Feel Great Hair & Scalp
Scalp

Scalp psoriasis

Raised, scaly, itchy patches that can spread past the hairline and behind the ears. Not contagious; can be controlled.

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Two freshly cut pieces of aloe vera leaf on a grey speckled worktop, showing the clear green gel inside and the small orange-tipped spines along the edges
Photo: Rae Allen, CC BY 2.0

Psoriasis is a common, long-term skin condition thought to be caused by a problem with the immune system. The scalp and behind the ears are among the most common places for patches. It's not contagious (NHS). Mild scaling may respond to coal tar or salicylic acid products from a pharmacy, but most people with scalp psoriasis need prescription treatment from a GP.

Common signs

  • Well-defined, raised patches with thick, silvery or grey scale
  • Itching, soreness or bleeding if scale is picked
  • Patches extending onto the forehead, neck or behind the ears, or elsewhere on the body

What usually helps

  • Coal tar or salicylic acid shampoos can help mild scaling; on their own they're not enough for severe scalp psoriasis (NICE CKS).
  • Soften thick plaques with a descaling product left on for an hour or more before washing, as directed (British Association of Dermatologists).
  • Don't pick or scratch scale — comb gently and follow any prescribed treatment exactly.
  • Coal tar can stain skin, hair and fabric and can make skin more sensitive to sunlight (NICE CKS).

Washing: Use your medicated shampoo as the pack or your GP directs, and a gentle, unperfumed shampoo on other days.

Build your routine with this concern

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Ingredients worth knowing

  • Coal tar Evidence: LimitedLong-established medicine for scaling in dandruff, seborrhoeic dermatitis and mild scalp psoriasis
  • Salicylic acid Evidence: LimitedLoosens and lifts scale in anti-dandruff shampoos and scalp treatments
  • Ketoconazole Evidence: StrongAntifungal medicine in shampoos for dandruff and seborrhoeic dermatitis

Not medical advice. This guide is general information from the sources listed, not a diagnosis or a substitute for a pharmacist, GP or dermatologist. If you are worried, or symptoms are severe or not improving, get advice. Read our health information policy.

Sources

  1. NHS – Psoriasis nhs.uk
  2. British Association of Dermatologists – Psoriasis: topical treatments bad.org.uk
  3. NICE CKS – Scalp psoriasis cks.nice.org.uk
  4. NICE CKS – Coal tar products cks.nice.org.uk

Product types for scalp psoriasis

Grouped by category; products the manufacturer says are made for this concern are listed first. Not a ranking. As an Amazon Associate I earn from qualifying purchases.

Anti-dandruff & medicated shampoos

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Scalp treatments

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Combs & brushes

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