NHS Dudley Health Economy Medicines Formulary
Home > 13 Skin > 13.9 Shampoos and other preparations for scalp and hair conditions

13.9 Shampoos and other preparations for scalp and hair conditions

General Guidance
 

  • The treatment of choice for dandruff is the frequent use of a mild detergent shampoo generally once or twice a week.
  • Shampoos containing antimicrobial agents can also be effective. Ketoconazole containing shampoos are probably the most effective although products containing pyrithione zinc and selenium sulphide are available for people to purchase.
  • Ketoconazole and corticosteroid containing gels and lotion should be reserved for the more severe conditions.
  • Shampoos containing coal tar and salicylic acid may also be useful. Patients who do not respond to such treatment should be referred to exclude other skin conditions.

Recommended drugs

Ketoconazole shampoo 2% (Nizoral)

Capasal shampoo (coal tar 1%, coconut oil 1%, salicylic acid 0.5%)

 

Drug Traffic Light Key:

Green – On Formulary

Amber – Restricted use, see local guidelines      

Purple – Specialist use/initiation

Red – Non Formulary

 

Relative Costs Key (where indicated):

£££££ - high

£££ - moderate

£ - low

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