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Is Head & Shoulders Bad for Your Hair?

Knox Beasley, MD

Reviewed by Knox Beasley, MD

Written by Geoffrey Whittaker

Published 03/15/2021

Updated 12/12/2023

Whether you spend a lot of time in the cosmetics aisle each month or not, you probably know that Head & Shoulders® is one of the most immediately recognizable brands in hair care.

For 60 years, their range of shampoos (and later, their conditioners, oils, pomades, styling gels and other products), have treated hair and scalp issues. 

At first, they mostly treated dandruff, but today, you can find H&S products that treat hair breakage, dry scalp, psoriasis or an itchy scalp.

But it’s not all glowing reviews for H&S. Over the years, claims have emerged that Head & Shoulders products may lead to hair loss.

So is there a link between hair loss and Head & Shoulders? We'll answer that question and more, including:

  • What do you need to know about the key ingredients that make up its products?

  • Does Head and Shoulders cause hair loss?

  • Is Head and Shoulders good for your hair?

Head & Shoulders helps to reduce and manage the appearance of dandruff flakes on shoulders and clothing, but has it also been a silent follicle assassin this whole time?

Can this shampoo brand cause the several types of hair loss we worry about? It’s not as simple a question as you might think — especially when you consider the relationship between dandruff and hair loss.

Let’s look at the ingredients to dig in.

Head & Shoulders shampoos and conditioners are formulated with two active ingredients and four inactive ingredients

FYI, an active ingredient is an ingredient that does something to address the skin/hair problem the product is made for, while an inactive ingredient has no therapeutic benefits and is necessary only for tasks like stabilizing the active ingredients or making them easier to use (oh, and sometimes they’re just there to make products look or smell pretty). 

The active ingredients in Head and Shoulders are zinc pyrithione and selenium sulfide, and the inactive ingredients are:

  • Methylisothiazolinone

  • Sodium lauryl sulfate 

  • Sodium laureth sulfate

  • Zinc carbonate 

We know what you’re thinking — some of these things just have to be gum ingredients, right? And isn’t one of those related to asbestos? Let’s break this down and look at how these active and inactive ingredients affect the hair on your head:

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Zinc pyrithione (ZPT) 

Because of its antifungal and antimicrobial properties, zinc is one of the most common ingredients you'll find in anti-dandruff treatments. 

It's also known for its ability to manage seborrheic — an inflammatory condition that causes red and scaly skin on the scalp.

While its exact mechanism of action isn’t very clear to scientists, ZPT helps to manage dandruff by reducing the amount of fungus on the scalp, which can prevent dandruff flakes.

There are a few theories about how this works. Because ZPT helps to increase zinc levels in the body, it is suspected that it enables zinc to bind to proteins that are necessary for fungal or bacterial activities. This may prevent fungal growth.

Another theory is the most interesting — and the most brutal. ZPT could basically just be a form of chemical warfare on these fungi and bacterial cells. 

It may also be able to starve microorganisms (like fungi and bacteria) of vital minerals like iron, and at least one study has found that it can increase copper levels in scalp fungus, which prevents further growth. 

FYI: while ZPT is mostly safe to use, it has been known to cause contact dermatitis, which causes skin irritation and dryness, for a few users. 

This condition doesn’t exactly damage hair, but it’s something a dermatologist will want to get rid of ASAP.

Selenium sulfide

To help control dandruff, the H&S ingredient selenium sulfide may prevent the growth of Malassezia — a type of yeast. Like zinc pyrithione, selenium sulfide also has anti-seborrheic properties, making it a choice addition for the treatment of dandruff. 

However, this compound has been known to cause excessive oiliness and, in some instances, it can cause yellow discoloration in the hair shaft following use. Again, not terribly dangerous side effects, but not exactly something you’d volunteer for.

Inactive Ingredients

Let’s touch on the inactive ingredients quickly. For the most part, these are all considered safe, but we still think some things should be brought to your attention:

  • The inactive agent methylisothiazolinone is used as a preservative. It is found in household products such as paint and adhesives and has been strongly linked to contact dermatitis.

