Shampoos for psoriasis don't always need a prescription. You can get a shampoo for psoriasis over the counter too! These contain coal tar, ketoconazole, etc. that help control flaking and are usually safe for color-treated hair too.

No one likes having an itchy scalp. While common reasons for this could be dandruff and dirt build-up, in some people the cause could be much more serious. Psoriasis!

It’s a type of autoimmune disease that causes skin flakes to build up and can affect the scalp as well. This leads to the formation of itchy, scale-like patches on the head, neck and around the ears.

Psoriasis is just as bad as it sounds. But fortunately, it can be controlled. The first step to this would be to get the best shampoo for psoriasis.

The trick to getting the right shampoo for psoriasis are the ingredients. Most doctor-recommended products have components that help reduce inflammation and reduce the severity of this condition.

We’ve compiled a list of the best shampoo for psoriasis that helps manage the symptoms till you get further treatment.

Related: Best Shampoo For Folliculitis

Related: Top Seborrheic Dermatitis Shampoos

Best shampoos for psoriasis	Best for	Chief Ingredient
DHS Sal shampoo	Sensitive Scalp	3% Salicylic Acid
Neutrogena T-Gel Shampoo	Removing crusty flakes	2% Neutar Solubilized Coal Tar Extract
Dermarest Psoriasis Medicated Shampoo	Severe psoriasis	Salicylic Acid 3%
MG217 Psoriasis Medicated Conditioning 3% Coal Tar Shampoo	Itching and build-up	3% Coal Tar
Neutrogena T/Sal Shampoo	Milder psoriasis	Salicylic Acid 2%
Rugby Sebex Shampoo For Psoriasis	Dermatitis and psoriasis	2% Salicylic Acid and Colloidal Sulfur
Head and Shoulders Clinical Strength Shampoo	Dandruff and psoriasis	Selenium Sulfide 1%
Dove Derma Care shampoo	Light flaking and itching	Zinc Sulfate

How I tested the top shampoos for psoriasis?

While looking at these OTC shampoos for psoriasis I tested them on several parameters that I have listed below. Then I rated them on a scale of 1-5.

• Flake Control - The first thing I checked was how well the shampoos control flaking, itching and irritation on the scalps. For this the shampoo must contain ingredients like Salicylic acid or Coal Tar that help clarify and soothe the scalp.
• Gentleness - Most psoriasis shampoos have strong cleansing agents which are in fact necessary to remove dry flakes from scalp. However, such shampoos might not suit color treated hair or dry scalps. So I checked how gentle these products can be.
• Strength: Some over the counter psoriasis shampoos are stronger (in concentration of ingredients like coal tar, etc.) and hence more effective.

Top Shampoos for Psoriasis 2022

#1 - DHS Sal Shampoo

A lot of dermatologists recommend salicylic acid if you have psoriasis. So I was intrigued to use this DHS Sal shampoo that contains 3% salicyic acid as chief ingredient.

On using, I found it was actually very effective. It cleared away all the flakes from my scalp in one wash.

If your scalp psoriasis has progressed to the formation of thick crusts on your scalp, then the DHS Sal shampoo is the one for you.

What makes this product one of the best shampoos for psoriasis is that it is super-gentle. So you don’t have to worry about damaging your tresses in the bargain.

I really liked how it softens and removes crusty scales my scalp and reduces the formation of flakes further.

The DHS Sal shampoo is also superb in controlling the other symptoms of psoriasis, such as itching and inflammation. My scalp felt soothed immediately after use.

But what really sold me about this shampoo is that despite being highly clarifying it won't strip your hair color. There are absolutely no SLS and SLES here. It just uses a milder form of surfactant called "sulfonate" which isn't as drying. So kudos!

Well, this shampoo isn't perfect by any means. You'll have to pay a lot more for it then say for a Neutrogena shampoo or Dermarest. And you get very little quantity in return too.

However, if you're serious about preserving your hair dye while dealing with dermatitis I say this investment will be worth it. Otherwise, go for the Neutrogena T/Sal instead which contains the same salicylic acid formula at a lower price.

