You can learn more about how we ensure our content is accurate and current by reading our. You can prevent scalp yeast infections by practicing good head hygiene and keeping your scalp clean and dry. As the Mayo Clinic explains, ketoconazole cream, foam, or gel is used to treat things like: Ketoconazole shampoo is used for dandruff, itching, flakiness, and hair loss. All rights reserved. We also included shampoos with other research-backed ingredients, like selenium sulfide. But other shampoos, such as the ones with coal tar or pyrithione zinc, may only be recommended for use once a week. Nizoral's anti-dandruff shampoo is a clinically-tested product that addresses the root cause of having a flaky scalp. Guided by experts, we spend hours looking into the factors that matter, to bring you these selections. 2023 Healthline Media LLC. Any product containing aloe, pyrithione zinc, or green tea will make the scalp feel much better, she said. Management of scalp psoriasis: Current perspectives. Try searching for what you seek or ask your own question. The pH balance is designed to optimize scalp health, making it safe to use for any hair type and problem (from psoriasis to seborrheic dermatitis). They say its great for targeting a dry, itchy, and flaky scalp, and it seems like a good choice for most hair types. The cooling effect of menthol, derived from eucalyptus and peppermint, can feel heavenly on an irritated scalp. If you would like to learn more about finasteride, please see the full prescription information here. For those people it can cause many of the conditions it would normally treat, like dermatitis. Leaves hair looking healthy and hydrated. We explore different categories of shampoo to get a broad view of whats available. This dandruff-control option from DHS also contains pyrithione zinc, is clarifying yet soothing to the scalp, and is highly recommended by board-certified dermatologist Caren . Shall i stop using the Nizoral shampoo. It might come as a surprise but there are dozens of scalp conditions that look just like dandruff - but aren't dandruff ! And there you have it: everything you need to know about how ketoconazole shampoo treats dandruff, itching, and hair loss. Its been shown to help decrease inflammation and reduce pain when applied topically. Of course, its always wise to check the packaging to ensure youre following all the directions. Select one or more newsletters to continue. Active Ingredients: None | Uses: Dryness, flaking, and itching of scalp due to dermatitis or excess product build-up, Pediatrician-approved for infants and children. Although some doctors warn their patients that any treatment for scalp seborrheic dermatitis may lose its effectiveness after three months of use, a study evaluating a zinc scalp treatment at six and 11 months showed no loss of effect.20 A study of the long-term use of ketoconazole shampoo for maintenance therapy also showed no degradation in effectiveness over time.21 What may appear to be a worsening of symptoms despite continued use of a treatment may actually represent the natural, varying course of the disease. Ask the Expert: How Does Psoriasis Affect Women Differently Than Men? Doing these things while using the right dry scalp shampoo for you will help you to avoid flakes, dandruff, itchiness, and other symptoms of unhealthy scalps. Best Salicylic Acid Shampoo: Nizoral Scalp Psoriasis Shampoo & Conditioner 3. Ketoconazole is a medication thats used to treat infections caused by a fungus or yeastthink things like ringworm or athletes foot. 1 Best Overall Dandruff Shampoo Head & Shoulders Dry Scalp Care 2 in 1 Dandruff Shampoo $4 at Walmart 2 Best Value Dandruff Shampoo Dove Dermacare Scalp Soothing Moisture Shampoo. Tea tree and menthol help cool itching rapidly. Fresh scent. What Shall I do . A medical dermatologist from our Medical Expert Board reviewed the following information to ensure accuracy in terms of the efficacy of ingredients, keeping hair hydrated, and OTC versus prescription options. Find a good conditioner and make sure that youre keeping your hair and scalp moisturized. Neutrogena claims the shampoo starts working immediately and continues to be effective after its rinsed. You can usually find out if a shampoo is safe for color-treated hair by checking with the manufacturer or reading through customer reviews online. Theres both 1% and 2% ketoconazole shampoo (which refers to the concentration of ketoconazole in the solution). Be patient. The symptoms of psoriasis may come and go, but the best way to prevent flare-ups is to avoid known triggers. Ovid was searched using the keywords seborrheic dermatitis and microbiology. It starts working from the first use, so relief is nearly immediate. You are encouraged to report negative side effects of prescription drugs to the FDA. This will help prevent a relapse. We