What are the treatment options for cradle cap?

Cradle cap, also called infantile seborrheic dermatitis, causes greasy or dry scales on a baby's scalp. The scale can look yellow, white or brown and may sit over mildly irritated skin. It is common in infancy and is not caused by poor hygiene. The scalp may be the only area involved, although similar irritation can affect skin folds.

Massage a small amount of a suitable emollient into the scale, allow it to soften, then wash the scalp with a gentle baby shampoo and use a soft brush to lift loosened flakes. Do not scratch, pick or pull attached scale. Details about [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) may help you discuss product choice with a clinician. If the skin is inflamed or the diagnosis is uncertain, a healthcare professional may recommend a short, age-appropriate medicine. A topical antifungal treatment may be considered when yeast-related inflammation is suspected; see [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/).

Contact a clinician if the scalp is very red, swollen, painful, cracked or oozing, or if the baby seems unwell. Arrange an assessment when the rash spreads widely, affects the face or body, causes significant itching, or does not improve with gentle care. Avoid using adult dandruff products or medicated creams without advice.

Ask which emollient and shampoo are suitable, how often to loosen scale, and whether the appearance fits cradle cap rather than eczema or infection. Ask what changes should prompt a review.