MedicationDirectionsCost (generic)*Notes
White petrolatumApply daily$3 for 30 gMay soften scales, facilitating removal with soft brush
Tar-containing shampooUse several times per week$13 to $15 for 240 mLUse when baby shampoo has failed Safe, but potentially irritating
Ketoconazole (Nizoral, brand no longer available in the United States), 2% cream or 2% shampooCream: apply to scalp three times weekly
Shampoo: lather, leave on for three minutes, then rinse. Use three times weekly
Cream: ($16 to $37 for 15 g)
Shampoo: $30 to $33 for 120 mL ($16 to $38)
Small trial showed no systemic drug levels or change in liver function after one month of use
Hydrocortisone 1% creamApply every other day or daily$2 to $4 for 30 gLimit surface area to reduce risk of systemic absorption and adrenal suppression
May be especially effective for rash in flexural areas