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a combined product containing a potent corticosteroid and vitamin D applied once a day for up to 4 weeks or.

If the situation is no better after a further 4 weeks you should be offered:.

a shampoo or mousse) and/or a scalp treatment to remove the scales (such as an emollient or oil) before further applications of the potent corticosteroid.

If there is no improvement after 4 weeks you may be offered: a different formulation of corticosteroid (e.g.

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If you find it difficult or cannot use corticosteroids on your scalp, or you have mild to moderate scalp psoriasis, your healthcare professional may instead offer you a vitamin D preparation. Potent corticosteroid once daily for up to 4 weeks as the initial treatment.Topical treatment for scalp psoriasis in adults, young people and children

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We have included some additional information on types of treatments available and how to use them. This guidance is based on the scientific evidence available and will not always be suitable for everyone. It is recommended that you begin with the treatment process below. In 2012, the National Institute for Health and Care Excellence (NICE) published a guideline on treating scalp psoriasis. If you have no success in controlling your scalp psoriasis, ask your GP to refer you to a specialist. Some people find daily treatment of the scalp an advantage in keeping the scales from returning, but this would be a personal preference depending on your circumstances. This can usually be done with regular use of a tar shampoo and or by moisturising the scalp occasionally with an oil or emollient. Once you have gained adequate control of your scalp psoriasis, it is important to maintain the improvement. If, however, you have seen no improvement after 4-weeks continuous treatment, you should return to your doctor or nurse for further assessment.

Remember to try to treat psoriasis daily when it is active. It can take at least eight weeks until you gain adequate control of the plaques. Psoriasis is not curable, but the signs and symptoms can be well controlled.

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It is important to choose one that suits your lifestyle carrying out intensive treatments over the weekend, for example, when you have more free time. Treatments can be time-consuming and you may find them easier if you ask someone to help you. Hair usually grows back once the inflammation and scale has cleared. It is important to remember to continue to treat the scalp even if hair falls out. There are many treatment options that can help scalp psoriasis and often a combination approach using a number of different treatments may be required until the symptoms have settled. Psoriasis can be itchy, make the scalp feel tight and occasionally cause soreness, especially if there are cracks in the skin. Hair loss during the flare-up can occur in some cases, but the hair will normally grow back. It can range from very mild with slight fine scaling to very severe, crusted thick scaling covering the entire scalp. Scalp psoriasis causes redness and scaliness, which may also involve the hairline, the forehead, behind the ears and the back of the neck.