8 Best Dermatologist-Recommended Shampoos for Psoriasis

We Asked Dermatologists What Shampoos They Recommend for Psoriasis — Here’s What They Said

Psoriasis is an autoimmune disease in which certain areas of the skin become dry, thick, and itchy, with often noticeable discoloration or redness. This condition can occur on any part of the body, including the scalp and around the hairline. This is known as scalp psoriasis and it can be very uncomfortable and difficult to manage, especially when over-the-counter shampoos don’t deliver the soothing relief they promise. Whether you’re dealing with stubborn flaking, painful itching, or thick patches that won’t budge, finding the right shampoo for psoriasis can make all the difference.

When choosing a shampoo, it’s important to consider your specific symptoms, how sensitive your skin is, and the ingredients the shampoo has to offer, says Hege Grande Sarpa, MD, a dermatologist with Kaiser Permanente Southern California.

With so many options, from formulas designed for daily maintenance to stronger treatments that are only meant to be used a few times a week, it’s hard to know where to start. To help you narrow down your options and decide which one might work best for your scalp psoriasis, we compiled this list of the eight best shampoos for psoriasis, according to dermatologists.

Our Top Picks for the Best Psoriasis Shampoos

When to Consult Your Doctor

If over-the-counter shampoos are not helping manage your psoriasis symptoms, or you notice your psoriasis spreading to other parts of your body, you should seek medical attention.

“The earlier one can see their dermatologist for scalp psoriasis, the sooner a patient can learn about and benefit from a treatment plan,” says Adelaide A. Hebert, MD, professor of dermatology and pediatrics at UTHealth Houston.

You should also seek medical attention if, in addition to symptoms of psoriasis, your joints are aching — which could be a sign of psoriatic arthritis, Dr. Hebert says. A doctor can also help if you are feeling stressed or depressed about your psoriasis and want to discuss your options with a professional.

therapeutic shampoo

Best Coal Tar Shampoo

MG217 Multi-Symptom 3 Percent Coal Tar Therapeutic Shampoo

Pros

  • Recognized by the National Psoriasis Foundation
  • Added moisturizers to prevent dry, brittle hair
  • Contains 3 percent coal tar
  • Also helps treat dandruff

    Cons

    • May cause sun sensitivity
    • Unpleasant scent
    • Contains sulfates 

    Key Specs 

    • Weight: 8 fluid ounces
    • Key ingredients: Coal tar, moisturizing agents
    • Special features: Recognized by the National Psoriasis Foundation; treats both dandruff and psoriasis
    One of the oldest and most trusted treatments for psoriasis, according to Stephen Stone, MD, professor emeritus in the division of dermatology at Southern Illinois University’s School of Medicine, is coal tar. It works by suppressing the overproduction of skin cells and easing inflammation, which makes it an especially effective ingredient for treating stubborn scalp plaques.

    That’s why the MG217 Multi-Symptom 3 Percent Coal Tar Therapeutic Shampoo, which is a maximum-strength treatment, is our pick for the best coal tar shampoo.

    What sets MG217 apart from other coal tar shampoos is its conditioning formula. Unlike many other coal tar shampoos, which can leave hair dry or brittle, this one includes added moisturizers to help keep your hair soft and manageable while still treating the scalp. Formulated to target the specific needs of scalp psoriasis, MG217 Medicated Conditioning Shampoo is also recognized by the National Psoriasis Foundation for its therapeutic benefits. This coal tar–based shampoo is designed to slow the formation of thick, scaly patches on the scalp, while also helping to relieve itching, flaking, and redness.

    That said, coal tar can make the skin more sensitive to sunlight, and it has a strong medicinal smell that some users may find off-putting. It’s also best to avoid using it on broken or severely irritated skin. Still, for many with scalp psoriasis, MG217 Multi-Symptom 3 Percent Coal Tar Therapeutic Shampoo offers an accessible, over-the-counter solution that delivers consistent relief and is gentle enough for routine use.

