ProductDosing frequencyCommon adverse effectsCost for generic (brand)*
Over-the-counter preparations
Coal tar shampooTwice per weekContact dermatitis, folliculitis, photosensitivity$5 for 130 mL
Selenium sulfide shampooTwice per weekAlopecia, hair discoloration, irritation$7 for 325 mL
Tea tree oil shampooDailyAllergic contact dermatitis, irritation$14 for 473 mL
Zinc pyrithione shampooTwice per weekIrritation$5 for 420 mL
Topical antifungals
Ciclopirox 1% shampoo (Loprox)Daily initially, then twice per weekBurning, contact dermatitis, pruritus$59 ($527) for 120 mL
Ketoconazole 2% shampoo (Nizoral)Daily initially, then twice per weekIrritation, pruritus, xeroderma$16 ($63) for 120 mL
Topical corticosteroids
Betamethasone valerate 0.12% foam (Luxiq)Twice dailyHypopigmentation, pruritus, skin atrophy, stinging$88 ($274) for 50 g
Clobetasol 0.05% shampoo (Clobex), alternating with ketoconazole 2% shampooEach twice weekly, alternating medications, for up to two weeksBurning, erythema, folliculitis, hypopigmentation, pruritus, skin atrophy$144 ($644) for 118 mL
Fluocinolone 0.01% shampoo (Capex)DailyBurning, dryness, hypopigmentation, skin atrophyNA ($364 for 120 mL)
Fluocinolone 0.01% solution (Synalar)Once or twice dailyBurning, cough, fever, hypopigmentation, pruritus, rhinorrhea, skin atrophy$32 ($289) for 60 mL