Beyond Dandruff: Advanced Treatment for Scalp Health

1 Big Thing

Struggling with chronic scalp flaking and irritation that doesn’t improve with regular shampoos? A prescription-strength formula with ketoconazole (2%), salicylic acid (2%), and fluocinonide (0.05%) targets persistent dandruff and scalp conditions to restore healthy skin.

Why It Matters

Chronic dandruff isn’t just a cosmetic issue—it can lead to discomfort, embarrassment, and even social withdrawal. Standard over-the-counter products often only provide temporary relief, while the underlying issues remain untreated. This advanced treatment is designed to work at the root of the problem, reducing fungal growth, removing excess scales, and calming inflammation for long-term scalp health.

Between the Lines

If you’ve tried regular anti-dandruff shampoos without lasting results, it might be time for a more targeted, prescription-strength approach. This formula doesn’t just mask symptoms; it works deeply to correct scalp imbalances and promote a healthier environment for hair growth.

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Go Deeper

Why Does Dandruff & Scalp Irritation Keep Coming Back?

Scalp flaking and itchiness can be triggered by several underlying conditions, including:

• Seborrheic Dermatitis – A common chronic scalp condition caused by yeast overgrowth, leading to oily flakes, redness, and irritation.
• Scalp Psoriasis – A more severe condition that causes thick, silvery-white scales and intense itching.
• Fungal Overgrowth (Malassezia Yeast) – A naturally occurring yeast on the scalp can become overactive, leading to persistent flakes and oil buildup.
• Excess Oil Production – Too much sebum can trap dead skin cells, worsening dandruff.
• Product Buildup – Styling products and shampoos that leave residue can worsen irritation and clog hair follicles.

👉 Without proper treatment, dandruff and scalp irritation can worsen over time, leading to increased flaking, discomfort, and even hair thinning.

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How the Ketoconazole + Salicylic Acid + Fluocinonide Formula Works

This prescription-only scalp treatment combines three clinically proven ingredients to eliminate dandruff, soothe irritation, and promote long-term scalp health.

Key Ingredients & Their Role

1. Ketoconazole (2%) – The Antifungal Powerhouse

Ketoconazole is a clinically proven antifungal agent that works by:

• Killing the yeast (Malassezia) responsible for dandruff and seborrheic dermatitis.
• Reducing inflammation and excess oil, making the scalp less hospitable to fungal growth.
• Helping to control flaking and irritation, leading to a healthier scalp.

👉 Ketoconazole is stronger than standard dandruff shampoos, providing long-term relief.

2. Salicylic Acid (2%) – The Scalp Exfoliator

Salicylic acid is a beta hydroxy acid (BHA) that helps by:

• Breaking down dead skin cells, clearing flakes and buildup.
• Softening thick, scaly patches, making it easier for other ingredients to work.
• Unclogging hair follicles, preventing oil and debris accumulation.

👉 Salicylic acid helps shed dandruff more effectively than basic shampoos.

3. Fluocinonide (0.05%) – The Anti-Inflammatory Agent

Fluocinonide is a prescription-strength corticosteroid that works by:

• Reducing redness, irritation, and inflammation caused by scalp conditions.
• Providing rapid relief from itching and discomfort.
• Helping to calm flare-ups of seborrheic dermatitis and scalp psoriasis.

👉 Fluocinonide quickly relieves severe scalp irritation while other ingredients clear the root cause.

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Effectiveness & Considerations

• Targets multiple causes of scalp flaking, including fungal overgrowth, inflammation, and buildup.
• Works best for chronic dandruff, seborrheic dermatitis, and mild scalp psoriasis.
• Requires consistent use for full scalp renewal—results improve over several weeks.
• Common side effects: Temporary scalp sensitivity, mild dryness, or tingling.

👉 Fluocinonide is a potent steroid and should be used as directed—long-term overuse may thin the skin.

Results Timeline

• Week 1-2 – Reduced itching and inflammation, noticeable improvement in flaking.
• Week 3-4 – Dandruff and redness significantly decrease, scalp feels healthier.
• Week 5-8 – Full scalp renewal, with clearer, itch-free results.

👉 For long-term maintenance, your provider may recommend tapering usage after symptoms improve.

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How to Use the Prescription Scalp Treatment

For best results, follow these application guidelines:

1. Apply to the scalp three times a week, focusing on affected areas.
2. Leave on for 15-30 minutes, allowing ingredients to absorb.
3. Rinse thoroughly with a gentle, sulfate-free shampoo.
4. Avoid using harsh styling products that may worsen buildup.
5. Continue use for at least 4-6 weeks for best results.

👉 Best for: Chronic dandruff, seborrheic dermatitis, and mild scalp psoriasis.
👉 Not for: Extremely sensitive scalps—consult your provider if irritation occurs.

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Why Choose a Compounded Formula?

Unlike standard dandruff shampoos, this custom-compounded prescription formula is:

• Stronger and more effective, combining antifungal, exfoliating, and anti-inflammatory ingredients.
• Designed for chronic scalp conditions, not just mild flakes.
• Prescribed by medical professionals, ensuring safety and effectiveness.

👉 This treatment requires a prescription, which Well Revolution can provide.

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What Are the Alternatives?

If you’re considering other treatments for scalp flaking and irritation, options include:

• OTC Ketoconazole Shampoos (Nizoral 1%) – Milder than prescription versions.
• Zinc Pyrithione Shampoos (Head & Shoulders) – Works for mild dandruff but not for chronic cases.
• Coal Tar Shampoos (T/Gel, T/Sal) – Can help, but often have an unpleasant smell and may cause irritation.
• Steroid Solutions (Clobetasol, Betamethasone) – Effective for severe inflammation but don’t treat fungal causes.

👉 For persistent scalp conditions, a prescription topical formula is the best first-line treatment.

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Steps to Get Your Prescription Scalp Treatment

1. Free Specialist Consultation

Chat live with a Well Revolution licensed specialist to assess your scalp condition. A quick assessment will help establish which treatment is right for you.

2. Get a Custom Prescription

If treatment is recommended, get a prescription for a custom-compounded formula for just $50.

3. Get Your Treatment

Your prescription is sent to a Well Revolution pharmacy partner for home delivery or pickup.

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A Healthier, Flake-Free Scalp

Chronic dandruff and scalp conditions aren’t just cosmetic concerns—they’re signs of an underlying imbalance that requires targeted treatment. This prescription-strength antifungal, exfoliating, and anti-inflammatory formula is designed to restore scalp health and provide lasting relief.

With consistent use, expert guidance, and a science-backed formula, you can eliminate flakes, soothe irritation, and regain confidence in your hair and scalp.

Health concerns, no matter how minor, can impact your confidence and overall well-being. If you're ready to eliminate persistent dandruff, consult a Well Revolution primary care provider today for expert guidance and a personalized treatment plan.

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