From the Research
The best treatment for cradle cap is the use of a gel cream containing piroctone olamine, biosaccharide gum-2, stearyl glycyrrhetinate, and zinc l-pyrrolidone carboxylate, as it has been shown to be effective in reducing scaling intensity and promoting general skin health 1.
Treatment Approach
To manage cradle cap, the following steps can be taken:
- Apply the gel cream twice daily for 30 days, as this has been shown to reduce scaling intensity and promote skin health 1
- For mild cases, regular washing with a mild baby shampoo and gentle brushing to loosen and remove the scales may be sufficient
- For persistent cases, over-the-counter 1% hydrocortisone cream may be applied sparingly to inflamed areas, or an anti-dandruff shampoo containing 1% selenium sulfide or 2% ketoconazole can be used twice weekly (but keep away from eyes)
Important Considerations
- Cradle cap is generally harmless and typically resolves on its own by 6-12 months of age
- If the condition worsens, spreads to other body parts, or shows signs of infection (increased redness, warmth, or oozing), consult your pediatrician
- Good skin care, including the use of emollients, can promote general skin health and reduce any dryness associated with co-existing atopic eczema 2
Additional Options
- LOYON(®) solution, a non-medicated topical treatment, has been shown to be effective in facilitating the removal of scaling in infants and children with cradle cap without inducing spot bleedings 3
- Medical device shampoos with antiinflammatory and antifungal properties may also be used as an alternative treatment option 4