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Selsun Blue with Menthol Update: Day 2

Wednesday, October 21st, 2009

Surprisingly, the itchiness on my scalp seems to be a lot worse today than yesterday starting around mid-day.  Since noon I have felt strong urges to scratch both the front and the far back of my scalp.  It feels like the kind of deep itch that will not go away, no matter how much I scratch at it.

Observation: The winter season is just beginning here in Phoenix, which means less sun and lots of cold, dry air.  My knuckles have started to dry out over the last few days, which is a sign that the worst time of year for my psoriasis is beginning.  Phoenix is dry year round; but it gets especially dry when assiduous sweating is taken out of the picture.

I found myself missing the effects of coal tar as the day went on today — coal tar seems to have a longer lasting, suppressive effect on scalp itch.  My inclination at this point is to switch back to T/Gel, Stubborn Itch Control (with menthol as well) as soon as this bottle of Selsun Blue with menthol is finished.  I would feel bad about not using this whole bottle since it cost me $9 (not on sale, but worth it for scientific research, right?).

See my more extended review of Selsun Blue with Menthol here.

Selsun Blue with Menthol – Product Review

Monday, October 19th, 2009

selsun blue menthol

Selsun Blue is designed primarily to treat itchiness (pruritus) and flaking caused by seborrheic dermatitis of the scalp.  Since scalp pruritus is the main symptom I experience on a regular basis and since psoriasis is similar to seborrheic dermatitis, I decided to give Selsun Blue with Menthol a try.

The most effective type of T/Gel I have found to treat my psoriasis has been T/Gel Stubborn Itch Control, which contains coal tar (2%) and menthol.   The soothing effect of menthol is effective at suppressing pruritus flares-ups on my scalp in addition to the the longer term medicinal effects of coal tar.  In the case of this particular kind of Selsun Blue, the active ingredients are selenium sulfide (1%) and menthol.  While coal tar suppresses skin cell proliferation, selenium sulfide is primarily an antifungal compound — it kills the fungus (malassezia) that feeds on the skin’s natural oils, leading to itchiness and dandruff.  Selenium sulfide has also been proven to suppress keratinocyte proliferation (excessive skin cell production), which leads to the itchiness and scaling characteristic of psoriasis vulgaris (plaque psoriasis).

Observations:

Selsun Blue with Menthol had less of an immediate effect on my scalp than T/Gel with menthol, but as of now, about 2 hours after applying this shampoo, my scalp feels quite at ease.  I have not felt the need to scratch for at least an hour now.  With the help of the residual menthol, my scalp feels as “normal” ore as free from pruritus as it ever does.  This is encouraging for me since, as I said, my main symptom is an itchy scalp.  In addition to being bothersome and distracting, scratching all day is causing a lot of damage to my scalp, which is leading to accelerated hair loss.

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There are some other advantages to using Selsun Blue that may lead me to switch over to this product over T/Gel:

  • Coal tar is a suspected carcinogen over long periods of exposure.  Experts might claim that I would have to soak my entire body in pure coal tar all day for a year to be at risk of developing cancer… but this argument doesn’t really put my mind ease.  Soaking my scalp with a diluted coal tar solution on a regular basis is comparable, so why risk it?  Also, petroleum based products across the board do not have a great reputation for promoting physical health (from consumables to topical ointments to gasoline).  If crude oil splashed onto your skin would your impulse be to quickly wash it off or would you allow it soak in for a while?
  • Selsun Blue with menthol is significantly less expensive than T/Gel with menthol.  While T/Gel is about $7.00 for 4 ounces (at my local grocery store), Selsun Blue is about $9.00 for 11 ounces.  That’s about half as much, ounce for ounce.
  • Selsun Blue with menthol doesn’t smell as bad as T/Gel with menthol.  For a person who is not accustomed to the smell of coal tar shampoos, the aroma can be suffocating.  This particular kind of Selsun Blue smells like a combination of menthol, Irish Spring soap and sunscreen.

The Goeckerman Regimen for Moderate to Severe Psoriasis

Thursday, October 8th, 2009

The Goeckerman Regimen is a psoriasis treatment that involves exposing the skin to UV-B light shortly after soaking up heavy doses of coal tar.  This particular psoriasis treatment has been in use since 1925, when a doctor at the Mayo clinic named Dr. Goeckerman developed it.

Coal tar or UV-B light have proven to treat psoriasis on their own so, from the point of view of “heavier treatment is better,” it makes sense that the two working together would have even better results.  On the other hand, there are others (including Neutrogena, maker of T/Gel) who recommend avoid mixing these two, since coal tar can make the skin more sensitive to sunlight.

The Goeckerman Regimen is called a “regimen” because it’s a deliberate, intensive, prolonged process that is designed to clear up psoriasis treatments quickly.  It’s traditionally done at a hospital over the course of a few days.  Depending on the dermatologist in charge, different degrees of UV-B light are administered in combination with different levels of coal tar concentrations (usually 1-5% solutions).

Advantages:

  • A high rate of success
  • It can suppress psoriasis for a relatively long time.

Disadvantages:

  • It’s a messy process
  • Too much coal tar can stain your skin
  • Both of these elements, coal tar and UV light, are suspected carcinogens (possibly cancer-causing), so I would be hesitant to combine the two in such intense concentrations.

Obseration:

  • The Goeckerman Regimen bears a close resemblance to another psoriasis regimen – PUVA – which combines psoralen with UV-A light.

Neutrogena’s Extra Strength T/Gel — Update After One Week

Wednesday, October 7th, 2009

I have been using Neutrogena’s Extra Strength T/Gel for the last week or so, every other day.  I have found that, while the immediate effects aren’t as drastic as T/Gel with menthol, the itch-reducing effects do effectively last for at least.  I feel an intense urge to itch about 3 times per day on average on a day when I have used Extra Strenth T/Gel in the morning.

This particular kind of T/Gel has a significant effect on my scalp, but I am still looking forward to finishing off this bottle so I can get back to T/Gel, Stubborn Itch Control (with menthol).

Neutrogena’s T/Gel, in case you’ve never heard of it, is one of the most common types of psoriasis shampoos.  It is common enough that, if your local grocery store stocks any psoriasis shampoo at all, it’s probably T/Gel (as well as maybe a generic version for a dollar less).  Extra Strength T/Gel has about twice as much coal tar (the active ingredient) as it’s sibling, Original Formula T/Gel.