    Best for Itchy Scalp

    Sphagnum Botanicals PsoriAid+ Shampoo

    $19.96 at Amazon
    $24.95Now 20% Off

    Pros

    • Recognized by the National Psoriasis Foundation
    • Contains peat mud
    • Contains 3 percent salicylic acid, argan, and olive oil
    • Includes chamomile and calendula to soothe itching

      Cons

      • Strong, earthy scent
      • Limited lather
      • Might strip color from dyed hair

      Key Specs 

      • Weight: 8.45 fluid ounces
      • Key ingredients: Salicylic acid, peat mud, menthol, tea tree oil
      • Special features: Recognized by the National Psoriasis Foundation; takes a plant-based approach to treating psoriasis

      One of the worst symptoms of scalp psoriasis is the uncomfortable itchiness that may only get worse if your shampoo contains ingredients that cause irritation. So, when choosing the best shampoo for itchiness, we wanted a shampoo designed specifically to help with itchy scalp psoriasis. Sphagnum Botanicals PsoriAid+ Shampoo combines natural peat mud with 3 percent salicylic acid to gently exfoliate buildup, calm inflammation, and reduce itchiness. We also love that this shampoo takes a plant-based approach to managing flaking and irritation, while also offering a milder alternative for those sensitive to coal tar.

      To help reduce itching, this shampoo includes soothing botanical extracts known for their calming and anti-itch effects on sensitive or inflamed skin.

      What makes this formula stand out is the use of peat mud, which is rich in humic and fulvic acids — compounds known for their anti-inflammatory and skin-rejuvenating properties.

      The inclusion of salicylic acid helps break down thick scales and loosen buildup, making it easier to rinse away flakes.

      Based on our research of online reviews, some users report that the earthy scent of this shampoo may take some getting used to (it does include peat mud after all) and the lather is less rich than traditional shampoos. Salicylic acid can also strip color from the hair, so this shampoo may not be the one for you if you color your hair often. Still, for those seeking a gentler, non-coal tar option without added irritants, Sphagnum Botanicals PsoriAid Shampoo is a well-balanced and skin-friendly choice.

      Best for Sensitive Scalp

      DHS Sal Shampoo

      $11.47 at Amazon
      $12.07Now 5% Off

      Pros

      • Minimal ingredients
      • Fragrance-free
      • Contains 3 percent salicylic acid
      • Dye-free

        Cons

        • Limited lather
        • Might strip hair color

        Key Specs

        • Weight: 4 fluid ounces
        • Key ingredients: Salicylic acid
        • Special features: Clean formula, fragrance-free, dye-free

        Because of this shampoo’s pared-down ingredient list, DHS Sal Shampoo is often recommended by dermatologists for those with more sensitive skin, says Ahuva Cices, MD, a medical and cosmetic dermatologist with the Mount Sinai Health System. This dye-free and fragrance-free formula can help cleanse with minimal to no irritation.

        Formulated with 3 percent salicylic acid, DHS Sal Shampoo softens and dissolves thick psoriasis scales, making them easier to rinse away. In case you’re wondering how this concentration compares with similar shampoos, it is the same as in Neutrogena T/Sal, which is widely recommended by dermatologists. The difference here is that the DHS shampoo delivers it all in a minimal-ingredient formula that makes it ideal for sensitive scalps.

        However, some users note that this shampoo can be drying and may require additional conditioning after usage. And it creates limited lather compared with traditional shampoos. It’s also worth mentioning that salicylic acid can strip the color away from colored hair. So, if you frequently have your hair colored, it may be worth finding an alternative shampoo that doesn’t include salicylic acid.

        That said, DHS Sal is a powerful, dermatologist-recommended shampoo with a clean, simple formula, making it one of the best over‑the‑counter medicated shampoos for scalp psoriasis.

        Best Unmedicated Shampoo

        LivSo Moisturizing Shampoo

        $18.05 at Amazon
        $19Now 5% Off

        Pros

        • Sulfate-free
        • Gentle exfoliation
        • Targets itch and inflammation
        • Moisturizing

          Cons

          • Pricey
          • Light lather
          • Might not be strong enough for moderate to severe cases

          Key Specs 

          • Weight: 8.5 fluid ounces
          • Key ingredients: Coconut oil, glycolic acid, xylitol
          • Special features: Sulfate-free, gentle exfoliation

          If you’re looking for a gentle, nonmedicated option to help with scalp psoriasis symptoms, LivSo Moisturizing Shampoo is a standout, since it doesn’t contain active ingredients like salicylic acid or coal tar. It’s specially formulated to soothe dryness, reduce itch, and support a healthier scalp environment.

