Use an anti-dandruff shampoo containing ketoconazole, selenium sulfide, zinc pyrithione, or ciclopirox
Wash the scalp regularly with the medicated shampoo
Leave the shampoo on the scalp for 5 to 10 minutes before rinsing
Alternate medicated shampoos if one stops working well
Use a gentle, fragrance-free regular shampoo on non-medicated days
Avoid harsh hair products, oils, and styling products that can worsen symptoms
Gently brush or comb to remove loose scales after washing
Apply a topical corticosteroid solution, foam, or lotion to the scalp if prescribed
Use a topical antifungal treatment if prescribed
Treat itching and inflammation promptly to prevent scratching
Keep the scalp clean and avoid over-scratching
Manage stress and get adequate sleep
See a dermatologist if symptoms are severe, persistent, or spreading
Seek medical care if there is pain, swelling, oozing, or signs of infection