recommend these products based on an intensive research process that's designed to cut through the noise and find the top products in this space. Search date: February 8, 2014. We may earn commission from links on this page, but we only recommend products we back. (See our policy) Shampoos. This is especially important for anyone that not only has scalp itching, but burning, pain and hair loss as well. Salicylic acid is a beta hydroxy acid thats often used as an exfoliant. To see the best results, its recommended to use this shampoo every three to four days for up to eight weeks and to leave it on for five to 15 minutes before rinsing it off. For cases of dandruff accompanied by itchiness, as well as conditions like seborrheic dermatitis and psoriasis, dermatologists recommend therapeutic shampoos formulated with coal tar . I started using Nizoral from March 8. It claims to fight irritation, itchiness, redness, and scaling. Neutrogena T/Sal Therapeutic Shampoo Scalp Build-Up Control is an effective solution for individuals suffering from dry, itchy, and flaky scalps. Why Does My Scalp Smell and How Do I Treat It? For example, one 1998 study indicated that 2% ketoconazole shampoo increased hair density, as well as the proportion and size of anagen hair follicles, at nearly the same rate as minoxidil regimens. A deeply nourishing shampoo that cools and calms itchy scalps. 2023 Kramer Laboratories, All Rights reserved. Itcleanses excess oil from the scalp and hair and awakens with a cool, refreshing feeling. The only reported downside is the smell, a common issue among coal tar shampoos. It may take several months after treatment is completed for your natural skin color to return. Nizoral battles dandruff while controlling flaking, scaling, and itching thanks to its formulation withketoconazole 1%. Lathers well. If you use a shampoo containing tea tree oil and you find have a reaction to it, stop using it immediately. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Studies show that, because its stronger, 2% ketoconazole shampoo is often more effective and, as a result, is used for more severe cases of itching and flakiness. There's a wide range of causes. This fragrance-free pick is both a shampoo and conditioner that targets itching and flaking from psoriasis. FYI: If youre using the product on your scalp (as a dual-purpose shampoo and dandruff treatment), you should follow up with an antifungal conditioner, too. Flexural lichenification in adults; facial and extensor involvement in infants and children, Typically confined to mucous membranes and intertriginous regions, Characteristic distribution patterns from irritant or allergen, Brown-red, scaly eruption of toe webs, groin, and axillae, Superficial skin infection caused by streptococci and/or staphylococci; begins as vesicles with thin, fragile roof, Eczematous eruption caused by habitual scratching of single localized area; more common in adults, but possible in children, One or several coin-shaped plaques on extremities, typically on backs of hands, Begins with herald patch; Christmas-tree distribution of salmon pink papules over trunk and proximal extremities, Distinctive red, scaling papules that coalesce to form round-to-oval plaques, Erythematous, edematous eruptions of papules and pustules on forehead, cheeks, nose, and eyes, Copper-colored scaly plaques on palms and soles accompanied by an influenza-like syndrome and generalized adenopathy, Discoid: disk-like lesions on face and scalp; subacute: photo-distribution papulosquamous, annular lesions over trunk; acute: photo-distribution red plaques forming facial butterfly rash; infants: appears in first month of life; papulosquamous, annular lesions, Dermatophyte infection of the scalp or body; leading edge (active border) scaly, red, and slightly elevated with central clearing; vesicles appear at active border when inflammation is intense; classic ringworm pattern, Contact dermatitis, folliculitis, photosensitivity, Betamethasone valerate 0.12% foam (Luxiq), Hypopigmentation, pruritus, skin atrophy, stinging, Clobetasol 0.05% shampoo (Clobex), alternating with ketoconazole 2% shampoo, Each twice weekly, alternating medications, for up to two weeks, Burning, erythema, folliculitis, hypopigmentation, pruritus, skin atrophy, Burning, dryness, hypopigmentation, skin atrophy, Burning, cough, fever, hypopigmentation, pruritus, rhinorrhea, skin atrophy, $58 ($58) for 90-g tube of cream, $36 for 30-g tube of gel, Ketoconazole 2% cream, foam (Extina), or gel (Xolegel), Twice daily for eight weeks, then as needed, $15 for 30-g tube of cream ($355 for 50-g can of Extina, $495 for 45-g tube of Xolegel), Contact dermatitis, tenderness, xeroderma, Burning, headache, upper respiratory infection, Burning, influenza-like symptoms, pruritus, Betamethasone valerate 0.1% cream (Beta-Val) or