Eczema on Scalp: Remedies and Treatment

Scalp eczema, often referred to as seborrheic dermatitis, affects many individuals in Ireland. Characterised by red, itchy, and flaky patches on the scalp, it can lead to discomfort and self-consciousness. Knowing the right remedies for eczema on the scalp can help manage symptoms effectively and improve scalp health.

Understanding Scalp Eczema

Scalp eczema is an umbrella term for several conditions that cause inflammation and irritation on the scalp. The most common type is seborrhoeic dermatitis, but other forms — such as atopic dermatitis or contact dermatitis — can also occur. Symptoms vary from mild dryness to more severe redness, itching, and visible scaling. In some cases, hair may thin in the affected areas, although this is usually temporary once the condition is treated.

Why Does It Happen?

While the exact cause isn’t fully known, a few factors tend to play a role:

Yeast overgrowth: A natural yeast called Malassezia lives on everyone’s scalp, but in some people, it triggers inflammation.
Family history: If eczema, allergies, or asthma run in your family, your risk is higher.
Weather changes: Cold, windy days or dry indoor heating can make symptoms worse.
Stress and hormones: Both can cause flare-ups at inconvenient times.
Hair products: Shampoos or styling products with strong fragrances, alcohol, or harsh detergents can irritate the scalp.

Common Signs to Look For

Typical signs of scalp eczema include:

Persistent itching or burning sensation
Flaky skin or dandruff-like shedding
Red or greasy patches
Soreness in severe cases
Temporary hair thinning around affected areas

What Is the Best Way to Get Rid of Scalp Eczema?

There’s no one-size-fits-all answer for getting rid of scalp eczema. However. the most effective approach usually combines medication, gentle scalp care, and avoiding known triggers. Below are some tried-and-tested remedies for scalp eczema:

1. Use the Right Shampoo

Shampoos with certain active ingredients can help calm irritation and reduce flakes:

Ketoconazole – fights fungal growth on the scalp to help reduce irritation
Pyrithione zinc – calms inflammation while targeting yeast overgrowth
Selenium sulphide – helps manage flakiness and excessive scaling
Salicylic acid – softly loosens and removes dead skin cells

Use them as directed — overusing medicated shampoos can sometimes cause extra dryness.

2. Topical Medications

When shampoos alone aren’t enough, doctors may recommend:

Mild steroid creams or lotions to reduce redness and itching
Calcineurin inhibitors like tacrolimus for a steroid-free option
Prescription antifungal creams for stubborn yeast-related flare-ups or secondary infections.

Your GP can help you decide which scalp eczema treatment is right for you.

3. Soothing Natural Options

Some people prefer to supplement medicated treatments with gentler alternatives:

Coconut oil – moisturises and has mild antifungal properties
Aloe vera gel – cools and soothes inflamed skin
Olive oil – softens crusts so they can be washed away more easily

Always do a patch test first to avoid any reaction.

What to Avoid With Scalp Eczema

Avoiding specific triggers is just as important as treatment:

Harsh Hair Products: Shampoos and styling products with fragrances, alcohol, or sulphates can aggravate eczema.
Excessive Scratching: This can worsen inflammation and lead to infection.
Hot Water: Washing hair in very hot water can dry out the scalp and worsen symptoms.
Stress and Poor Sleep: Both can exacerbate flare-ups.

Lifestyle Tips for a Healthier Scalp

A few small changes can make a big difference:

Wash hair regularly with a gentle, fragrance-free shampoo in between medicated washes
Keep stress levels in check with activities like walking, yoga, or reading
Maintain good sleep habits to help skin recover
Use a humidifier indoors in winter to prevent excessive dryness

When to Seek Medical Help

If you’ve tried home care without much improvement, or your symptoms are getting worse, it’s time to speak to a GP. Persistent flare-ups may need a tailored scalp eczema treatment plan, which could include prescription medication or referral to a dermatologist.

How can GP24 help

Our experienced GPs can assess your condition and create a tailored treatment plan for any skin conditions you may be experiencing. Whether you’re dealing with a sudden flare-up of scalp eczema or managing recurring symptoms, our doctors provide fast, expert care. Through video or phone consultations, we can evaluate your symptoms, recommend effective treatments, and issue prescriptions where appropriate. For patients who need in-person care, we also offer doctor call-outs directly to your home. In addition, we provide an online prescription service for other skin conditions such as psoriasis and rosacea, making it simple to get repeat prescriptions from the comfort of your home.

Conclusion

Scalp eczema is a manageable condition once you know what you’re dealing with. By using the right eczema on scalp remedies, avoiding your personal triggers, and making small lifestyle adjustments, you can greatly reduce symptoms and keep your scalp comfortable. If you need expert advice, the team at GP24.ie offers 24-hour online GP consultations across Ireland, so you can get help without delay.