These Shampoos Will Finally Fix Your Itchy, Flaky Scalp (2024)

"This shampoo is considered effective for scalp eczema, because it contains the active ingredient ketoconazole, which is an anti-fungal that can help control the yeast growth associated with seborrheic dermatitis," says Dr. Chacon. Use it to alleviate symptoms like redness, itching, and flaking.

Rave review: "I bought this for my 11-year-old daughter. She has always had dry scalp and, no matter what we do, continues to have dandruff. This stuff is amazing. The first scrub loosened a ton of dry scalp and after the second scrub it was gone. Now she uses it once or twice a week to keep flakes out of her hair! Highly recommend!"

Head & Shoulders is one of the most classic options for anyone struggling with dandruff or scalp eczema. Though gentle enough for sensitive skin, the budget buy boasts one percent selenium sulfide—prescription strength—to soothe itchiness and control dandruff and flaking. It's also infused with aloe vera for added relief.

Rave review: "This is a really nice formula. It doesn't have that strong tar smell like some dandruff shampoos. Smells nice after your hair is dried. You only need a little bit as it lathers nicely."

This shampoo may be a funny color and have a harsh scent, but that's because it contains coal tar, which can help slow skin cell growth and reduce itching and inflammation, says Dr. Chacon. "It's often recommended for conditions like scalp psoriasis and seborrheic dermatitis."

Rave review: "Yes, it smells like tar and yes, you will need a good conditioner but for those of us with eczema and seborrheic dermatitis on our scalps it's the ONLY shampoo I've found that works at removing and preventing build up on scalp."

Harnessing the potency of two percent pyrithione zinc, this shampoo mitigates dandruff-like symptoms and reduces inflammation, says Sarah Roberts, a licensed hair, beauty, and skincare consultant, as well as the founder of A Beauty Edit. The formula is hypoallergenic and entirely fragrance-free, too.

Rave review: "I've battled with eczema for most of my life. Normal dandruff shampoos only make things worse. This is a fantastic OTC shampoo that will knock out the flakes, itchiness and irritation on your scalp. I use nearly everyday and I don't have a need for topical steroid on my scalp to control my eczema. Go buy it!!"

This formula is as clean as the bottle looks. The shampoo is free from the most common irritants, like dyes, fragrances, parabens, and sulfates, which makes it highly suitable for individuals with sensitive skin or those prone to allergic reactions, says Dr. Chacon.

Rave review: "I'm on Accutane and my scalp became so very itchy and painful. This was recommended by my dermatologist and after one use it felt 95 percent better. After the second wash the itch was completely gone and my dandruff subsided. "

Because it's medicated with menthol, this maximum-strength shampoo is an excellent choice for those who suffer from an itchy, painful scalp. It provides a cooling and soothing sensation to instantly relieve symptoms, plus tackles visible flakes and dandruff at the same time.

Rave review: "Honestly hands down my favorite shampoo that actually helps my dandruff go away! I love the after minty feeling my scalp gets."

This shampoo uses natural moisturizing agents like urea and lactate to alleviate itchiness, says Roberts. It also contains polidocanol, which has additional anti-itching properties. Importantly, it's also free from potentially irritating colorants, parabens, and fragrances.

Rave review: "I have had an itchy scalp for years. Coal tar shampoo did not work. Sulfate free shampoo did not work. This shampoo stops the itching. Ahhh!"

Recommended by the National Eczema Association, this medicated two-in-one product takes the guesswork out of selecting a conditioner, too. It contains an impressive three percent salicylic acid to effectively control and treat symptoms of dandruff, seborrheic dermatitis and psoriasis without stripping strands of the natural oils that promote shiny, healthy hair.

Rave review: "I've been using medicated Denorex for years. I suffer [from] clogged pores and eczema. Denorex calmed the condition. I also use Denorex to bathe when my eczema flares up."

Most shampoos formulated especially for scalp eczema have an unpleasant scent, but you won't have those kinds of complaints about this product, which smells a lot like mint chocolate chip ice cream. Though the once-per-week formula is more of a scalp treatment than a true shampoo, it's a fantastic option for anyone suffering from scalp eczema as a result of buildup.

The scrub contains a potent blend of binchotan charcoal to eradicate any impurities, vegetable-derived exfoliators to reset the scalp, moisturizing oils to nourish, peppermint and spearmint to soothe, and panthenol to fortify.

Rave review: "Loving this! It helps clear dandruff very effectively! In just a couple of uses I can feel the difference in my scalp, especially when combing through my hair there is much less scaling. "

To help balance your scalp's pH and eliminate any buildup that can exacerbate symptoms of scalp eczema, try this apple cider vinegar rinse recommended by Sheel Desai Solomon, MD, a board-certified dermatologist in North Carolina. It contains beneficial vitamins, enzymes, and amino acids that work together to clarify and combat irritation, itchiness, and dandruff.