lotion, Hypopigmentation, skin atrophy, stinging, telangiectasia, $13 ($7) for 15-g tube of cream; $25 ($13) for 60-mL bottle of lotion, Desonide 0.05% cream, foam (Verdeso), gel (Desonate), lotion (Lokara), or ointment (Desowen), Burning, hypopigmentation, skin atrophy, stinging, upper respiratory symptoms, $15 for 15-g tube of cream; ($295 for 50-g can of Verdeso); ($419 for 60-g tube of Desonate); $73 ($73) for 59-mL bottle of lotion; $13 ($28) for 15-g tube of ointment, Fluocinolone 0.01% cream, oil (Derma Smoothe), or solution (Synalar), Burning, cough, dryness, fever, hypopigmentation, irritation, pruritus, rhinorrhea, skin atrophy, $23 for 15-g tube of cream; $84 ($210) for 118-mL bottle of oil; $32 ($289) for 60-mL bottle of solution, Burning, hypopigmentation, pruritus, skin atrophy, $4 for 28-g tube of cream; $7 for 28-g tube of ointment. Consult your pharmacist or local waste disposal company. She has a degree in communications from Le Moyne College and is currently a Roy H. Park Fellow at the UNC Hussman School of Journalism and Media. Moisturizes and soothes your dry, itchy scalp. The diagnosis can be challenging in patients with darker skin, but the same principles apply. Protects your hair, no matter your hair type. The trouble is, if you dont understand why your scalp is itching in the first place, you might have a hard time pinpointing the right for you. Apply enough shampoo to produce enough lather to clean hair and scalp. I started using Nizoral from March 8. Youre convinced you cant have both. It also keeps your hair itself from getting dry and brittle for overall hydration and moisture. While I move my fingers in my hairs the dandruff is coming from my hairs. Itchy scalp can have many causes, but it always leads to the same result: irritation. Read on to learn more about the expert-recommended shampoos to soothe your scalp. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. "It contains aloe vera, an anti-inflammatory ingredient to soothe the. It might also cause red, scaly skin on your scalp. Psoriasis is a chronic skin condition that can happen anywhere on the body. We did the research to find seven great options that may help break down scales and reduce itching and flaking. One small, older study also suggests that this ingredient may help with hair regrowth. The best way to encourage a healthy scalp and avoid a dry and itchy scalp is to keep your scalp clean and refreshed, said Stevens. This content is owned by the AAFP. But what does it do, how does it work, and how can you use it? Not only does it clean the scalp, but leaves hair strong and full with a helpful dose of biotin. If treating skin other than the scalp, wet the skin and apply the shampoo to affected area and the surrounding healthy skin. Its a good idea to check the directions on the bottle of shampoo you choose to treat your seborrheic dermatitis. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If you want to both shampoo and condition in one swoop, Neutrogena's Daily Control 2-in-1 Anti-Dandruff Shampoos is the one for you. Amari is a freelance writer with a focus on health, culture, and relationships. A potent scalp-soothing shampoo that will leave your hair looking healthy and vibrant. When choosing an itchy scalp shampoo, its also important to pay attention to the size of the bottle and how many uses youll be able to get out of it. How often should I use my shampoo for seborrheic dermatitis? My scalp is getting itchy. Nizoral Anti-Dandruff Shampoo. We recommend them without reservation. Menthol is derived from herbs like peppermint and eucalyptus. It sometimes crops up in areas that are hard to treat, such as the nails and scalp. ACCEPT, BestReviews spends thousands of hours researching, analyzing, and. Ready to find the right scalp shampoo for you? Leaves hair feeling soft and shiny. Rinse thoroughly and repeat, leaving the lather on for an additional 3 minutes. Rich P, et al. . Please guide me. Its designed to be gentle on the scalp. Its important to look at your lifestyle in a holistic way and make sure youre eating right in addition to using the right hair and scalp products. This one is great for eczema-prone skin and will help ease your urge to itch. Our research allows us to identify products that accomplish these goals. This pick is also recognized by the National Psoriasis Foundation. Doesn't irritate sensitive skin. This document does not contain all possible drug interactions. Anti-Dandruff Shampoo. $18.19. The scientific data isnt fully conclusive about how ketoconazole contributes to stopping hair loss or increasing hair growth, but there is a lot of evidence that it can help. Let the product sit on your scalp for a few minutes see package directions so it has time to work. In those cases, its available as a cream, foam, or gel. "This is an over-the-counter version of a prescription medicated