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Scalp P Recipe in England
from Carl W.

I have had scalp P for seven years now and used to use coal tar shampoos, but they weren't very effective. I saw a locum doctor three years ago; he also had scalp P. He prescribed Ceanel Concentrate, which is much stronger than any coal tar shampoo I have used. I also use Andrew Collinge scalp balm which helps to stop the itching during the day and doesn't leave your hair looking greasy.

It works for me, why not give it a try? Good luck. -Carl


Ed’s Response: UK’s Virtual Health Network, electronic Medicines Compendium says that Ceanel Concentrate contains an antibacterial (phenylethyl alcohol) and an antifungal (undecenoic acid) that are good at removing scale. I could find no reference to Andrew Collinge scalp balm.

Ceanel Concentrate is recommended specifically for scalp psoriasis because of its exfoliate properties. In the U.S., products that contain salicylic acid are similar and popular. Tar-based products aren’t recommended for the same reasons. Coal tar derivatives aren’t touted as exfoliates but are supposed to slow the skin growth that causes scale build up. T-Gel and T-Sal (Neutrogena) are two popular U.S. shampoos that many flakers use in tandem or alternating — T-Gel for the tar, T-Sal for the salicylic acid.

I also had to look up "locum doctor" and learned (I think) that these are doctors hired on a temporary basis to fill gaps in the National Healthcare Service in the UK. One reference contrasts "substantive and locum postings," which I gathered meant doctors on the NHS payroll (substantive) versus doctors not on the NHS payroll but working within the system temporarily (locum). Evidently the distinction has nothing to do with the merits of the physician. If anyone needs to straighten me out on this, please feel free to do so! (In the U.S., especially in the south and the southwest, we have to be very careful when saying "locum doctor" so as not to confuse this with "loco doctor" — a pejorative if ever there was one.)

Thanks for the information, Carl. -Ed

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