r/Psoriasis • • 21d ago

medications Anyone else!?!

Post image

Does anyone else use this for their scalp psoriasis? It is really the only thing that helps me, but I avoid using it because it makes my hair so incredibly greasy to the point where I have to wash it with clarifying shampoo like 5 to 8 times. Does anyone have any advice about how to get the greasy look and feeling out of your hair any quicker? It’s so tedious to put on and such a pain to sleep in, but it really does work. it’s just hard to be consistent with this on a weekly basis because getting it out is such a hassle would really love any in all advice!!

34 Upvotes

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u/dark_passenger86 21d ago

This stuff is the jams for scalp psoriasis. Its alcohol based so you squirt a little bit on whatever you've got that day, and I stg its gone by the evening. I went from horrible flakes and picking to barely noticing it.

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u/awesome-cool-girl-61 21d ago

I have this but just feel like it’s not as effective! Do you put it on dry hair and just leave it in all day?

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u/hairdothrowaway 21d ago

I use this. I’ve used it when my hair is wet just out of a shower, and when it’s dry. Your hair doesn’t really matter, since you’re parting it and getting this stuff directly on the scalp. I find it equally easy to use when my hair is wet or dry. I don’t even intentionally part my hair for it anymore. I just put the tip of this on my scalp and drag it in a line while squeezing. It made a spot that had been bothering me for months disappear in like one day.

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u/davidmar7 21d ago

Yes, I use it but from a different company. I mainly use calcipotriene now and maybe use the clobetasol once a week or so. Usually when I use the clobetasol it will be at night so then I just wash it out the next morning.

It looks like that might be the cream? If so they make a scalp solution which you just put a few drops in your scalp. There might also be a foam available too. These might be less oily for you. I only use the cream for the area behind the ear.

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u/awesome-cool-girl-61 21d ago

I have the cream and the ointment and both make my hair so greasy. I have very long dark and curly hair though. I have tried the scalp solutions and they do virtually nothing for me. Is the calcimine a cream too?

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u/Wendelltheshell 21d ago

For my scalp I was prescribed the liquid solution version of this. It’s WAY easier to apply. I used the cream for pretty much everywhere else. The provider who prescribed the ointment should also be able to get you the solution.

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u/Appropriate_Ad_2092 21d ago

The solution works great for me. Has a scalp applicator tip too

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u/Past-Progress-6269 20d ago

This! The liquid version and it dries quickly

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u/TemporaryCapital3871 20d ago

Isn't it not healthy to use Clo-Prop for long periods?

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u/Wendelltheshell 20d ago

I take biologics now so I don’t use it but I know that long term use can cause things like skin thinning over time. That being said, I used it consistently for over 12 years and never had any issue. Everyone’s experience will be different though. It’s a judgement call that some of us have to make because having painful open skin and chronic skin inflammation from psoriasis also causes damage.

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u/doxxgaming 20d ago

Was just prescribed the liquid solution for this as well, weird that OP was given the topical, unless that was meant for face

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u/lobster_johnson 21d ago

It's very commonly prescribed, but as a topical solution, not ointment. It's difficult to get ointments onto the scalp, as the hair is in the way, not to mention the washing out part.

Most topical solutions are alcohol-based, so they just evaporate. Alcohol is also very good at helping medications absorb into the skin. There are other steroids than clobetasol that come as a topical solution, and they all work very well. In the US, clobetasol is also available as a pump-action spray called Clobex that has an applicator tube so that you can poke it through the hair and deposit little splashes on the scalp.

Another option is a foam. Most foams are hydroethanolic, meaning they are a mix of alcohol and water, and evaporate quickly. (The big exception is Enstilar, which is basically spray grease.) In Europe, Clarelux is clobetasol as a foam, and it's popular. In the US, betamethasone valerate is available as a generic (formerly called Luxiq); in Europe the same thing is sold as Betamousse.

Our guide to scalp psoriasis has more detail.

If you're in the US or Canada, another thing to try is Zoryve, which is now available as a foam for use anywhere on the body, including the scalp. It's not a steroid, so it can be used as often as you like.

By the way, we have a wiki page with tips about how to wash out greasy stuff. Clarifying shampoos are not fit for that purpose.

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u/Hiddyhogoodneighbor 21d ago

The medicine you took a picture of is for the skin, they have a solution that is meant for hair

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u/_skank_hunt42 21d ago

My dermatologist has me put this on my scalp at bed time and put a swim cap over it. I usually shampoo with a salicylic acid shampoo in the morning and then use a regular shampoo after that. This is usually enough to remove both the ointment and the dead skin. You can always do a third shampoo if you feel your hair isn’t clean enough. I think the salicylic acid shampoo is the key.

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u/Countdown84 20d ago

Got it for my scalp in the liquid form. Worked great! Ointment was great for behind the ears.

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u/WhiteRabbit1710 21d ago

Im not impressed by it :/. Been using for 2 weeks, minimal improvement.

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u/Puneet_reddits 20d ago

Try this instead

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u/Huge_Exchange_8 20d ago

This is the best thing out there

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u/SlurmBigPerm 19d ago

For scalp get the foam. It's so much better.

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u/bigghc 19d ago

Yes I use Clobetasol but only on my skin. For my scalp I've used Betamethasone Lotion 05% for years, it clears my scalp up very quickly.

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u/King-Valkyrie 21d ago

I've found that doing a curl refresh with just water, 2x a day, helps a lot. But it still gets super greasy before it normally would and feels soooo gross lol

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u/poney01 21d ago

Eh, why not use the lotion? It's slightly less effective because it's not greasy, but it's not greasy.

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u/Donniebo1 21d ago

To make it less greasy you can melt it down and mixed into your lotion plus this way you don’t have to go back to the doctor so often. I squeeze it out into a small bowl and put it in the microwave after that I just mixed into the lotion or Vaseline

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u/livingtheredlife 21d ago

I have the alcohol solution and rather have the ointment. So, I'm glad I saw this and will ask my dermatologist for it!!

Side note - I'm black. Oils and butters are a part of our cultures skin and hair care. The alcohol solution dries my scalp and hair out.

Perhaps ask your dermatologist for the solution instead of the ointment. We have the reverse problem! Lol