There are several different types of scalp psoriasis treatment that can be used to clear flareups, though there is no actual cure for this chronic condition. It is a good idea to remove existing scales so other treatments that are applied can penetrate the skin more effectively. Once that is done, certain shampoos, such as those that contain tar, are often effective for treating psoriasis. Medications may also be applied topically or taken orally, depending on the severity of the issue. For some patients, light therapy has also proven effective.
An important step in scalp psoriasis treatment is removal of the scaly patches it causes so other treatments can be put directly onto the skin. To comfortably remove the scales, it is important to soften them first. Products containing ingredients such as salicylic or lactic acids may be used to help loosen and somewhat dissolve them; applying creams or oils to the scales while they are damp can also work. Once they are loose, a comb can be gently used to loosen them from the skin, and then they can be washed out of the hair.
Certain shampoos are available over the counter for scalp psoriasis treatment. One of the most common ingredients in these products is coal tar, which is very helpful in clearing a breakout. Products containing salicylic acid can also work well to get rid of scales. Some patients may choose to use shampoos containing products that help with the itching and discomfort that come with psoriasis as well, such as aloe vera or zinc pyrithione.
Some patients may need prescription medications for scalp psoriasis treatment. A variety of topical ointments and creams containing steroids, vitamin D3, or vitamin A derivatives are available. In some cases, a doctor may choose to do steroid injections directly into the scalp. For more severe breakouts, systemic drugs such as methotrexate, oral retinoids, or cyclosporine may be given in addition to topical treatments.
Another type of scalp psoriasis treatment that can work for some patients is light therapy, or phototherapy. This involves exposing the affected areas of the scalp to ultraviolet light for regular, timed intervals, using either sunlight or an artificial UVB light source. Since the hair can block the light from reaching the scalp effectively, it is important ensure it is cleared away from the scaly areas during treatment.