Pros:

• Contains almost 3 percent salicylic acid that gently exfoliates crusts and flakes from scalp
• Doesn't contain SLS and SLES so it won't strip hair dye or excess moisture from hair

Cons:

• Very expensive and contains smaller quantity for the price tag

My Ratings:

• Flake Control - 4.5/5
• Gentleness - 4.5/5
• Strength - 4/5

#2 - Neutrogena T/Gel Therapeutic Shampoo Extra Strength

A few months ago my psoriasis had gone from bad to worse, and salicylic acid formulas just weren't cutting it.

So I decided to treat my scalp with an extra-strength coal tar shampoo - and I got this product from Neutrogena mostly because even dermatologists swear by it.

This T/Gel shampoo has a 4 percent coal tar formulation (that's double the concentration of the original T/Gel shampoo)!

The first time I used this shampoo I found that it reduced inflammation, controlled the itching and broke down the scaly crusts on my scalp. All this in one use! So they're not kidding about the "extra strength" label.

While this product claims that it’s perfectly safe to use on colour-treated hair, my hair would beg to differ. It contains sulfates and it will strip your hair dye. So be careful about using it everyday.

Another word of caution. The extra strength concentration can dry out your hair. So try using it in rotation with other shampoos.  

Pros:

• Contains almost coal tar extracts that are effective on severe psoriasis crusts
• Extra strength formula is contains twice the coat tar extracts and works in one wash
• Coal tar helps in controlling itching as well removing flakes

Cons:

• It can strip hair dye as it contains Sodium Laureth Sulfate

My Ratings:

• Flake Control - 5/5
• Gentleness - 3/5
• Strength - 5/5

#3 - Dermarest Psoriasis Medicated Shampoo Plus Conditioner

One of my main concerns about having psoriasis is that using a lot of shampoo treatments leaves my hair looking dry and brittle.

And I think this is where the Dermarest psoriasis medicated shampoo scores. II like how it contains ingredients like green tea, zinc complex and vitamin B5 formula that conditions your hair too. 

On using it I found it really similar to the DHS Sal as the main ingredient in both the products is salicylic acid that helps reduce redness, inflammation and itching on the scalp.

It also helped break down crusts on my scalp, allowing better penetration of topical ointments and creams. But what I loved most about this shampoo is that it's unscented.

Most shampoos for psoriasis have a god-awful chemically smell but this one was very pleasant to use.  

But this product is far from perfect. Looking at the ingredients list I found it contains a mix of Ammonium Lauryl Sulfate and Sodium Laureth Sulfate. So it can strip your hair dye if you're using it everyday. I'd suggest limiting it's use to once a week if you have colored hair.

I'd say go for this shampoo if you want the DHS Sal but don't want to pay for it. It's also a salicylic acid-based formula, but at almost half the price!

Pros:

• Affordable compared to other salicylic acid shampoos out there
• Contains green tea and vitamin B5 that moisturize dry hair
• Contains panthenol that helps soothe red and irritated scalp

Cons:

• Contains Sodium Laureth Sulfate and Ammonium Lauryl Sulfate that can strip hair dye

My Ratings:

• Flake Control - 4.5/5
• Gentleness - 4.5/5
• Strength - 4.5/5

#4 - MG217 Psoriasis Medicated Conditioning 3% Coal Tar Shampoo

This MG217 psoriasis medicated conditioning shampoo is a boon for those with severe psoriasis. The best part about this product is that despite high 3 percent coal tar formulation it is gentle and nourishing on the scalp. It controls flaking, itchiness and inflammation, and also removes crust and product build-up from the scalp. 

This shampoo not just controls the current symptoms of psoriasis but also prevents them from recurring. As it has an extra-strong concentration, you can use it only 3-4 times a month, saving on the product too. We also love how it leaves behind a pleasant herbal fragrance after use. 

#5 - Neutrogena T/Sal Therapeutic Shampoo

If your scalp psoriasis is of the milder form, try using this T/Sal shampoo from Neutrogena. Unlike the T/Gel, this product contains salicylic acid as an active ingredient. It’s great for reducing symptoms like redness, irritation and itching on the scalp. The 3 percent salicylic acid formulation chemically exfoliates the scalp, softening and breaking down scaly crusts.  