          One of the key ingredients featured is coconut oil, which is known to help moisturize and soften rough patches without clogging pores.

          It also includes glycolic acid, a mild exfoliant that gently lifts dead skin cells and prevents buildup.

          For many people with mild symptoms, LivSo offers a way to care for the scalp while avoiding the dryness or irritation that can occur with frequently using medicated shampoos.

          That said, LivSo isn’t a replacement for prescription treatments during a flare-up, and it may not be strong enough on its own for more severe cases. It’s also on the pricier side, especially for an unmedicated shampoo, and it has a relatively lightweight lather (since it does not contain sulfates) that might not feel as satisfying to use as traditional formulas.

          Still, for anyone looking to maintain scalp health between treatments or to minimize irritation while keeping flakes and itch at bay, LivSo Moisturizing Shampoo is a nourishing, well-balanced choice worth considering.

          therapeutic shampoo

          Best for Colored Hair

          Nizoral Anti-Dandruff Shampoo

          Pros

          • Safe for color-treated hair
          • Targets both psoriasis and dandruff
          • Sulfate-free
          • Neutral scent

            Cons

            • Can be drying
            • Light lather 

            Key Specs 

            • Weight: 7 fluid ounces
            • Key ingredients: Ketoconazole
            • Special features: Sulfate-free

            Nizoral Anti-Dandruff Shampoo is our top choice for anyone with color-treated hair who is dealing with both psoriasis and dandruff symptoms. Its star ingredient, 1 percent ketoconazole, is a powerful antifungal that targets the yeast often responsible for dandruff. For people with mild scalp psoriasis, this same ingredient can help reduce inflammation, soothe itching, and gently minimize scaling, says Lauren Ploch, MD, a board-certified dermatologist based in Augusta, Georgia.

            “I often prescribe anti-dandruff shampoos, such as ketoconazole-containing shampoos, for their nonsteroidal anti-inflammatory effects,” Dr. Ploch says.

            Another big advantage of using this shampoo is that it’s safe for color-treated hair. Unlike some medicated shampoos that strip or fade dye, Nizoral’s formula is gentle enough to preserve color, while still effectively cleansing the scalp. It’s also free of harsh sulfates and has a relatively neutral scent, which makes it easier to work into your daily routine.

            However, Nizoral isn’t without its downsides. It can be drying if used too often or when left on too long, which is especially worth noting for those with sensitive or dry scalps. Based on our research of online reviews, some users say that it doesn’t lather as much as traditional shampoos and that it takes time to see full results. Still, for people looking for a color-safe, targeted solution for dandruff and psoriasis-related symptoms, Nizoral Anti-Dandruff Shampoo offers a balance of potency and gentleness.

            therapeutic shampoo

            Best Anti-Dandruff

            Neutrogena Scalp Therapy Anti-Dandruff Extra Strength

            Pros

            • Lightweight
            • Nongreasy and fragrance-free
            • Contains 3 percent salicylic acid
            • Targets both psoriasis and dandruff

              Cons

              • Can be drying
              • Light lather

              Key Specs 

              • Weight: 12 fluid ounces
              • Key ingredients: Salicylic acid
              • Special features: Lightweight, nongreasy, fragrance-free

              If you’re experiencing both dandruff and scalp psoriasis symptoms, we recommend Neutrogena Scalp Therapy Anti-Dandruff Extra Strength Shampoo, especially if you’re looking for a medicated shampoo that doesn’t feel overly harsh. It contains salicylic acid — a proven keratolytic ingredient that helps break down and loosen thick flakes and plaques — making it easier to wash away buildup caused by both conditions, Dr. Sarpa says.

              What sets this shampoo apart from other dandruff treatments is its lightweight, nongreasy formula that includes soothing and conditioning ingredients like glycerin and panthenol that can help relieve itching, calm inflammation, and support the scalp’s natural barrier.

