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My doctor prescribed taro-mometasone (I think that’s how it’s spelled?) and it worked like magic. None of the other stuff worked. I tried Head & Shoulders, then Nizoral and Neutrogena T-Gel, and I don’t remember what else. It was so bad that it was clumping and scabbing and my hair was falling out. I struggled for a year and then my doctor gave me that thing and the problem just vanished. It came back once a year later and then never again. It’s been several years.

Scalp psoriasis and “bad skin” are two very different conditions that require different therapy. For psoriasis, Betamethasone helped me the most in 20 years, and finally biologicals. However I can’t get absolutely rid of it. I can recommend light clothes, so if possible no black shirts etc.

For anyone interested, I created !psoriasis@feddit.de a while ago, feel free to make the first post!

Purelan, lanolin cream. It’s sheep fat. Can’t use it for your hair, but you can use it everywhere else.

This is sort of second-hand advice, because luckily I’ve never really had any kind of skin/hair issues (except that I’m now losing the later, but I made peace with that and shaved my head)

But my wife has had some dandruff issues in the past, so I’ve learned a little from her.

Part of the issue is that there’s kind of several different issues at play that cause dandruff or dandruff-like symptoms, and common usage of the term often doesn’t really differentiate between them very well, even though the appropriate treatments for them may be very different.

For a long time, a lot of focus with dandruff was on fungal causes, and so a lot of the commonly-available anti-dandruff shampoos and treatments work, at least in part, by being antifungal.

Of course, if your dandruff isn’t actually caused by fungus, antifungal ingredients won’t do anything to help with your dandruff problem, and may even make it worse by drying out or irritating your scalp. That turned out to be my wife’s case, and her issue improved significantly by basically switching to any other shampoo besides anti-dandruff. It took a little fine-tuning and trial and error to figure out which shampoo and conditioner worked best for her, but the big first step was staying away from anti dandruff products.

There’s a lot of different combinations of hair types, skin type, and underlying conditions that could be at play, so there’s no-one-size-fits-all solution. If you haven’t already, a good first step is probably to talk to a dermatologist, or if you already are working with one, it may be time to look for a new one.

Failing that, do some research, figure out what send like is most likely to be causing your issue and the l how to treat it, try some things, if they don’t work, try some different things, repeat as necessary.

A doctors prescription.

I started on the carnivore diet.

My cat likes to clean my hair.

Anti dandruff shampoo with selenium sulfide as the active ingredient. You can start with the medicated versions like the other comment mentioned because it has the strongest formula. Once you have it under control, you can switch to a milder version. I started with medicated Selsun Blue. After about 2 weeks, my dandruff was gone. Then I switched to the milder version with conditioner and that’s what I use to maintain it. You can also lather a little bit on your beard and eyebrows while shampooing. It helps too.

Have you been to a dermatologist? If not, maybe you should book an appointment there and let a specialist look over your issue.

I found the routine that works for me which is Selsun Medicated shampoo twice a week and tar shampoo in-between. I still get dry and a little bit itchy scalp but no visible shedding flakes.

The tricky part for me was to realize that overly aggressive shampoos do more harm than good, so the dosage of active ingredient is key. I used to use Neutrogena Tgel Therapeutic tar shampoo, with the lowest dose of tar component, it is however hard to find now and looks like it’s being discontinued, so I switched to MG217 Therapeutic 3% which I dilute with whatever generic shampoo my family is using.

Here’s what you do: go to the store and buy 3-5 dandruff shampoos with different active ingredients and cycle between them every time you wash your hair and face (don’t shy away from smearing the shampoo on your face as well). Also, leave it on there a few minutes before rinsing.

Also vitamin D oil is great for face and beard.

https://www.amazon.com/gp/aw/d/B0BGMCLC4J

This shampoo is great to add into the rotation. The same company makes a face cream that is super good, too.

The only thing that works consistently for me is to wash my hair and scalp with baking soda. May sound wierd and I don’t know why it works for me but it does so I’m continuing to use it

I eliminated shampoo and my hair and scalp feels so much better. Skip the shampoo and use conditioner only. Once your scalp adjusts its oil production, my hair is so much better. Your scalp will overproduce for the first month or so as it’s used to all of its oils being washed away by shampoo.

For the record I have white person thick heavy hair that is curly

Psoriasis.

This shampoo helped me (mostly) get rid of dandruff and itching: https://farmakom.ua/en/products/shampun-digtyarnij/
So a birch tar shampoo.

However, after 3 years I finally decided to go to a dermatologist. It was getting bigger and bigger, and now my hair wouldn’t cover it up. She prescribed me some corticosteroids (betamethasone 0.5mg/g with salicylic acid 20mg/g) for 10 days (twice a day) and that did it. But I consider corticosteroids a last resort. It causes skin thinning and with long term use it may cause topical steroid withdrawal when you stop using it. Just search for TSW and check images, not nice.

Now it’s been roughly 2 months since I stopped using it. Seems mostly OK so far, but there’s no permanent solution to psoriasis, unfortunately.

I also had a flare up in the groin area for around 2 years, but I felt too embarrassed to mention that. Unfortunately, what I got prescribed specifically mentioned to not use it there. But there’s no way I’d be able to mention that to my dermatologist, so after a while of searching I decided on a lower dosage: once a day for 5 days.
It worked perfectly, but I wouldn’t recommend it, obviously.