The scalp often suffers from psoriasis, and especially the part that is hidden under the hair. This dermatosis also has another name - seborrheic, because it manifests itself with flaking, similar to dandruff.
Its treatment is not easy, but with the right approach it is quite effective. A mild form of the disease can be treated with shampoo for psoriasis on the head. If the disease has become severe and debilitating, combination therapy is required.
Basic principles of treatment
The main thing in the treatment of scalp psoriasis is to suppress inflammatory processes and the mechanisms that trigger them.
Many points are taken into account:
- How widespread is the process?
- stage of dermatosis;
- what could “awaken” psoriasis;
- existing diseases;
- gender and age of the patient.
Treatment of scalp psoriasis (SCH) involves gentle skin care.
Dermatosis greatly changes its structure, forcing epithelial cells to renew themselves very quickly. As a result, the skin dries out, cracks appear on it, and a bacterial-viral infection develops.
Therapy involves several stages:
- the use of keratolytics such as urea or salicylic acid. These components effectively remove peeling;
- cleansing the skin with corticosteroids, fungicides, tar, preparations with vitamin D, ultraviolet light;
- stabilization and maintenance of the condition using a combination of the methods listed above, supplemented with medicated shampoo.
It is important to choose the right product.
For ICH psoriasis, you should use shampoos of different strengths and alternate them. Always study the composition of the product. This applies not only to medicated shampoos, but also to everyday ones. If the product contains “hard” surfactants, for example, sodium lauryl, fragrances and preservatives, you should not take it. Such a shampoo will destroy the already weakened epidermal protection of the skin, drying it out.
The best choice is hypoallergenic products with “soft” surfactants: glyceryl monooleate, cocoa glyceryl, rapeseed and castor oils, etc.
Shampoos for psoriasis also necessarily include anti-inflammatory, restorative and keratolytic components.
The most active of them are: tar, ketoconazole and zinc and, of course, salicylic acid and vegetable oils.
Baby shampoos
Shampoo for psoriasis for children is suitable for both treatment and prevention. Its effect is weak, and there are no potent substances in its composition.
Jhonson's Baby
Well moisturizes the skin, restores its water balance, firmness and elasticity. The scales of the papules peel off, but the papular rashes themselves are not injured.
Hipp
Can even be used for newborns. It contains extracts and extracts of medicinal plants that soften and moisturize delicate skin. The product is suitable for daily use.
Me and mom
Another product where the main component is herbal ingredients. It not only moisturizes the skin well, but also helps remove toxins. Used for children who have crossed the three-year threshold of life.
There are many cleaning agents that help fight psoriasis. Before purchasing, the pros and cons, advantages and disadvantages are assessed; The composition is studied to ensure the absence of harmful substances.
And it is best to coordinate the choice with your doctor, dermatologist or trichologist, get recommendations and only then begin treatment.
How does medicated shampoo work for scalp psoriasis?
If you notice the first signs of dermatosis: redness, papules and itching, immediately stop using regular shampoo. Cosmetics can worsen skin condition. Consult a dermatologist and continue to use shampoo prescribed by your doctor.
The right product:
- relieves pain;
- will reduce peeling and moisturize the epidermis;
- promotes rapid regeneration of damaged skin;
- will minimize itching or completely eliminate it.
The healing properties of shampoo are determined by its unique composition.
According to the method of influence they can be divided into groups:
- antifungal agents;
- medicinal shampoos. Usually contain a drying agent: zinc or ketoconazole;
- products with tar.
Shampoo with tar is contraindicated for kidney pathologies.
Contraindications
The instructions for use of Etrivex shampoos indicate the age limit: only from 18 years old. However, the doctor may allow the use of the drug at an earlier age.
You should absolutely not use the product:
- if you are allergic to the ingredients of the drug;
- during infectious and parasitic skin diseases (chickenpox, herpes, dermatomycosis);
- cannot be used for skin tuberculosis, syphilis rash;
- with erosive injuries of the epidermis;
- it is unacceptable to use during lactation and pregnancy;
- for acne.
Do not allow shampoo to come into contact with the mucous membranes of the eyes and eyelids (risk of cataracts and glaucoma).
