Salicylic Acid Shampoo

Salicylic acid shampoo is a medication that breaks down layers of thick skin on your scalp. It treats dandruff, psoriasis, eczema and dermatitis. You can apply this shampoo to your wet hair and massage it in. You can leave this shampoo on your scalp for several minutes before rinsing it off.

What is this medication?

SALICYCLIC ACID (SAL i SIL ik AS id) reduces swelling, redness, itching, or rashes caused by skin conditions, such as psoriasis. It may also be used to treat seborrheic dermatitis, a condition that causes dry, flaky, and itchy skin. It works by reducing redness, irritation, and scaling on the skin.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Aliclen, Dermarest Psoriasis Shampoo plus Conditioner, Ionil, Ionil Plus, Keralyt, Keralyt 5, Neutrogena T/Sal Scalp, P&S, Salex, Selsun Blue, Thera-Sal

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What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

  • Kidney disease
  • Large areas of burned or damaged skin
  • Liver disease
  • An unusual or allergic reaction to salicylic acid, other medications, foods, dyes, or preservatives
  • Pregnant or trying to get pregnant
  • Breast-feeding

How should I use this medication?

This medication is for external use only. Do not take by mouth. Wash hands before and after use. Do not get this medication in your eyes. If you do, rinse them out with plenty of cool tap water. Use this medication as directed on the prescription label at the same time every day. Do not use it more often than directed. Keep taking it unless your care team tells you to stop.

Shake well before using. Apply medication to wet hair. Massage into the hair and scalp working it into a full lather. Rinse thoroughly. You do not need to use regular shampoo after each application.

Talk to your care team about the use of this medication in children. While it may be prescribed for children as young as 2 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medication?

Interactions are not expected. Do not use any other skin products without telling your care team.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.

This medication can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and sunscreen. Do not use sun lamps or tanning beds/booths.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Burning, itching, crusting, or peeling of treated skin

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

  • Mild skin irritation, redness, or dryness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

Get rid of medications that are no longer needed or have expired:

  • Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
  • If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put in the trash, take the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals.

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