Psoriasis of the Scalp: Treatment Options

Scalp psoriasis can produce thick scale, redness, and itch across the scalp or at its edges. Hair can make it difficult for treatment to reach the skin, so the formulation and application method matter. A clinician may recommend a product that softens scale first, followed by medicine that calms inflammation.

Options can include [Medicated Shampoo Treatment](/treatments/medical-dermatology/medicated-shampoo-therapy/), [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/), or targeted [Excimer Laser Therapy](/treatments/laser-and-energy/excimer-laser-therapy/). The right choice depends on the examination and your medical history.

Part the hair into sections so medicine reaches the scalp, follow the contact time for shampoo, and wash hands afterward. Do not pick adherent scale or apply a product intended for the scalp to the eyes or face unless instructed. Tell the clinician about pregnancy, other medicines, and any history of skin infection before treatment is selected.

A simple routine can reduce irritation: use lukewarm water, avoid vigorous scratching, and choose gentle hair care between medicated washes. [Itchy Scalp](/symptoms/itchy-scalp/) and [Flaky Scalp](/symptoms/scalp-flaking/) can help you describe accompanying symptoms.

Arrange review if treatment is not controlling the itch or scale, if plaques extend onto the face, or if hair shedding concerns you. Seek prompt assessment for pus, marked tenderness, spreading warmth, fever, or sudden worsening.

Ask which formulation can reach your scalp, how long to leave it on, how scale should be softened, when to reassess, and what to do if the skin becomes sore or the medicine reaches your eyes.