Lothian Joint Formularies - Minor Ailments

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Skin

First Choice:
	ketoconazole shampoo
or	coconut oil containing shampoo
Second Choice:
	T-Gel ^® shampoo (as per LJF)
or	Polytar liquid (contains peanut oil)

First Choice:
	ketoconazole shampoo
Second Choice:
	Polytar ^® liquid
Cradle Cap -
First Choice:
	no treatment
Second Choice:
	olive oil
or	coconut oil containing shampoo

coconut oil containing shampoo 250mL (Capasal^®): apply according to product information
Polytar^® 250mL liquid (arachis (peanut) oil extract of crude coal tar 0.3%, cade oil 0.3%, coal tar solution 0.1%, oleyl alcohol 1%, tar 0.3%): scalp disorders, including psoriasis, seborrhoea, eczema, pruritus and dandruff, apply 1–2 times weekly
ketoconazole 2% 120mL shampoo: for seborrhoeic dermatitis and dandruff apply twice weekly for 2–4 weeks
olive oil 25mL: massage a small amount into the scales and then shampoo with a gentle baby shampoo
T-Gel^® shampoo 125ml, 250ml (coal tar extract): scalp psoriasis, seborrheic dermatitis and dandruff, apply 2-3 times weekly.

Treatment depends on the severity of the condition. Shampoo formulations are preferred for moderate scaly scalp conditions whereas more severe conditions may require an ointment
Ketoconazole shampoo is often helpful for seborrhoeic dermatitis of the scalp
Removal of thick crusts and scales from the scalp using warm mineral or olive oil before using antifungal shampoo may improve effectiveness
Cradle cap is often a self-limiting condition and causes no discomfort
Frequent shampooing (unless medicated) and harsh brushing should be avoided.