              However, because it utilizes a salicylic acid-based formula, some users may find this shampoo slightly drying with frequent use, particularly if their scalp is already sensitive or cracked. We confirmed this while researching customer reviews and found that some users needed to pair this shampoo with a moisturizing conditioner as a follow-up treatment.

              Overall, Neutrogena Scalp Therapy Anti-Dandruff Extra Strength offers a gentle yet effective solution that works well to treat the symptoms of both psoriasis and dandruff. 

              therapeutic shampoo

              Best for Buildup

              Neutrogena T/Sal Therapeutic Shampoo

              Pros

              • Recognized by the National Psoriasis Foundation
              • Fragrance-free
              • Contains 3 percent salicylic acid
              • No added colors or preservatives
              • Minimal residue
              • Can be used with other psoriasis treatments

              Cons

              • Unpleasant scent
              • Can be drying

              Key Specs 

              • Weight: 4.5 fluid ounces
              • Key ingredients: Salicylic acid
              • Special features: Recognized by the National Psoriasis Foundation; fragrance-free, with no added colors or preservatives

              Neutrogena T/Sal Therapeutic Shampoo is a dermatologist-recommended formula that features 3 percent salicylic acid as its active ingredient, making it specifically designed to combat crusty scalp buildup linked to psoriasis and dandruff. Salicylic acid acts as a keratolytic, breaking down thick layers of dead skin and easing scaling and flaking on the scalp, Dr. Cices says.

              For those struggling with stubborn scalp psoriasis or heavy buildup, T/Sal stands out. In our research of online reviews, many users reported rapid relief after just one wash, mentioning reduced itching and noticeable improvements in scalp condition. The salicylic acid in this shampoo not only exfoliates but also continues working after rinsing, which can prevent future buildup with consistent use.

              However, it doesn’t work perfectly for everyone. The high concentration of salicylic acid can be drying or irritating. The bottle is relatively small (4.5 ounces), which can be less economical for those with longer or thicker hair. Finally, while the fragrance-free aspect is a plus for many, a few users mention that they find the mild scent a bit odd — but, overall, most agree that it’s better than stronger medicated shampoos.

              Best Budget Shampoo

              Dermarest Psoriasis Medicated Shampoo + Conditioner

              $12.07 at Amazon
              $13.46Now 10% Off

              Pros

              • Recognized by the National Psoriasis Foundation
              • Fragrance-free
              • Contains 3 percent salicylic acid
              • Dermatologist-tested
              • Affordable

                Cons

                • Unpleasant scent
                • Can be drying

                Key Specs

                • Weight: 8 fluid ounces
                • Key ingredients: Salicylic acid, zinc PCA, panthenol, green tea extract
                • Special features: Recognized by the National Psoriasis Foundation; fragrance-free and dermatologist-tested

                Dermarest Psoriasis Medicated Shampoo Plus Conditioner is a powerful, budget-friendly option for scalp psoriasis, thanks to its 3 percent salicylic acid — the same keratolytic strength found in many high-end medicated shampoos. This ingredient works to soften and lift thick, scaly plaques, reducing itching, redness, and flaking while improving the effectiveness of other scalp treatments. Additionally, the formula includes a zinc complex, known for its anti-inflammatory properties, that helps soothe irritation and replenish moisture.

                This shampoo-conditioner combo delivers real value. An 8-ounce bottle typically costs around $6 to $9, making it a cost-effective choice compared with pricier treatments.

                Dermarest’s formulation is designed for sensitive scalps: It is fragrance-free, dermatologist-tested, and enhanced with soothing botanical ingredients like green tea extract, zinc complex, and panthenol, which help moisturize and calm even inflamed skin.

                However, as with many other medicated shampoos for psoriasis, this shampoo is reported to have a strong medicinal smell that might bother those with sensitive noses. The salicylic acid content can also be drying, and it may require a conditioning treatment after use.

                But despite these drawbacks, Dermarest Psoriasis Medicated Shampoo + Conditioner offers a potent, affordable, and gentle solution for managing scalp psoriasis without breaking the bank.

