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need a medicine for psoriasis on my scalp. my patches are very very dry, thick, harsh and large. Can u please name a few good creams. Tried many otc ones – shampoos, gels, ointments, but to no effect.
asked-ques-count-icon 1 doctor answered

Coal tar based scalp shampoos helps in mild scalp psoriasis. Mild steroid like hydrocortisone lotion can be used at night in inflamed areas. In case coal tar, salicylic acid and other OTC products have failed to improve the patches on your scalp, you can rely on prescription drugs containing higher concentrations of these compounds. Variety of other medicated preparations are also available to treat moderate-to-severe scalp psoriasis like topical vitamin A or D derivatives, steroid drugs, immunomodulators and biologics. These include dithranol, tazarotene, calcipotriene, calcipotriene/betamethasone dipropionate, cyclosporine, MTX, acitretin, etc. In case of a bacterial or yeast infection brought on by scalp psoriasis, the doctor may prescribe you antimicrobial drugs. For deeper absorption, soften and shed the plaques before swiping any of these topical drugs. Dampen the scalp with lukewarm water and lather OTC products with salicylic acid, urea, lactic acid, pyrithione, selenium sulfide or zinc. Comb the scalp in soft circular motions targeting to slough off the softened plaques and rinse them off completely with a salicylic acid shampoo. A prescription will be mandatory for most of these medicines due to the possible side effects. Once gone, you can avoid repeat symptoms by making medicated shampoos your regular cleansers.

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