Scalp psoriasis is a common condition that causes raised, red, and often scaly patches to appear on the scalp. It can extend beyond the hairline to affect the forehead, neck, and areas around the ears. For those looking for effective ways to treat this condition in the United States, here are some of the best scalp psoriasis treatments.

1. Medicated Shampoo

Using a medicated shampoo specifically designed for scalp psoriasis can help reduce dandruff, itching, and inflammation. Look for a shampoo with the following ingredients:

Salicylic acid: Helps remove dandruff and softens plaque, making it easier to wash off. Brands such as Neutrogena T/Sal are widely available.

Coal tar: Slows the growth of skin cells, reducing inflammation and itching. Popular choices include Neutrogena T/Gel and MG217 Psoriasis Shampoo.

Ketoconazole: An antifungal that reduces yeast growth and helps eliminate scaling and inflammation. Nizoral is a commonly used brand.

2. Topical treatments

Topical treatments applied directly to the scalp are very effective. Options include:

• Corticosteroids:Prescription corticosteroids reduce inflammation and relieve itching. They are available in a variety of forms, including lotions, gels, foams, and shampoos.
• Vitamin D analogs: Topical treatments such as calcipotriene (Dovonex) slow the growth of skin cells and reduce skin sagging. They are often combined with steroids for better results.
• Topical retinoids:Products such as tazarotene (Tazorac) help normalize skin cell production and reduce inflammation.

3. Phototherapy

Phototherapy, or phototherapy, uses ultraviolet (UV) light to relieve symptoms. Options include:

• UVB phototherapy:Exposure to ultraviolet B light can slow the growth of skin cells. This treatment can be done in a medical facility or at home using a portable device.
• Excimer laser:Targets specific areas with high-intensity UVB light and is effective for localized patches.

4. Home Remedies

In addition to medication, some home remedies can help relieve symptoms:

• Aloe vera:Applying aloe vera gel can soothe your scalp and reduce redness and flaking.
• Coconut oil:Massaging coconut oil into your scalp can help moisturize and soften plaque, making it easier to remove.
• Apple cider vinegar: Diluted apple cider vinegar can relieve itching and reduce flaking. Apply it to your scalp and rinse after a few minutes.
• Tea tree oil: It has anti-inflammatory and antifungal properties. Use products that contain tea tree oil or add a few drops to your shampoo.

5. Systemic treatments

Severe scalp psoriasis may require systemic treatment that affects the entire body. This includes:

• Biologics: Injectable medications that target specific parts of the immune system, such as adalimumab (Humira) and etanercept (Enbrel).
• Oral medications:Medications such as methotrexate, cyclosporine, and acitretin can help relieve severe symptoms.

6. Lifestyle and self-care

Managing stress, eating a healthy diet, and avoiding triggers are essential for treating scalp psoriasis. Tips are:

• Stress management: Techniques such as yoga, meditation, and breathing exercises can help reduce stress that can trigger flare-ups.
• Healthy diet: A balanced diet rich in anti-inflammatory foods such as fruits, vegetables, and omega-3 fatty acids can support overall health.
• Avoid triggers:Identify and avoid triggers, such as certain foods, alcohol, and smoking, which can make symptoms worse.

Conclusion

Scalp psoriasis can be difficult to treat, but with a combination of the right treatment and lifestyle adjustments, symptoms can be effectively managed. From medicated shampoos and topical treatments to light therapy and home remedies, there are options to ease discomfort and improve quality of life. Consult with your doctor to determine the best treatment plan for your specific needs.