                Comparison Table

                Superlative
                Key Features
                Best coal tar shampoo
                Recognized by the National Psoriasis Foundation; treats both dandruff and psoriasis
                Best for itchy scalp
                Recognized by the National Psoriasis Foundation, takes a plant-based approach to treating psoriasis
                Best for sensitive scalp
                Clean formula, fragrance-free, dye-free
                Best unmedicated shampoo
                Sulfate-free, gentle exfoliation
                Best for colored hair
                Sulfate-free, neutral scent, safe for colored hair
                Best anti-dandruff 
                Fragrance-free, nongreasy, lightweight
                Best for buildup
                Recognized by the National Psoriasis Foundation; fragrance-free, with no added colors or preservatives
                Best budget shampoo
                Recognized by the National Psoriasis Foundation; fragrance-free and dermatologist-tested

                How We Tested the Best Shampoos for Psoriasis

                I spoke with seven dermatologists who regularly treat patients with scalp psoriasis. After gathering their insights and recommendations, I ensured that each of our top picks includes the ingredients and features they recommended for managing scalp psoriasis symptoms. These are the doctors I spoke with:

                • Adelaide A. Hebert, MD, a professor of dermatology and pediatric dermatologist at UTHealth Houston
                • Ahuva Cices, MD, a medical and cosmetic dermatologist with the Mount Sinai Health System
                • Lauren Ploch, MD, a board-certified dermatologist based in Augusta, Georgia
                • Hege Grande Sarpa, MD, a dermatologist with Kaiser Permanente Southern California
                • Shamsa Kanwal, MD, a board-certified Consultant Dermatologist with more than 10 years of experience diagnosing and managing chronic inflammatory skin conditions, including scalp psoriasis
                • Stephen Stone, MD, professor emeritus in the division of dermatology at Southern Illinois University’s School of Medicine
                • Meena Singh, MD, a board-certified dermatologist and dermatologic surgeon at the Skin and Hair Center in Overland Park, Kansas

                What to Look for When Buying a Psoriasis Shampoo

                When buying a shampoo for scalp psoriasis, there are a few factors to keep in mind. According to the dermatologists I spoke with, here is what you should look for:

                • Active Ingredients Look for therapeutic ingredients like salicylic acid, coal tar, zinc, or ketoconazole, which help reduce flaking, inflammation, and itching.

                • Fragrance-Free or Low Fragrance Fragrances can irritate sensitive or inflamed scalps. Opt for fragrance-free or hypoallergenic formulas.

                • Moisturizing Agents Choose shampoos with aloe vera, glycerin, panthenol, shea butter, or kukui nut oil to help soothe and hydrate dry, irritated skin.

                • Gentle Surfactants Avoid harsh cleansers like sodium lauryl sulfate if your scalp is sensitive; look for gentle, sulfate-free cleansers.

                • Dermatologist Recommended or Tested Shampoos backed by dermatologists, recognized by the National Psoriasis Foundation, or labeled “dermatologist tested” often have safer, more effective formulations for sensitive skin.

                • Affordability and Accessibility Consider how often you’ll use the shampoo. Make sure it’s affordable and easy to find, especially if you’ll be using it long term.

                How Do I Know if I Have Scalp Psoriasis?

                Some symptoms of scalp psoriasis, such as itching and flaking, can overlap with other conditions, including seborrheic dermatitis, more commonly known as dandruff. But unlike dandruff, which tends to cause greasy, yellowish flakes and a mild itch, scalp psoriasis produces thicker scales and well-defined patches with redness and sometimes bleeding upon scratching. These patches can appear anywhere on the scalp, including along the hairline, forehead, back of the neck, or behind the ears.

                Some mild cases of scalp psoriasis can be easily managed with over-the-counter shampoos that target dandruff and flaking, like Head & Shoulders. But if your symptoms don’t improve with over-the-counter shampoos or you notice red patches showing up on other parts of your body, you should consult a doctor, says Dr. Kanwal. A dermatologist can help determine whether scalp psoriasis is causing your symptoms and recommend an effective treatment.

                How Can I Get Rid of Scalp Psoriasis?

                Scalp psoriasis is a chronic inflammatory condition that you can’t permanently get rid of. But treatment can help reduce symptoms, calm flare-ups, and keep the condition under control.

                “With the right treatment, almost all scalp psoriasis can be helped,” Dr. Stone says. “Outcomes are looking better and better, and I wouldn’t have said that 25 years ago.”