How to wash your hair for scalp psoriasis: names of the best remedies
Degtyarny
This shampoo contains one of the types of natural tar: birch, pine or juniper. The medicine is often prescribed by dermatologists because it quickly relieves pain and cracking of the dermis. But patients suffer most from itching in the area of papules.
Tar shampoo
Etrivex
The main therapeutic component here is the hormone clobetasol. It removes dry crust from plaques and soothes itching. Etrivex is applied to the hair and left for 15 minutes. Then the product is washed off. If after a month the situation has not improved, the drug should be discontinued. Course of treatment: 1-2 months. Etrivex works well when paired with an exfoliating shampoo.
Sulsena paste
The active substance is selenium disulfide. Destroys the growth of fungi, penetrating into their cellular structure, normalizes skin regeneration, and eliminates itching. It is used during the active phase of psoriasis and as a prophylactic agent.
Sulsena paste
Decros from Vichy (Vichy Decros)
Luxury French drug. Recommended for very dry skin. It has a pronounced antifungal effect and is completely pH neutral. Made from thermal water. Suppresses pathogenic flora and reduces the greasiness of the dermis. Remaining on the hair roots after rinsing, Decros prevents the re-formation of dandruff.
Sebozol
The product is effective for the seborrheic form of psoriasis. Cure is observed in 84% of patients.
Sebozol
Sebozole is indicated for:
- versicolor;
- mycosis;
- atopic dermatitis.
Duration of use: 4-6 weeks. After recovery, it is recommended to continue using the product once every 2 weeks to avoid relapse.
Cynovitis
The active substance is zinc perithion. The shampoo relieves dryness and irritation of the skin, reduces skin greasiness, and removes dandruff. Has a soft and gentle effect on the skin.
Nizoral
Highly effective antifungal drug. The active substance is ketoconazole. Despite the fact that its content in shampoo is quite high, it does not penetrate the skin into the blood.
Nizoral
This makes Nizoral completely harmless. It can be used without fear during pregnancy and lactation. Although the remedy is considered an antiseborrheic, it is most often used specifically for ICH psoriasis.
Keto plus
High-quality antifungal shampoo. Particularly effective for seborrheic dermatitis. The remission period lasts longer than with similar drugs. The active components (ketoconazole and zinc pyrithione) are synthesized artificially. Course: 1 month
Ducray Curtiol PSO
Reduces peeling well. Eliminates the causes of ICH hyperkeratosis. The active ingredients are glycoic and salicylic acids. For the best effect, use shampoo 3 times a week for a course of 1.5 months.
Ducray Kertyol PSO
Friderm Tar
Basic component: carefully purified coal tar. Its strength lies in the following properties:
- astringent;
- antifungal;
- drying;
- vasoconstrictor.
Self-treatment is not advisable, since shampoo dries out the skin greatly. Its use should not exceed 1-2 times a week.
Skin cap
Widely used as a therapeutic agent. The active ingredient is also zinc pyrithione. The shampoo successfully copes with all manifestations of dermatosis, eliminating not only the symptoms of psoriasis, but also the very cause of its appearance.
Shower gel and shampoo Skin-cap
Zinc as an active substance prevents abnormal cell division without interfering with their normal growth. And methyl ethyl sulfate additionally ensures better skin permeability, delivering active substances to its deepest layers.
Psoriloma Zinc-Balance
Indicated for itching and irritation of ICH and all types of dandruff. Non-hormonal, combined shampoo.
911
This type of domestically produced tar shampoo is very popular among patients. It actively fights dandruff and psoriasis, fungus and seborrhea.
Shampoo 911
The shampoo copes with dermatitis because it consists of:
- birch tar, which effectively inhibits the autoimmune reaction;
- coconut oil, softening the skin;
- glycerin, which makes hair soft;
- hypoallergenic fragrance that eliminates the specific tar odor.
You should wash your hair with 911 2 times a week. But a lasting effect is achieved only after 2 months or more.
Clear Vita Abe
This is a French product. The shampoo gets rid of dandruff and prevents its appearance on any skin type. Clear contains the patented mineral and vitamin complex Nutrium 10, which intensively nourishes the 3 upper layers of the intracranial cyst.
