can bring relief and help you regain control over your scalp’s health. So say goodbye to flaking and itching, and say hello to a clearer and healthier scalp!
Topical Treatments
Corticosteroids
Corticosteroids are a commonly prescribed topical treatment for scalp psoriasis. These medications work by reducing inflammation and suppressing the immune response in the affected area. They come in various strengths, ranging from mild to potent, and can be used in the form of creams, ointments, lotions, or foams. Corticosteroids provide quick relief from symptoms such as itching and redness, and they help to soften and remove the scales on the scalp. However, long-term use of potent corticosteroids should be avoided as it can cause thinning of the skin.
Anthralin
Another effective topical treatment option for scalp psoriasis is anthralin. It works by reducing the rapid growth of skin cells, which is a characteristic of psoriasis. Anthralin is typically applied to the scalp and left on for a short period of time before being washed off. It can cause temporary staining of the skin and hair, but this usually fades with time. Anthralin can also be irritating to the skin, so it is important to follow the instructions provided by your dermatologist carefully.
Calcipotriene
Calcipotriene, a synthetic form of vitamin D, is a topical treatment that helps to slow down the growth of skin cells. It is available as a cream or solution and can be applied directly to the scalp. Calcipotriene is generally well-tolerated and can be used for long-term management of scalp psoriasis. It is important to protect the treated areas from excessive sun exposure, as calcipotriene can increase the risk of sunburn.
Tazarotene
Tazarotene is a topical retinoid that helps to normalize the growth of skin cells. It is available in the form of a gel or cream and can be applied to the scalp. Tazarotene can cause skin irritation and sensitivity to sunlight, so it should be used with caution. It may not be suitable for individuals with sensitive skin or those who are pregnant or planning to become pregnant.
Coal tar
Coal tar is a natural product that has been used for many years in the treatment of psoriasis. It helps to reduce inflammation, itching, and scaling. Coal tar is available in various formulations, including shampoos, creams, ointments, and oils. It can be applied directly to the scalp and should be left on for a specific period of time before being rinsed off. Coal tar can stain clothing and bedding, so it is advisable to protect these items during treatment.
Salicylic acid
Salicylic acid is a keratolytic agent that helps to soften and remove the scales on the scalp. It is often combined with other topical treatments, such as corticosteroids or coal tar, to enhance their effectiveness. Salicylic acid is available in shampoos, creams, gels, and ointments. It should be used cautiously, as excessive use can cause skin irritation and dryness.
Vitamin D analogues
Vitamin D analogues, such as calcipotriene and calcitriol, are synthetic forms of vitamin D that help to normalize the growth of skin cells. They are available as creams, ointments, solutions, or foams and can be applied directly to the scalp. These medications are typically safe for long-term use and can be used in combination with other treatments.
Retinoids
Retinoids, such as tazarotene, are derived from vitamin A and help to slow down the growth of skin cells. They are available in the form of gels or creams and can be applied to the scalp. Retinoids are known to cause skin irritation and sensitivity to sunlight, so it is important to use them as directed by your dermatologist.
Systemic Medications
Methotrexate
Methotrexate is an oral medication that works by suppressing the immune system and reducing inflammation. It is typically prescribed for severe cases of scalp psoriasis that have not responded to topical treatments. Methotrexate should be used under the supervision of a healthcare professional, as it can have serious side effects and requires regular blood monitoring.
Cyclosporine
Cyclosporine is an immunosuppressant medication that helps to reduce inflammation. It is used in severe cases of scalp psoriasis when other treatments have been ineffective. Cyclosporine should only be used under the guidance of a dermatologist, as it can have serious side effects, including kidney damage and increased risk of infections.
Acitretin
Acitretin is an oral retinoid that helps to slow down the growth of skin cells. It is typically used for severe cases of psoriasis that have not responded to other treatments. Acitretin should not be used by women who are pregnant or planning to become pregnant, as it can cause birth defects.
Biologics
Biologic medications are a newer class of systemic treatments that target specific components of the immune system involved in psoriasis. They are typically administered by injection or infusion and can provide significant improvement in scalp psoriasis symptoms. Biologics are generally well-tolerated, but they can increase the risk of infections and require regular monitoring.
Light Therapy
Ultraviolet B (UVB) therapy
UVB therapy involves exposing the scalp to controlled doses of ultraviolet B light. This type of light therapy helps to slow down the rapid growth of skin cells and reduce inflammation. UVB therapy can be administered in a dermatologist’s office or with a home phototherapy unit under medical supervision. Regular sessions are required to achieve and maintain the desired results.
