Whether you’re experiencing mild or severe scalp psoriasis, finding the right treatment options can make all the difference in managing this chronic skin condition. From medicated shampoos to topicals and light therapy, there is a range of effective and accessible treatments available. In this article, we will explore the top scalp psoriasis treatment options that have been proven to provide relief and improve the overall health of your scalp. By understanding these treatments, you can take steps towards achieving a healthier, itch-free scalp and regaining your confidence.
Top Scalp Psoriasis Treatment Options
Scalp psoriasis can be a persistent and frustrating condition to deal with. The good news is that there are several effective treatment options available to help manage and alleviate the symptoms. In this article, we will explore the top scalp psoriasis treatments, including topical medications, systemic medications, light therapy, lifestyle changes, and complementary and alternative therapies.
Topical Medications
Topical medications are often the first line of treatment for scalp psoriasis. These medications are applied directly to the affected areas of the scalp and can help reduce inflammation and itching. There are several types of topical medications that have shown to be effective in treating scalp psoriasis.
Corticosteroids
Corticosteroids are commonly prescribed for scalp psoriasis due to their anti-inflammatory properties. These medications can help reduce redness, itching, and scaling. They come in various forms, such as creams, lotions, foams, and solutions, and can be applied directly to the scalp. It’s important to follow your doctor’s instructions when using corticosteroids, as long-term use can have side effects.
Salicylic Acid
Salicylic acid is an ingredient often found in over-the-counter shampoos and topicals used to treat scalp psoriasis. It works by softening and loosening the scales, making it easier to remove them. Salicylic acid can be used in combination with other treatments to enhance their effectiveness. However, it’s essential to be cautious as this acid can irritate the skin if used in excessive amounts.
Coal Tar Derivatives
Coal tar derivatives have long been used for the treatment of psoriasis. They work by slowing down the growth of skin cells and reducing inflammation. Coal tar shampoos and creams can help alleviate the symptoms of scalp psoriasis and improve the appearance of your scalp. However, coal tar can stain clothing and bedding, so it’s important to use them with care.
Vitamin D Analogues
Vitamin D analogues are synthetic forms of vitamin D that can help slow down the growth of skin cells and reduce inflammation. These medications are available as both creams and solutions. When applied to the scalp, they can help alleviate symptoms such as redness, scaling, and itching. Vitamin D analogues may take some time to show noticeable improvements, so it’s important to be patient and consistent with their use.
Calcineurin Inhibitors
Calcineurin inhibitors are topical medications that work by suppressing the immune response and reducing inflammation. They can be helpful in managing scalp psoriasis, especially in areas where other treatments may not be suitable, such as the face or around the eyes. Calcineurin inhibitors are typically used for short periods due to potential long-term side effects, such as thinning of the skin.
Topical Retinoids
Topical retinoids are derived from vitamin A and can help normalize the skin cell production cycle. They are often prescribed for moderate to severe cases of scalp psoriasis. Topical retinoids are available in gel or cream forms and can be applied directly to the scalp. However, they may cause skin irritation and sun sensitivity, so it’s crucial to use sunscreen and follow your doctor’s instructions when using them.
Systemic Medications
In cases where scalp psoriasis is severe or resistant to topical treatments, systemic medications may be necessary. These medications are taken orally or by injection and work internally to suppress the immune system and reduce inflammation.
Oral Corticosteroids
Oral corticosteroids may be prescribed for short-term use to help manage severe flare-ups of scalp psoriasis. They work by reducing inflammation and suppressing the immune system. However, long-term use of oral corticosteroids can have significant side effects, including weight gain, high blood pressure, and weakened immune system. Therefore, they are typically used for short durations and in low doses.
Retinoids
Retinoids, similar to topical retinoids, are derived from vitamin A and can help normalize the skin cell turnover cycle. They are available in oral form and may be prescribed for severe scalp psoriasis that is unresponsive to other treatments. Retinoids have potential side effects, including birth defects, so they should not be used by pregnant women or those planning to become pregnant.
Methotrexate
Methotrexate is an immunosuppressant medication that can help reduce inflammation and slow down the growth of skin cells. It is available in tablet form and is usually prescribed for severe cases of scalp psoriasis. Methotrexate can have significant side effects, including liver damage, so regular blood tests are necessary while on this medication.
Cyclosporine
Cyclosporine is another immunosuppressant medication that can effectively reduce scalp psoriasis symptoms. It is typically used for short periods and in severe cases that are unresponsive to other treatments. Cyclosporine can have side effects, including kidney damage and high blood pressure, so regular monitoring is essential while on this medication.
Biologics
Biologics are a newer class of medications that target specific parts of the immune system involved in causing psoriasis symptoms. They are administered by injection or intravenous infusion and can have significant benefits for those with moderate to severe scalp psoriasis. Common biologics used for scalp psoriasis include TNF inhibitors, interleukin inhibitors, and PDE4 inhibitors. These medications often require regular monitoring and can have side effects, including increased risk of infections.