                Scalp psoriasis often improves with regular, ongoing care, Stone says. In some cases, people may see a complete suppression of symptoms for months or even years. Medicated over-the-counter shampoos that contain coal tar or salicylic acid can help remove scales and slow down cell growth, while prescription topicals and oral treatments help reduce inflammation and suppress the immune response at the root of the condition.

                What Makes Scalp Psoriasis Worse?

                According to the American Academy of Dermatology, common triggers that can cause flare-ups include:

                • Stress
                • Infection
                • Cold, dry weather
                • Smoking
                • Excessive alcohol consumption
                • Sunburn 

                Scratching, picking, or excessive brushing can also worsen the condition and may even cause it to spread, says Dr. Singh. Shampoos containing alcohol, sulfates, synthetic fragrances, and strong preservatives can also irritate the scalp and worsen symptoms.

                FAQ

                How common is scalp psoriasis?
                Scalp psoriasis affects approximately 50 percent of people with psoriasis and at least 3 percent of the general population.


                Shampoos containing alcohol, sulfates, synthetic fragrances, and strong preservatives can irritate the scalp and worsen symptoms, Kanwal says. Over-washing or aggressively scrubbing the scalp can also aggravate the condition.

                This can vary depending on a person’s hair type, but washing the scalp every two to three days is generally recommended for optimal control of inflammation associated with scalp psoriasis, Sarpa says. Regular cleansing can help remove scales, reduce buildup, and enhance the effectiveness of medicated shampoos and other topical treatments.

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                Erin Heger

                Author

                Erin Heger is a freelance journalist with more than 10 years combined experience in health writing and healthcare advocacy. Her reporting and essays have covered mental health, wellness, fitness, nutrition, and healthcare policy. You can find her byline in The Atlantic, Business Insider, HuffPost, and many other publications.

                Before freelancing full time, Erin worked in healthcare advocacy as a community organizer for a reproductive rights organization and as a health insurance navigator at a community health center.

                As a writer, Erin strives to empower readers with clear, accessible information to help readers make the best choices for themselves and their families.

                Outside of work, Erin enjoys reading fiction, listening to podcasts, running, and watching reality TV. She lives in Kansas City with her husband and three children.

                Jacquelyn Dosal

                Jacquelyn Dosal, MD

                Medical Reviewer

                Jacquelyn Dosal, MD, is a board-certified dermatologist practicing at The Dermatology House in Park City, Utah. Her areas of expertise include acne, rosacea, integrative treatments of inflammatory skin diseases, as well as laser treatment of the skin and injectables.

                Dr. Dosal writes cosmetic questions for the certifying exams for the American Board of Dermatology. She is also the deputy editor for the American Academy of Dermatology's podcast, Dialogues in Dermatology.

                Steven Rowe

                Steven Rowe

                Editor

                Steven Rowe is a New York City–based writer and editor with over six years of experience writing about mental health, men's health, parenting, and products.

                His work has been published by Healthline, Psych Central, Health, Verywell, Parents, InStyle, Greatist, Romper, Inverse, Bustle, Mic, and RetailMeNot. He also worked as an editor at Healthline and a constant strategist and update writer at Verywell. Prior to becoming a writer, he also worked at Pace University in continuing education.

                He has a degree in psychology from Pepperdine University and a master’s from Columbia School of the Arts. When he's not writing, you can find him hiking in the woods with his family and rescue beagle.

                EDITORIAL SOURCES
                Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
                Resources
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                4. Scalp Psoriasis. Cleveland Clinic. April 25, 2022.
                5. Karwal K et al. Topical AHA in Dermatology: Formulations, Mechanisms of Action, Efficacy, and Future Perspectives. Cosmetics. September 19, 2023.
                6. Zhang X et al. Efficacy and safety of a cream containing panthenol, prebiotics, and probiotic lysate for improving sensitive skin symptoms. Skin Research & Technology. January 2024.
                7. Are Triggers Causing Your Psoriasis Flare-Ups? American Academy of Dermatology.
                8. Leong WC et al. Scalp psoriasis and Dermatology Life Quality Index: A retrospective study based on 12-year data from the Malaysian Psoriasis Registry. Malaysian Family Physician. October 2022.