Psoralen plus ultraviolet A (PUVA) therapy
PUVA therapy involves combining a medication called psoralen with ultraviolet A (UVA) light exposure. Psoralen makes the skin more sensitive to UVA light, enhancing its effectiveness in treating psoriasis. PUVA therapy is usually administered in a dermatologist’s office, and treatment sessions are scheduled at regular intervals. This therapy may not be suitable for individuals with certain medical conditions or those who are pregnant or breastfeeding.
Natural Remedies
Aloe vera
Aloe vera is a natural plant extract that has soothing and anti-inflammatory properties. Applying aloe vera gel or cream to the scalp can help reduce itching and inflammation associated with scalp psoriasis. It is important to choose products that specifically indicate they are safe for use on the scalp.
Tea tree oil
Tea tree oil is known for its antifungal and anti-inflammatory properties. Diluted tea tree oil can be applied to the scalp to help relieve itching and reduce redness. It is important to use tea tree oil cautiously, as it can cause skin irritation in some individuals. It is also advisable to patch-test the oil on a small area of the scalp before applying it more extensively.
Fish oil supplements
Fish oil supplements contain omega-3 fatty acids, which have been shown to have anti-inflammatory effects. Adding fish oil supplements to your daily routine may help reduce the severity of scalp psoriasis symptoms. It is important to consult with a healthcare professional before starting any new supplements.
Apple cider vinegar
Apple cider vinegar has astringent properties and can help remove scales and soothe the scalp. It can be applied directly to the scalp or diluted with water. It is important to avoid applying vinegar on open wounds or broken skin, as it can cause a stinging sensation.
Capsaicin cream
Capsaicin, the compound responsible for the spicy sensation in chili peppers, can also be found in topical creams. Applying capsaicin cream to the scalp can help relieve itching and reduce redness. It is important to avoid getting the cream in the eyes or on mucous membranes, as it can cause irritation.
Dead Sea salts
Bathing in water containing Dead Sea salts has been reported to provide relief for individuals with scalp psoriasis. These salts contain minerals that can help soothe the skin and reduce inflammation. It is important to follow the instructions provided and avoid bathing in water that is too hot, as hot water can worsen symptoms.
Home Remedies
Moisturizing the scalp
Regularly moisturizing the scalp can help soothe dryness and reduce itching associated with scalp psoriasis. Using a moisturizer specifically formulated for the scalp can provide relief and improve the overall health of the skin.
Using a humidifier
Adding moisture to the air with the help of a humidifier can help prevent dryness and itching of the scalp. This is particularly useful during dry winter months when the air tends to be drier.
Avoiding scalp irritants
Certain hair products and styling techniques can irritate the scalp and worsen psoriasis symptoms. It is important to avoid using harsh chemicals, such as hair dyes or relaxers, and opt for gentle, fragrance-free products that are less likely to cause irritation.
Massaging the scalp
Gently massaging the scalp can help improve blood circulation and promote relaxation. This can help reduce stress and minimize scalp psoriasis flares. It is important to avoid excessive rubbing or scratching, as this can further irritate the scalp.
Avoiding stress
Stress is known to trigger or worsen psoriasis symptoms. Finding ways to manage stress, such as practicing mindfulness or engaging in regular physical exercise, can help reduce the frequency and severity of scalp psoriasis flares.
Choosing the right shampoo
Using a gentle, fragrance-free shampoo specifically formulated for psoriasis can help cleanse the scalp without causing further irritation. It is important to avoid shampoos that contain harsh chemicals or sulfates, as these can strip the scalp of its natural oils and cause dryness.
Combination Therapies
Topical corticosteroids with salicylic acid
Combining a topical corticosteroid with salicylic acid can enhance the effectiveness of both medications. The corticosteroid helps reduce inflammation, while salicylic acid helps soften and remove the scales. This combination treatment can provide quick relief from symptoms and improve the appearance of the scalp.
Corticosteroids with vitamin D analogues
Using a combination of a topical corticosteroid and a vitamin D analogue can provide a synergistic effect in treating scalp psoriasis. The corticosteroid reduces inflammation, while the vitamin D analogue helps normalize the growth of skin cells. This combination treatment can be used for both short-term and long-term management of scalp psoriasis.
Calcipotriene with betamethasone dipropionate
Combining calcipotriene, a vitamin D analogue, with betamethasone dipropionate, a corticosteroid, can provide effective relief from scalp psoriasis symptoms. This combination treatment helps reduce inflammation, slow down the growth of skin cells, and remove scales. It is important to follow the instructions provided by your dermatologist when using this combination therapy.
Coal tar with coconut oil
Mixing coal tar with coconut oil can help enhance the effectiveness of coal tar in treating scalp psoriasis. Coconut oil provides added moisturizing properties, which can help soothe the scalp and reduce dryness. This combination treatment can help alleviate itching, redness, and scaling associated with scalp psoriasis.
