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for Help Surviving Scalp P
Hiya: My name is Kat, I’m 22 and in the UK. For as long as I remember I've had P. My dad and sister suffer also.
It used to be very bad as a child but cleared up when I was around 12. I still get the odd few spots (especially on my knees and elbows) and have had it on my scalp. Up until recently my scalp P was very controlled and I hardly bothered it. I used Polytar every time I washed my hair and this worked wonders. But in the past few months my scalp P has worsened rapidly! At its worst it feels as though my scalp is literally covered in scales, some quite thick. They are very white and flake really easily. I have since tried Alphosyl, T-gel which feel ok for about half an hour and then they come back! My doctor recommended I use Capasal (coal tar and salicylic acid), which has thinned out the scales, but there is still so many of them. I’ve been using it daily for past 3 weeks but there is no real improvement. It's starting to make my life hell as its so uncomfortable and unsightly! I am more stressed now then I have been and it does get worse with stress, but I don’t know how to control it.
I just wondered if anyone knew any home remedies or wonder products … especially if any ointments are good as I’ve never tried any of those. I’ve used Dovobet for my skin and it is amazing in my opinion. Also wondered if anyone had any general tips for coping with psoriasis? I’d be most grateful!! Take care –Kat O.
Ed’s Response: As you’ve responded well to Dovobet, Kat, you may want to ask your derm about betamethasone dipropionate or clobetasol propionate for your scalp, too. Betamethasone is the corticosteroid in Dovobet. Many people who respond well to it also respond well to clobetasol. Don’t know exactly what products for the scalp come with either in the U.K.; over here, the most popular for scalp is probably Olux Foam, which contains clobetasol.
Another thing you may want to talk to your doc about, Kat, is occluding your scalp medicine overnight. Even if you don’t use a corticosteroid, but stick with the coal tar and/or salicylic acid, occlusion tends to enhance effectiveness. You accomplish this by wearing a shower cap while you sleep. You may have to tape it down at the edges to ensure it stays put. The shower cap prevents the medicine from evaporating or drying out. This gives it more time to be absorbed deep into the scalp. (On the surface, where the flakes are, is also where ANY medicine does the least good. Meds must penetrate to the lower layers of skin that are doing all the hyper-skin-replacement.)For more info and some “general tips,” I’d suggest you long on to PsorChat (click on link in the navigation bar, above), introduce yourself and ask the knowledgeable bunch of flakers that hang out there. -Ed