Have sensitive skin? Not to worry, this product is super mild. You won’t find any artificial colours, fragrances, alcohol, or preservatives on the ingredient list.

#6 - Rugby Sebex Shampoo

Like most psoriasis shampoos, the Rugby Sebex is great for all scalp conditions. Dandruff? It gets rid of the flakes in no time. Seborrheic dermatitis? It reduces inflammation too. And as for psoriasis, this product’s salicylic acid formula takes it down from the first wash. If you have severe symptoms that cause thick crust build-up, this shampoo is perfect for you.

What we love about the Rugby Sebex is that despite its powerful formulation, it's quite gentle on your hair. The shampoo is soap-free, contains nourishing ingredients like aloe vera, and helps maintain the pH balance on the scalp as well. Plus, it leaves behind a subtle apricot scent. 

#7 - Head and Shoulders Clinical Strength Shampoo

If your scalp psoriasis is mild and causes little flaking or itching, then it doesn’t make sense to apply a strong coal tar-based shampoo to the tresses. A gentler product that controls inflammation and cleanses the scalp would be enough. Like this Head and Shoulders clinical strength shampoo! 

The main component here is selenium sulfide that fights fungal infection and controls flaking of the skin on the scalp. Plus, it’s oil-controlling properties ensure that the scalp remains healthy and prevents psoriasis symptoms from getting worse. 

#8 - Dove Derma Care Scalp Dryness & Itch Relief Anti Dandruff Shampoo

This Dove Derma Care shampoo is another fantastic product for those with milder psoriasis symptoms. It contains zinc pyrithione that gently cleanses the scalp to remove dandruff flakes and prevent their reoccurrence. The formula works well for psoriasis symptoms like flake build-up, itching, irritation, etc. If these symptoms are not very troublesome, then this shampoo is better than using a heavy-handed approach like coal tar.

Another perk of using the Dove Derma Care shampoo is that your hair looks soft and shiny after use. It has nourishing ingredients like shea butter and coconut that condition the tresses and leave them frizz-free and smooth.

https://besthairlooks.com/top-pyrithione-zinc-shampoos/

#9 - Wild Naturals Eczema Psoriasis

If you want to take a herbal approach to treat scalp psoriasis, try this shampoo by Wild Naturals. While it might pinch your pocket a little, it’s organic, natural ingredients and effective formula make it worth the splurge. What’s unique about this shampoo is that its base isn’t water, it’s aloe vera! Plus, the formulation contains nourishing ingredients like coconut oil and manuka honey. They condition the hair and maintain the scalp pH balance, reducing flaking and itchiness. 

So if you have extra-sensitive skin or if the coal tar formulation is not working out for you, try this shampoo. You’ll see that sulphates, parabens, fragrances and other toxic chemicals are missing from the ingredients list. 

#10 - Puriya Natural Dandruff Shampoo

Want to go take the herbal route for psoriasis? Try this Puriya Natural shampoo. It contains tea tree oil, sage, rosemary and arnica as the chief ingredients. The pH-balanced formula reduces inflammation on the scalp, removes scaly skin and controls flake formation too. With regular use, it not just decreases psoriasis symptoms but also gives you healthier and stronger hair. 

Slightly on the expensive side, the Puriya shampoo is free of any harmful components like SLS, parabens, artificial colourants or alcohol. It’s safe for colour-treated hair and leaves behind a subtle fragrance. 

Psoriasis often does more damage than visible. Its symptoms cause embarrassment and a lack of confidence too. Naturally, there are tons of questions about psoriasis that occur in people’s minds. We have tried to answer a few of them below:

What are the symptoms of psoriasis on the scalp?

At first glance, you might mistake psoriasis for an infection-related dandruff problem. The symptoms are quite similar. There’s the build-up of dead skin cells that look like dandruff flakes, itchiness and, in some cases, pain.

If you’ve got scalp psoriasis, you might notice these signs on your neck, the back of your ear and forehead as well. 