Shampoos against psoriasis with active substances are used for a course of 2 weeks to 1.5 months. Try to use sulfate-free products.
Release form and composition
Dosage form of Etrivex - shampoo 0.05%: viscous translucent liquid from colorless to slightly yellow with the smell of alcohol (30, 60 and 125 ml in polyethylene bottles, each bottle is packed in a cardboard box). Composition of 1 g shampoo:
- active ingredient: clobetasol propionate – 500 mcg;
- additional components: sodium citrate, sodium lauryl sulfate, citric acid monohydrate, cocobetaine, ethanol 96%, polyquaternium, purified water.
https://www.youtube.com/watch?v=https:qdoMC-9_N1Y
The active ingredient of the drug is clobetasol propionate, a glucocorticosteroid intended for topical use.
Available in the form of shampoo in a polyurethane bottle with a volume of 60 milliliters, 1 gram of product contains 500 micrograms of the active ingredient.
The active substance penetrates into the deep layers of the dermis, but is practically not absorbed into the systemic bloodstream.
Therapeutic properties of shampoo:
- prevents the marginal accumulation of neutrophils, which reduces the response of the immune system to irritant allergens;
- suppresses the release of inflammatory exudate;
- reduces the intensity of absorption and accumulation of toxic substances in skin cells;
- constricts small blood vessels;
- stops inflammatory processes;
- eliminates itching.
The auxiliary components of the product dry out and have an antiseptic effect, promote exfoliation and cleanse the skin of psoriatic plaques. As a result of using shampoo, the acid-base balance of the dermis is regulated and cosmetic hair care is provided.
Homemade masks to strengthen hair
List of the most effective and easy-to-prepare firming masks:
- olive-lemon . Suitable for dry hair. Preparation: half a glass of oil is mixed with the juice of half a lemon. The mask is immediately applied to the hair, covered with a warm cap for half an hour. Then rinses;
- carrot-egg . Carotene contained in carrots and lecithin in egg yolk nourish hair and strengthen its roots. Proportions: 1 medium carrot and 1 chicken egg. Mix everything, apply to the scalp, wrap in a warm towel for an hour and a half. Rinse;
- olive-honey . The components are mixed in a 1:1 ratio and heated slightly. The mixture is ready. Leave on hair for 20 minutes. Wash off;
- nettle infusion . Proportions: half a glass of fresh chopped herb to 500 mg of water. Leaves and roots of nettle are poured with water and heated (do not boil) for 20 minutes. When the composition has cooled, you can already rinse your hair with it, but it is better to let it sit for 3-4 hours;
- mask of kefir and mustard . Suitable for oily hair. You will need: 100 g of kefir, yolk and 1 tbsp. dry mustard powder, 2 drops of any essential oil. Rub the mixture into your hair and leave for half an hour. Rinse off.
For masks to show the best results, determine your hair type and then select the appropriate composition. Only burdock rhizome and nettle can be considered universal remedies.
Rules for caring for women's and men's scalp
Unlike the weaker sex, men do not pay such close attention to the condition of their hair. But in vain. You need to take care of your hair constantly. It won't take much time and will then become a good habit.
For hair to live long and be healthy, both men and women will need:
- high quality comb . It should not be harsh or too frequent. Keep your comb clean: wash it regularly;
- good cosmetics . Shampoo is selected according to hair type. If in doubt, consult your hairdresser.
Complete care includes:
- proper washing . The water should not be hot. Oily hair requires more frequent washing: oily hair – after 2 days, and dry hair – after 4 days
- gentle combing . Don't tear your hair. Start combing from the ends. Be careful with wet hair: it can be pulled out more easily. If your hair is long and colored, it should only be combed dry;
- gentle drying. Natural drying is best. If you use a hair dryer, do not make the air hot;
- monitoring the condition of hair and skin . If a problem occurs, consult a dermatologist;
- nutrition . Your diet should consist of seafood, vitamins A and B, protein and copper. Don’t forget about strengthening masks;
- regular haircut . It's good for hair.
Protect your hair from frost and scorching sun. Wear hats in winter and panama hats or hats in summer.
What effect does it have?
