Pregnancy-Safe Dandruff Shampoos (2025)
Scalp flakes and itch can spike during pregnancy. Many over-the-counter dandruff shampoos are used topically with low absorption, but always confirm with your clinician if you have concerns or if you need medicated options.
Options to discuss with your clinician
- Zinc pyrithione shampoos.
- Low-strength salicylic acid shampoos (short contact).
- Selenium sulfide shampoos.
- Ketoconazole shampoos (check with your clinician first).
- Example labels to look for (brand • name • risk band/safety score):
- Not Your Mother's • Clean Freak Refreshing Dry Shampoo (safe band, score 80s) as a spacer between washes.
- Cantu • Pure Cocoa Butter Hydrating Raw Blend (safe 100), use as post-wash length conditioner; avoid scalp if greasy.
- Aura Cacia • Organic Argan Skin Care Oil (safe 100), a few drops on lengths, not scalp, for shine.
- Example labels to look for (brand • name • risk band/safety score):
What to avoid or limit
- Coal tar shampoos unless specifically approved.
- Strong leave-on scalp acids or peels.
- Aggressive scrubs if your scalp is already inflamed.
How to use
- Wet hair, massage shampoo into the scalp for 2-3 minutes, then rinse.
- Follow with a gentle conditioner on lengths only.
- If irritation occurs, space out uses or switch to a milder option.
Extra tips
- Limit very hot showers and harsh detergents that strip the scalp.
- If you colour your hair, discuss timing and products with your stylist and clinician.
- Persistent, painful, or weeping patches warrant a medical review.
References
- NHS on scalp and skin changes in pregnancy: https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/skin-changes/
- ACOG skin changes overview: https://www.acog.org/womens-health/faqs/skin-conditions-during-pregnancy
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FAQs
Can I use medicated dandruff shampoos while pregnant?
Many OTC options (zinc pyrithione, low-dose salicylic, selenium sulfide) are used topically; check with your clinician, especially for ketoconazole or coal tar.
How often should I use it?
Start 2-3 times per week, massage in, leave on a few minutes, then rinse. Reduce if your scalp feels dry.
Should I avoid fragrance?
If you are sensitive, choose fragrance-free or mild-scented formulas to reduce irritation.