Light Therapy
Light therapy, also known as phototherapy, involves exposing the affected skin to specific types of light to reduce inflammation and slow down the growth of skin cells. Light therapy can be an effective treatment option for scalp psoriasis, especially when other treatments have not provided satisfactory results.
Phototherapy
Phototherapy involves using ultraviolet (UV) light to treat scalp psoriasis. There are different types of phototherapy, including UVB and UVA. UVB phototherapy is commonly used for scalp psoriasis and involves exposing the scalp to UVB light for a specified amount of time. UVA phototherapy is often combined with a medication called psoralen (PUVA therapy), which makes the skin more sensitive to UVA light. Both types of phototherapy require regular sessions to achieve and maintain results.
Excimer Laser
Excimer laser therapy is a targeted form of phototherapy that delivers high-intensity UVB light directly to the affected areas of the scalp. This treatment option can be effective for scalp psoriasis, and its advantage lies in its ability to treat only the affected areas while sparing healthy skin. Excimer laser therapy may require multiple sessions, but it can provide significant improvement in scalp psoriasis symptoms.
Lifestyle and Home Remedies
In addition to medical treatments, certain lifestyle changes and home remedies can help manage scalp psoriasis and reduce its impact on daily life.
Moisturize
Keeping the scalp well moisturized can help reduce itching and scaling. Regularly applying moisturizers or emollients specifically designed for psoriasis can help soothe the scalp and prevent dryness. Look for products that contain ingredients like hyaluronic acid, ceramides, or urea, as these can effectively hydrate the scalp.
Avoid Triggers
Identifying and avoiding triggers that worsen scalp psoriasis can significantly improve symptoms. These triggers can vary from person to person but may include stress, certain foods, alcohol, and fragrances. Pay attention to your environment and lifestyle to identify potential triggers and try to minimize exposure to them.
Gently Remove Scales
Removing scales from the scalp is an essential part of scalp psoriasis treatment. However, it’s crucial to do it gently to avoid further irritation or injury to the scalp. You can use a soft brush or comb to remove the scales after applying an oil or over-the-counter scale-softening product. Be cautious not to pick or scratch at the affected areas, as this can lead to infection.
Avoid Scratching
While scalp psoriasis can be extremely itchy, scratching the affected areas can worsen the condition and even cause it to spread. Keep your nails short and avoid scratching the scalp. If the itchiness becomes unbearable, try applying a cold compress to the scalp or using over-the-counter itch relief products.
Cover Affected Areas
If you have scalp psoriasis and feel self-conscious about the appearance of your scalp, you can try covering the affected areas with scarves, hats, or other headwear. Not only will this provide some relief from the elements, but it can also help boost your confidence and reduce stress associated with the condition.
Stress Management
Stress can worsen scalp psoriasis symptoms, so finding effective stress management techniques is important. Engaging in activities like yoga, meditation, deep breathing exercises, or pursuing hobbies can help reduce stress levels and promote overall well-being.
Complementary and Alternative Therapies
Some individuals with scalp psoriasis find relief by incorporating complementary and alternative therapies into their treatment plans. While these therapies may not have scientific evidence to support their effectiveness, some individuals find them helpful in managing their symptoms.
Aloe Vera
Aloe vera is a plant with anti-inflammatory and moisturizing properties. Applying aloe vera gel or using products containing aloe vera extract may provide relief from itchiness and promote healing of the scalp. However, it’s important to ensure that the products used are pure, as added ingredients may irritate the scalp.
Tea Tree Oil
Tea tree oil has natural antiseptic and anti-inflammatory properties and can be used topically to help manage scalp psoriasis. Diluted tea tree oil can be applied directly to the scalp or added to shampoos and conditioners to help reduce inflammation. It’s important to note that tea tree oil can cause allergic reactions in some individuals, so a small patch test should be done before using it extensively.
Apple Cider Vinegar
Apple cider vinegar is believed to have antimicrobial properties and can help reduce scalp irritation and itchiness. Mixing apple cider vinegar with water and applying it to the scalp can help soothe the skin. However, it’s important to dilute the vinegar properly to prevent skin irritation.
Oatmeal Baths
Oatmeal baths can help soothe the scalp and reduce itching. Adding finely ground oatmeal to warm bathwater and soaking in it for about 15 minutes can provide relief. After the bath, gently rinse the scalp and apply a moisturizer to lock in hydration.
In conclusion, there are various treatment options available to help manage and alleviate scalp psoriasis symptoms. Topical medications, systemic medications, light therapy, lifestyle changes, and complementary and alternative therapies can all play a role in improving the condition of your scalp. It’s important to work closely with your healthcare provider to determine the best treatment plan for your specific needs. With proper management and care, it’s possible to find relief from scalp psoriasis and improve the overall health and appearance of your scalp.