The drug has a universal effect and eliminates several problems at once. This is due to its multicomponent nature. Shampoo helps:
- eliminate psoriatic plaques;
- relieve the patient from peeling;
After using shampoo, the intensity of peeling becomes less
- remove seals on the skin;
- moisturize the skin;
- restore metabolic processes.
After the first use of the drug, the itching and burning goes away. The patient begins to feel much better. Sleep is normalized and redness of the skin goes away. The shampoo has a soothing effect.
After regular use of the product, the external manifestations of psoriasis disappear. If you follow all the doctor's recommendations after stopping the course of therapy, keratinized crusts will not appear again.
Prices at the pharmacy
The cost of medicinal shampoos is influenced by the presence of active substances in the composition of the drug and the country of manufacture.
Domestic products are cheaper than imported ones. So the price of Friederm Tar is about 330 rubles. And the French Decros from Vichy - 700 rubles.
The high cost of products containing ketoconazole and corticosteroids. And shampoos containing salicylic acid or zinc are quite affordable.
When purchasing expensive products, it is better to first consult a dermatologist.
Diagnostics
To choose the optimal treatment method, it is necessary to conduct a diagnosis. First, the dermatologist interviews the patient, finds out complaints and medical history.
To diagnose psoriasis, the doctor examines the patient for the presence of the psoriatic triad:
- symptom of stearin stains - if the surface of the papule is scratched, it becomes white, stearin scales begin to separate;
- terminal film phenomenon - when the scales are removed, the skin becomes red and shiny;
- Auspitz's sign, or blood dew syndrome - scraping causes pinpoint bleeding.
- The fact that the disease has entered a regressive stage is indicated by Voronov's symptom - a light ring forms around the papules.
To clarify the diagnosis, microscopy of skin scales and skin biopsy are performed.
Reviews from doctors and patients about medicinal hair washing products
The expected result from treating ICH psoriasis with medicated shampoos can be obtained quite quickly, the main thing is the right choice. Doctors advise all patients suffering from this type of dermatosis not to limit themselves to shampoos alone.
An integrated approach is needed, including an additional medication solution.
When the shampoo prescribed by your doctor does not give the desired effect, inform your dermatologist, he will find the best solution. Patient reviews:
- Inna V. N-Novgorod . My doctor recommended using Friederm-zinc. I was pleasantly surprised by the low price of the shampoo. After the first use, the itching went away and the skin began to peel less. I used the shampoo for a long time, and it helped me;
- Katerina E. Saransk . I would like to advise how to get rid of psoriasis with the drug Nizoral. It is very important to alternate this shampoo with another product during the treatment process. I used baby shampoo;
- Alexey N. Kazan . I purchased Skin-Cap shampoo at the pharmacy on the advice of the pharmacist. The shampoo turned out to be very effective. However, I noticed that as soon as I stop using it, the effect disappears;
- Anna M. Ufa . I use Cynovit antifungal shampoo on the recommendation of a dermatologist. I liked the drug, my skin became softer and my dandruff disappeared. I tried tar shampoos before, but it didn’t help due to allergies;
- Vika M. Volzhsk . I use product 911. We have very hard water at home and dandruff has appeared in my hair. I've been using the product for almost a year, the problem has gone away.
Pharmacological properties
Pharmacodynamics
Clobetasol is a glucocorticosteroid that has anti-inflammatory, vasoconstrictor and antipruritic effects.
The mechanism of anti-inflammatory activity is not fully understood, but it is believed that GCS act by inducing lipocortin proteins, which inhibit phospholipase A2. As a result of this process, the release of arachidonic acid, which is a precursor of powerful inflammatory mediators such as leukotrienes and prostaglandins, is suppressed.
Thus, due to the induction of lipocortins, clobetasol reduces the biosynthesis of the main inflammatory mediators, and, therefore, has anti-inflammatory properties.
Pharmacokinetics
Clobetasol is characterized by low systemic absorption when applied topically, so the likelihood of developing systemic effects when treated with Etrivex is extremely low. However, the risk of systemic effects is possible when applying the drug to large areas of the body, especially with impaired integrity of the skin or inflammation of the skin.
Clobetasol is metabolized primarily in the liver, and to a lesser extent in the kidneys.
https://www.youtube.com/watch?v=ytaboutru
Excreted by the kidneys.