The main indicator of scalp psoriasis is, however, a distinct silvery, scale-like appearance on the affected areas. Other symptoms might include:

• Bleeding on the scalp: This could be due to severe dryness or constant scratching because of itchiness. 
• Soreness and pain due to constant scratching
• Hair fall due to the unhealthy scalp condition

Scalp psoriasis can be mild or severe. You can know how bad you’ve got it depending on how intense the symptoms are. And also from the formation of almost plaque-like crusts on the scalp. 

What ingredients to look for in a shampoo for psoriasis?

A good shampoo for psoriasis can help relieve the symptoms like dryness, itchiness and irritation. Make sure any product you pick contains one or more of the following ingredients:

• Coal Tar: Yes, coal tar. We know it sounds odd, but coal tar has been proven to be therapeutic against psorissis. It really helps reduce itchiness and even softens the scales on the scalp. Try using a coal tar shampoo that comes with nourishing ingredients like coconut oil.
• This is better for your scalp as using a conditioner after shampooing with a tar-based product is not recommended. Skip the coal tar shampoo if you have cuts, sores or blisters on your scalp.
• It’s also better to stay away from the sun for at least 24 hours after using a coal tar shampoo as it increases your sensitivity to sunlight. 

• Salicylic Acid: This ingredient works wonders for not just scalp psoriasis but for other skin conditions like acne too. If you have severe crust formation on your scalp, it softens them up and causes them to fall away in no time. There is also research proving salicylic acid's effectiveness as an anti-inflammatory agent for psoriasis.

• Zinc Pyrithione: It’s a common ingredient in anti-dandruff shampoos. Zinc pyrithione normalises the way the scalp cells work, preventing the formation of flakes and patches. 

• Ketoconazole: Another anti-dandruff ingredient, ketoconazole helps reduce inflammation which is a common symptom of psoriasis. 

How do I use a shampoo for psoriasis?

The best way to use a psoriasis shampoo is the same as using any other shampoo. Wet your hair, apply a dime-sized amount. Massage it in. Wait for a few minutes. Then, rinse off. The only catch here is that the waiting time of 5-10 minutes is crucial. 

Another thing to remember is to be gentle while massaging the shampoo on your scalp. Use your fingertips instead of the nails, and make sure you don’t scratch the affected areas. 

If your psoriasis is very advanced, then a pre-treatment to remove the crusts can also be necessary. And if your doctor is the one prescribing your shampoo, always ask them how often you need to wash your hair and how long to leave the product on. 

How do I manage scalp psoriasis?

Like we discussed, using the right shampoos can play a major role in keeping your scalp psoriasis in check. Apart from them, we recommended the following tips:

• Treat your hair gently: This is good advice for all times, but especially if you have scalp psoriasis. Don’t rub your hair forcefully while shampooing. Also, keep the scratching to a minimum. 

• Wait for treatments to work: Like all good things, they take time. Whether it’s shampoos, creams, steroids or hair masks, topical treatments for psoriasis need at least eight weeks to show their effects. You shouldn’t stop using them when you get better either. Just reduce their application to once a week. 

• Keep away from the blow-dry: The hot air aggravates the symptoms of psoriasis. Let your hair air dry instead. It’s better for your tresses in the long run too.

• Apply treatments correctly: Make sure the shampoos and creams you are using to treat psoriasis are applied on the scalp directly. A pro tip is to divide your hair into partitions while shampooing or using these products. Also, let any shampoo sit for at least five minutes before washing off. 

• Pre-treatment is essential: If you have severe psoriasis crusts on your scalp, it can get difficult for treatments to get absorbed into the scalp. Always use creams or oils beforehand to soften and remove these scaly crusts. 

Hair is often a person’s pride. And psoriasis is notorious for making your self esteem to take a hit. But things can always be turned around, mainly by using the right products.

Take your pick from these shampoos, according to the severity of your condition, budget and other considerations. They will have your scalp healthy and clear in no time. Till then, whatever you do... do not scratch that itch.

Also read:

Top Ketoconazole Shampoo

Top Selenium Sulfide Shampoos