anti-fungal shampoo and an effective treatment for many types of scalp irritations," said Dr . This shampoo is truly formulated to improve the health of your strands and scalp. If using the over-the-counter strength of the shampoo (1%), apply the shampoo, lather, and rinse thoroughly. yes I am applying shampoo twice a week. This survey is being conducted by the WebMD marketing sciences department. A quick look at the best shampoos for scalp psoriasis, Head & Shoulders Clinical Strength Shampoo, Neutrogena T/Gel Therapeutic Shampoo Extra Strength, Dermarest Psoriasis Medicated Shampoo Plus Conditioner, Selsun Blue Medicated Max Strength Dandruff Shampoo, How we chose the best shampoos for scalp psoriasis, American Academy of Dermatology Association (AAD), Healthlines picks for the best scalp psoriasis shampoos, How to choose a shampoo for scalp psoriasis, ncbi.nlm.nih.gov/pmc/articles/PMC5683126/, sciencedirect.com/science/article/pii/S0190962215021398, aad.org/public/diseases/psoriasis/treatment/genitals/scalp-shampoo. Dr. Note: If you have bleached, tinted, gray, or permed hair, Head & Shoulders recommends rinsing for 5 minutes after shampooing, likely because these hair types are prone to weakening. These types of ingredients have been known to dry the scalp out more and may cause more irritation and itching. Per maggiori informazioni sulle modalit di utilizzo dei dati sensibili, consulta la nostra Informativa sulla privacy e la nostra Informativa sui cookie. The characteristic symptomsscaling, erythema, and itchingoccur most often on the scalp, face, chest, back, axilla, and groin. These services are available 24/7. It contains 1 percent ketoconazole, which is a popular treatment for psoriasis. These are two ingredients recommended by the American Academy of Dermatology Association (AAD). Why Trust Us? Follow your itchy scalp shampoo with a nourishing conditioner to keep your hair and scalp moisturized. Thank you, {{form.email}}, for signing up. Repeat this process. We note the price per ounce when determining a shampoos value for the money. Get the facts. Medicated shampoos can be used once a day or 2 to 3 times a week for several weeks. Nizoral dandruff shampoo is an antifungal shampoo that you can buy to treat a dry, flaky, red, itchy scalp. Salicylic acid helps dandruff and is found in Ionil Plus, Scalpicin Scalp Liquid, T/Sal, and Denorex Extra Strength. Seborrheic dermatitis is a clinical diagnosis based on the location and appearance of lesions. Your scalp remains flake-free with the shampoo's thick Lather & Leaves hair manageable & shiny. Most reviewers mention how well this product works for their psoriasis and confirm that its actually fragrance-free. The severity of symptoms can be affected by stress and sun exposure, and often has a variable course despite treatment. While I move my fingers in my hairs the dandruff is coming from my hairs. (n.d.). If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. This therapeutic shampoo even helps control the symptoms of common dandruff, clearing and helping prevent flakes and scalp build-up. This formula also . Oribe is one of the most luxurious (and expensive)shampoos on our list, but it contains many of our expert-recommended ingredients like Niacinamide. And when I use any oil, like coconut or other oil, I feel more itchiness on my scalp and my hair was falling also so I've started Nizoral 20mg because I thought it is dandruff, after using the shampoo I feel less itchiness, but after few hours I feel itching again, I don't know what should I do to finish this itchiness. Properly discard this product when it is expired or no longer needed. Dry skin usually has much smaller flakes that appear white in color, and it usually doesnt make skin red and scaly. $45 at Amazon $32 at Walmart "I highly recommend Nioxin Scalp Relief Kit for a great cleansing shampoo," said Stevens. Topical corticosteroids are effective in treating seborrheic dermatitis and should be used sparingly to avoid adverse effects. Me 2 already 3 months nothing changed it's not good my friend same. Philip Kingsley Flaky Scalp Cleansing Shampoo is a little pricier than some others on our list, but many swear by it to soothe dry, itchy scalps. This formula is virtually free of any harmful ingredients: no fragrance, dye, alcohol, parabens, sulfates, or BPA. Many people using this medication do not have serious side effects. Dr. Zeichner says that over-the-counter products are often all that is needed to combat seborrheic dermatitis, so drugstore shampoos are probably the best place to start. Some, including MG217 Medicated Conditioning Shampoo, Neutrogena T/Gel Therapeutic Shampoo, and Dermarest Psoriasis Medicated Shampoo Plus Conditioner, are even considered effective treatments by the National Psoriasis Foundation. The brand also claims that this shampoo is safe for color-treated and gray hair. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Enter your medication into the WebMD interaction checker, Understanding Your Child's Atopic Dermatitis, Psoriatic Disease Treatments: How to Save Money, inflammation and infection of nail cuticle, a fungal infection of the skin called tinea versicolor, a skin infection due to the fungus Candida. If the shampoo gets into the eyes, rinse thoroughly with water. Amazon reviewers are floored by how well it works and confirm that it has a clean, fresh scent. Apply enough shampoo to work up a good lather and gently massage it over your entire scalp. We avoid using tertiary references. Leah Ansell, MD, is a board-certified dermatologist and an assistant professor of dermatology at Columbia University. 4.3 out of 5 stars. A natural shampoo that employs a botanical blend to calm itch without irritating your scalp further. Reviewers rave about how effective it is for dry, itchy scalps. Nizoral is the only over-the counter anti-dandruff shampoo that contains Ketoconazole, a clinically proven, powerful dandruff fighting ingredient. A good everyday shampoo for those that suffer from dry, irritated scalps. Carefully follow your doctor's instructions or the package directions. Best Bang for the Buck. This shampoo lathers quickly, seeping into the scalp to relieve common symptoms caused by dandruff and leaving your hair smelling fresh. Tell your doctor right away if you have any serious side effects, including: hair loss. https://familydoctor.org/familydoctor/en/diseases-conditions/seborrheic-dermatitis.html. It works like a charm. We may earn a commission through links on our site. The characteristic symptomsscaling, erythema, and itchingoccur most often on the scalp, face, chest, back, axilla, and groin. While many of these products are only available by prescription, there are also some that you can buy over the counter (OTC). Its prevalence is 1% to 3% in the general population and 34% to 83% in immunocompromised persons.2 It has a bimodal distribution, with peaks at two to 12 months of age and in adolescence and early adulthood.2 It is more common in men and is typically more severe in cold and dry climates and during periods of increased stress.3. Int J Food Sci Technol. Based on the current understanding of the pathophysiology of the condition, the treatments for seborrheic dermatitis make biologic sense. If youre dealing with dandruff, the soap-free shampoo works to rid dryness and add moisture back into the skin. Results start to show after one or two washes, but most parents will start to see significant improvement with their childs skin after one to two weeks of consecutive use. This shampoo may remove the curl from a permanent wave in the hair. For best results, you should use it once per day unless the manufacturer instructs you to do otherwise. Katie McBroom is an award-winning content creator and freelance writer. In the US - Call your doctor for medical advice about side effects. It's also gentle enough to use on color and chemically-treated hair. Serious side effects of Nizoral Shampoo Along with its needed effects, ketoconazole topical (the active ingredient contained in Nizoral Shampoo) may cause some unwanted effects. Ketoconazole is a shampoo, so its only for external use. Yahoo fa parte della famiglia di brand di Yahoo. Reviewers say the product is great for dandruff control, and it relieves itching, irritation, redness, flaking, and scaling all common symptoms of scalp psoriasis. My doctor prescribed Nizoral shampoo to treat a severe case of dandruff and itchy scalp that had plagued me for years. Everything from hormones to climate, stress, and diet impact the growth of the fungus. These usually contain beneficial ingredients like tea tree oil and menthol but no harsh ingredients like sulfates. The brand's Scalp Relief Dandruff Control Shampoo contains pyrithione zinc as its star ingredient, one of the key things Stevens recommends to keep scalps at their healthiest. It can be overwhelming (and time consuming) to figure out the best course of action to combat these symptoms and get scalp relief fast. Data Sources: Essential Evidence Plus was searched using the keywords dermatitis and seborrheic. If you notice that your symptoms arent improving with specially formulated shampoos, or if your symptoms are worsening, see your doctor. The 1% shampoo is available over the counter, while the 2% version is obviously stronger and requires a prescription from a healthcare provider. Pruritus Ani Cure?? Best Pyrithione Zinc Shampoo: Dove DermaCare Anti-Dandruff Shampoo 2. Oribe Shampoo for Moisture & Control. Tea tree oil gets a lot of airplay for seborrheic dermatitis, but the antifungal agents are much more effective, says San Francisco-based board-certified dermatologist Dr. Caren Campbell, M.D., and coconut oil doesn't help [because] oil-based products only increase the oil-rich environment the yeast already likes to grow in.. How is it different than Nizoral shampoo? A. Yeast lives on everyone as part of our natural microbiome, but some people just have a more sensitive immune system that does not [like it], leading to redness, itching, and flaking. Reverie's 2022 Best of Beauty Award-winning Suna Exfoliating Shampoo uses rhassoul clay to cleanse the scalp and eliminate excess sebum and dry flakes that weigh hair down. Itchy scalp: dandruff is caused when scalp-cells regenerate at an accelerated rate faster than scalps can handle. Amazon.com : Nizoral Anti-Dandruff Shampoo with 1% Ketoconazole, Fresh Scent, 7 Fl Oz : Beauty & Personal Care Beauty & Personal Care Hair Care Shampoo & Conditioner Shampoos Enjoy fast, FREE delivery, exclusive deals and award-winning movies & TV shows with Prime Try Prime and start saving today with Fast, FREE Delivery One-time purchase: Nizoral. See additional information. You can use it for up to 8 weeks, unless instructed otherwise by your doctor. Otherwise, call a poison control center right away. So, to put it simply, it increases the cell turnover and the number of dead cells that fall off, which results in itching, flaking, and dandruff. If youre a Keeps customer and want to find out if ketoconazole is the right treatment for you, message your Keeps doctor to learn more. It takes the upper hand in killing the fungus that causes dandruff in the . Dove's Nourishing Secrets Shampoo uses hydrating ingredients to bring dry scalps back to optimal health. It's a great option for itchy scalps as it will help to clean and purify while providing a soothing feeling on the scalp. Nizoral 1% Ketoconazole Shampoo Buy Now On Amazon Price: $15.47 Buy Now Buy Now at walmart Price: $15.88 Buy Now Buy Now at target Price: $16.29 Not even a top-of-the-line itchy scalp shampoo is going to make much of a dent in the problem if the root cause is lice. It depends on the strength of the shampoo as well as the severity of the dandruff that youre treating. All Rights Reserved. If youre still suffering from seborrheic dermatitis after trying OTC shampoos, make an appointment with a dermatologist. Nizoral is also available as a cream, but shampoo is the more convenient option if youre using ketoconazole to treat dandruff and not athletes foot or ringworm. This one is formulated with apple cider vinegar, known to clean the scalp while also adding shine to your hair. Not a Keeps customer yet? It will tell you how often you should use the product for best results. It depends on the ingredients used to treat your condition. Selected from data included with permission and copyrighted by First Databank, Inc. The redness, itching, and scaling associated with seborrheic dermatitis are caused by changes in skin cell functioning.6,7 Malassezia yeast seems to cause a nonspecific immune response that begins the cascade of skin changes that occur in seborrheic dermatitis.6 Malassezia is a normal component of skin flora, but in persons with seborrheic dermatitis, the yeast invade the stratum corneum, releasing lipases that result in free fatty acid formation and cause the inflammatory process to begin.8 Malassezia thrive in high-lipid environments, so the presence of free fatty acids enhances the growth of the yeast. You can use it for conditions like stubborn dandruff, psoriasis, and more. Not a product to product comparison. Last medically reviewed on June 28, 2022. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In infants, it may present as thick white or yellow greasy scales on the scalp; it is usually benign and resolves spontaneously. This dandruff control shampoo contains 3% salicylic acid, a clinically proven active ingredient, and continues to work for hours even after shampoo is rinsed off. Nizoral A-D Anti-Dandruff Shampoo. For those who have suffered from chronic dandruff, this shampoo may be the solution. Again, ketoconazole is used in a variety of ways. When choosing an itchy scalp shampoo, its important to understand what is causing the problem so you can treat it properly. Usually I only have to use it once or twice a week, but can use it more often if necessary. Dry hair thoroughly after the final rinse. Dosage, number of applications, and the length of treatment depends on the strength of the shampoo (2% or 1%) and the condition being treated. If you need to truly clarify your scalp and remove buildup that causes dryness and itch, grab Aveeno's Soothing Shampoo. Keratolytics (sulfur and salicylic acid) help remove the outer layers of the hyper-proliferating stratum corneum.9 Coal tar is thought to decrease the rate of stratum corneum production.9 Antifungals decrease the Malassezia population, whereas anti-inflammatories such as corticosteroids and calcineurin inhibitors decrease the inflammatory response.