Rave review: "This shampoo is great. No harsh chemicals that would normally wreck havoc on my hair. The ACV works wonders to keep frizz at bay."

According to the National Eczema Association, seborrheic dermatitis is very common in infants and babies. who'd need extra-gentle shampoo, like this one. In fact, the weightless, mousse-like formula was originally made specifically for the youngest set. It's fragrance- and tear-free, plus contains natural oils like avocado and sunflower that won't strip their delicate skin.

Rave review: "Tried this for baby’s cradle cap. It seemed to work well. I did not have to soak the scales in oil and scrub them. The shampoo has a light scent and doesn’t leave a lingering smell.

Don't like how most shampoos for scalp eczema are drying and smelly? You're in luck, because this salon-quality pick is ultra-hydrating and smells delicious, but still tackles common complaints associated with the condition. That's because it contains algae to effectively rid hair of impurities and acts as a natural moisturizer at the same time, says Gretchen Frieling, MD, a board-certified dermatopathologist in Boston.

Rave review: "I loved this product!!! Made my hair extremely soft and smells soooo delicious! I’ve used many shampoos in my life but this one definitely is at the top of my list."

An Amazon bestseller (it has nearly 55,000 reviews!), this shampoo by John Paul Mitchell hinges on tea tree and peppermint oils to purify and remove buildup. It also contains lavender oil to help soothe an angry scalp. Reviewers love the cooling sensation, noting it instantly works to relieve symptoms like itchiness.

Rave review: "This stuff is a game changer! I stumbled upon this shampoo while aimlessly wandering through the hair care aisle, and I'm so glad I did. I'm not exaggerating when I say it's the best shampoo I've ever used."

Anna Chacon, MD, is a board-certified dermatologist in Miami and a writer for My Psoriasis Team. Sarah Roberts is a licensed hair, beauty, and skincare consultant, as well as the founder of A Beauty Edit. Sheel Desai Solomon, MD, is a board-certified dermatologist in North Carolina. Gretchen Frieling, MD is a board-certified dermatopathologist in Boston.

Seborrheic dermatitis, more commonly referred to as scalp eczema, can affect people of any age, though it’s most common in infants and adults between the ages of 30 and 60, according to the National Eczema Association. But what exactly causes this condition? It's generally a combination of genetic and environmental factors, says Dr. Chacon.

Essentially, scalp eczema is triggered by an inflammatory reaction to excess Malassezia yeast, an organism that normally lives on the skin’s surface, but can cause a flare-up when the immune system overreacts to it. This causes the fungal infection that results in skin changes, including flaking or dandruff, patchy or flaky white or yellow scales on top of greasy skin, a painful rash, or itchiness.

Certain medical conditions—psoriasis, HIV, acne, rosacea, Parkinson’s disease, epilepsy, alcoholism, depression, eating disorders and recovery from a stroke or heart attack—can increase a person's odds of developing scalp eczema, as can things like stress, harsh shampoo or soap, cold, dry weather, or a change in medication.

If you have scalp eczema, your dermatologist may recommend a medicated shampoo, since are these formulas contain active ingredients such as ketoconazole, selenium sulfide, coal tar, zinc pyrithione, or salicylic acid, all of which can help control symptoms, says Dr. Chacon. "Ketoconazole, for instance, is an effective antifungal that can control yeast growth associated with this condition, while salicylic acid assists in removing scales and flakes." These shampoos should be used as directed by a healthcare provider to avoid potential side effects.

If you're hoping to go the OTC route, hypoallergenic shampoos can also be beneficial, since they're free from common allergens like fragrances and dyes that can irritate sensitive skin and exacerbate symptoms of scalp eczema, says Chacon. Some may also find relief with natural ingredients like tea tree oil, aloe vera, or oatmeal.

Whichever route you go, it's important to choose a shampoo that's free from sulfates and alcohol, as these ingredients can dry out the scalp and worsen the symptoms of eczema, says Chacon.

If you suffer from scalp eczema, the frequency at which you lather up is important for curbing symptoms, though exact guidelines vary based on the individual and the severity of the case. "The rule of thumb for mild cases is every two days, but those with severe cases may need to wash daily," says Dr. Chacon. "During flare-ups, you may need to wash more frequently to help manage symptoms and remove scales."

Discussing your washing routine, triggers, and hair products with a qualified dermatologist can help you determine the best routine for your scalp eczema—there's really no one-size-fits-all solution.