Scalp Psoriasis Treatments for Children
Topical corticosteroids
Topical corticosteroids are often the first-line treatment for scalp psoriasis in children. Mild or moderate-strength corticosteroids are typically used, taking into account the child’s age and the severity of the condition. It is important to follow the instructions of the healthcare professional and use these medications only for the prescribed duration.
Coal tar preparations
Coal tar preparations, such as shampoos or ointments, can be used to treat scalp psoriasis in children. They help reduce inflammation and alleviate symptoms. It is important to choose products specifically formulated for children and to follow the instructions carefully.
Vitamin D analogues
Topical vitamin D analogues, such as calcipotriene, can be used to treat scalp psoriasis in children. These medications help normalize the growth of skin cells and reduce inflammation. It is important to follow the instructions provided and ensure that the child’s scalp is protected from excessive sun exposure.
Systemic medications
In severe cases of scalp psoriasis in children that have not responded to topical treatments, systemic medications may be considered. However, the use of systemic medications in children is generally reserved for cases that significantly impact the child’s quality of life and have not been effectively managed with other treatments. Systemic medications should only be used under the guidance of a pediatric dermatologist.
Managing Scalp Psoriasis Flares
Identifying triggers
One of the key steps in managing scalp psoriasis flares is identifying triggers that worsen symptoms. Common triggers include stress, certain medications, infections, and changes in the weather. Keeping a journal or using a symptom tracker can help identify patterns and potential triggers.
Avoiding triggers
Once triggers have been identified, it is important to take steps to avoid or minimize exposure to them. This may involve reducing stress through relaxation techniques, avoiding certain medications that worsen symptoms, practicing good hygiene to prevent infections, and protecting the scalp from extreme weather conditions.
Adopting healthy lifestyle habits
Maintaining a healthy lifestyle can help manage scalp psoriasis flares. This includes eating a balanced diet rich in fruits, vegetables, and whole grains, getting regular exercise, and getting enough sleep. These lifestyle habits can help support overall immune system function and reduce the frequency and severity of flares.
Stress management
Stress is a common trigger for scalp psoriasis flares. Adopting stress management techniques, such as practicing mindfulness, deep breathing exercises, or engaging in activities that promote relaxation, can help reduce stress levels and minimize flares.
Regular follow-ups with a dermatologist
Regular follow-up visits with a dermatologist are important to monitor the progress of treatment and make any necessary adjustments. The dermatologist can assess the effectiveness of the current treatment plan, provide additional guidance, and address any concerns or questions.
Addressing Scalp Psoriasis Symptoms
Reducing scalp itching and irritation
To reduce scalp itching and irritation, it is important to follow a gentle hair care routine. This includes using gentle shampoos, avoiding hot water, and refraining from scratching the scalp. Applying cool compresses or using topical treatments recommended by a dermatologist can also help provide relief.
Minimizing scalp redness and inflammation
To minimize scalp redness and inflammation, topical corticosteroids or other prescribed medications may be used. Cold compresses and avoiding triggers that worsen inflammation can also help. It is important to consult with a healthcare professional to determine the most appropriate treatment approach.
Managing scalp plaques and scales
To manage scalp plaques and scales, regular use of medicated shampoos, topical treatments, or combination therapies may be recommended. Gently removing the scales with the use of a soft brush or comb can also help. It is important to follow the instructions provided by a dermatologist to ensure optimal results.
Dealing with Scalp Psoriasis Hair Loss
Gentle hair care practices
Practicing gentle hair care is important to minimize hair loss associated with scalp psoriasis. This includes using a soft brush or comb, avoiding excessive brushing, and being gentle when towel-drying the hair.
Using scalp-friendly hair products
Choosing hair products specifically formulated for sensitive scalps can help minimize hair loss. These products are typically free from harsh chemicals and fragrance, which can further irritate the scalp. It is important to read product labels and choose those that are suitable for scalp psoriasis.
Avoiding frequent brushing and heat styling
Frequent brushing and heat styling can cause hair breakage and further irritate the scalp. It is advisable to limit the use of heated styling tools and opt for air-drying the hair whenever possible. Using a wide-toothed comb or your fingers to detangle the hair can help minimize damage.
Avoiding tight hairstyles
Tight hairstyles, such as braids, ponytails, or buns, can cause tension on the scalp and lead to hair loss. Choosing loose hairstyles that do not pull on the hair or scalp can help minimize hair loss and reduce discomfort.
Consider medical treatments for hair loss
If scalp psoriasis is causing significant hair loss, it may be worth considering medical treatments for hair loss. These may include topical medications, such as minoxidil, or oral medications, depending on the underlying cause and severity of the hair loss. Consulting with a dermatologist or hair loss specialist can help determine the most appropriate treatment option.