How to Use Nopsor for Scalp Psoriasis
Scalp psoriasis is one of the most common — and most frustrating — forms of the condition. The hair gets in the way of treatment, products wash out before they can work, and the itch is relentless. Here is the exact protocol our founder José Luis Aguilar Sánchez recommends, refined over 25 years of personal experience and customer results.
Why the Scalp Needs a Different Approach
When psoriasis affects the scalp, two things make it harder to treat than patches on the body. First, the hair physically blocks topical products from reaching the skin. Second, most shampoos rinse off before active ingredients have time to work. The Nopsor two-step system addresses both: the shampoo is formulated to stay on the scalp for a few minutes before rinsing, and the pomade is applied directly to the affected areas after washing — bypassing the hair barrier entirely.
"The key is not how much pomade you use — it is where you put it. Apply only to the affected areas, use a thin layer, and press gently with your fingers. The formula does the work overnight."
— José Luis Aguilar Sánchez, Founder, Nopsor · 25 years treating scalp psoriasisThe Two Recommended Paths
Every person's skin responds differently. José Luis recommends the full two-step protocol for moderate to severe scalp psoriasis. For mild or early-stage lesions, the shampoo alone may be sufficient — and many Nopsor customers see strong results with shampoo only.
Two-Step Protocol
For moderate to severe lesions. Shampoo first, then pomade applied overnight to affected areas. This is the standard Nopsor recommendation and what most customers use for best results.
Shampoo Only
For mild or early-stage lesions. Some customers achieve full results with the shampoo alone. If you are just starting out with mild patches, this is a valid first step — and you can add the pomade if you want to accelerate results.
Not sure which path is right for you? Start with the two-step protocol. It is the foundation of 25 years of results.
Step-by-Step: The Full Two-Step Protocol
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Apply the Nopsor Shampoo to wet hair and scalp Work the shampoo into a lather, focusing on the affected areas of the scalp. Make sure the product reaches the skin — not just the hair.
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Leave the shampoo on for 2–3 minutes This is the step most people skip — and it matters. The salicylic acid needs contact time to soften and lift the scale. Set a timer if needed. Do not rinse immediately.
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Rinse thoroughly and dry Rinse well and dry your hair before moving to the next step. The scalp should be clean and dry before pomade application.
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Part your hair to expose the affected areas Use a comb or your fingers to part the hair in sections, exposing the scalp skin where lesions are present. You are applying the pomade to the skin — not to the hair.
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Apply a thin layer of Nopsor Pomade to affected areas only You do not need a heavy application — a thin, even layer is enough. More product does not mean faster results. Apply only where the lesions are, not across the entire scalp.
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Press gently with your fingertips After applying the pomade, use gentle finger pressure to help the ingredients penetrate the skin. This is a small step that makes a meaningful difference to absorption.
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Leave on overnight The coal tar and herbal blend work during sleep. Do not rinse the pomade out before bed. You may want to use an old pillowcase while treating.
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Wash out every morning — without exception Always wash your hair the next morning using the Nopsor Shampoo. This removes dead skin cells lifted overnight and, critically, removes coal tar residue before sun exposure. This step is non-negotiable — see the sun safety note below.
Coal tar increases the skin's sensitivity to sunlight. Always wash out the pomade in the morning before going outdoors. Do not skip the morning wash or apply the pomade before sun exposure. This is standard guidance for all coal tar products, including Nopsor.
The pomade is an overnight treatment and may transfer to fabric. Use an old pillowcase or place a towel over your pillow while you are treating. Once your scalp clears, maintenance use is lighter and this becomes less of a concern.
How Often to Repeat
Repeat the full two-step protocol nightly for as long as lesions are present. Most people begin to notice softening of the scale within the first week. Visible improvement in redness and thickness typically follows in weeks two and three. Continue daily use until the affected areas have cleared.
Once clear, many customers reduce to a maintenance routine — using the shampoo regularly and applying the pomade a few nights per week or at the first sign of a returning patch.
What to Expect Week by Week
| Week | What You May Notice |
|---|---|
| Week 1 | Scale begins to soften. Itching may reduce. The skin may look similar but feel different under your fingers. |
| Week 2 | Flaking decreases. Redness may begin to fade. Patches may appear smaller or thinner. |
| Week 3–4 | Visible clearing begins for most users. Skin texture normalizes. Some patients with severe involvement may still be in active improvement. |
| Beyond 4 weeks | Continued improvement. Significant clearing or full remission for many users. Results vary based on severity and consistency of use. |
Results depend on the severity of your psoriasis and how consistently you follow the protocol. The 40-day guarantee exists because we know it takes time — and we stand behind the formula.
A Note on Individual Response
Psoriasis is a highly individual condition. Some customers clear completely with the shampoo alone. Others need the full two-step protocol. A small number need more time than others. What we know from 25 years of results is that consistency matters more than anything else — using the protocol daily until clear is the single most important factor in how well it works.
If you are unsure whether your lesions are mild or severe, default to the two-step protocol. It is always appropriate, and it gives the formula the best opportunity to work.
Related reading:
Ready to Start?
The Nopsor two-step system — shampoo and pomade — is available as a complete set with a 40-day guarantee.
Get the Nopsor Combo Pack →40-day money-back guarantee for purchases at nopsor-usa.com or Amazon · No prescription needed
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