  • Sodium lauryl sulfate and sodium laureth sulfate are used as hair detergents, which clean your hair. While the former has often been linked to hair loss, there is no real evidence to support the claim. But it is considered more damaging/irritating to your scalp than sodium laureth sulfate.

  • Sodium chloride is merely used to thicken the appearance of the shampoo.

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Before/after images shared by customers who have purchased varying products, including prescription based products. Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate. These customers’ results have not been independently verified. Individual results will vary. Customers were given free product.

Will your hair fall out if you lather up with this branded anti-dandruff shampoo? Honestly, probably not. If it did, we’d have heard a lot of reports over the last six decades.

For one thing, we happen to know that H&S and its active ingredients zinc pyrithione and selenium sulfide are effective in treating dandruff. And when it comes to hair loss, there’s a fair amount of data to show that many of these compounds are good for your hair.

Consider zinc pyritione’s role in hair loss treatment — a six-month, 200-patient study assessed the benefits of a 1% pyrithione zinc shampoo used daily, compared with the effects of a 5% minoxidil solution used twice daily, a placebo, and a combination of 1% pyrithione zinc shampoo and 5% minoxidil fluid.

Participants in the 1% ZPT group recorded a sustained improvement in hair growth and hair count after 26 weeks of treatment. However, it was less than half as effective as the minoxidil solution, and the combination treatment of minoxidil and ZPT showed relative sustained improvement in hair growth.

In other words, ZPT may have hair growth benefits, although you might not want it to be your main treatment method. 

However, things are a little different when it comes to the hair loss question and selenium sulfide. Despite proving effective in managing dandruff, high concentrations of this agent have been linked to hair loss. 

If you’re concerned about hair loss, selenium sulfide is something you should ask your doctor about.

Hair loss treatments, delivered

You don’t need a specialized degree to see how Head and Shoulders shampoo is a bit of a mixed bag for your hair’s health. 

  • Head & Shoulders products stave off dandruff and promote hair health through shampoos, conditioners and other hair care products. 

  • H&S achieves this using the proven active ingredients zinc pyrithione and selenium sulfide. 

  • Some of these ingredients have been connected to improved hair growth, while others have been associated with hair loss. However, hair loss is not a widespread phenomenon with use of these ingredients.

  • What’s best for you is ultimately your decision. If you’re struggling with dandruff, you may want to stick with the OG. If you’re losing hair, you may want to pivot.

If you’re in the market for zinc pyrithione shampoo to get rid of dandruff, we can help with that too. We can also help you with hair loss treatments if you’re starting to see more of your scalp than you’d prefer after washing your hair. 

To learn more, check out our article on shampoos that don't cause hair loss.

19 Sources

  1. Lepe K, Zito PM. Alopecia Areata. In: StatPearls internet. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Retrieved from:
  2. Ho CH, Sood T, Zito PM. Androgenetic Alopecia. In: StatPearls internet. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Retrieved from:
  3. Malkud S. (2015). Telogen Effluvium: A Review. Journal of clinical and diagnostic research : JCDR, 9(9), WE01–WE3. Retrieved from: Malkud S. (2015). Telogen Effluvium: A Review. Journal of clinical and diagnostic research : JCDR, 9(9), WE01–WE3. Retrieved from:,it%20persists%20beyond%206%20months.
  4. Pulickal JK, Kaliyadan F. Traction Alopecia]. In: StatPearls internet. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Retrieved from:
  5. Pierrel, F., Cobine, P. A., & Winge, D. R. (2007). Metal Ion availability in mitochondria. Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine, 20(3-4), 675–682. Retrieved from:
  6. Reeder NL, Kaplan J, Xu J, et al. Zinc pyrithione inhibits yeast growth through copper influx and inactivation of iron-sulfur proteins. Antimicrob Agents Chemother. 2011;55(12):5753-5760. Retrieved from:
  7. Nielsen NH, Menné T. Allergic contact dermatitis caused by zinc pyrithione associated with pustular psoriasis. Am J Contact Dermat. 1997;8(3):170-171. Retrieved from:
  8. Ranganathan, S., & Mukhopadhyay, T. (2010). Dandruff: the most commercially exploited skin disease. Indian journal of dermatology, 55(2), 130–134. Retrieved from:
  9. National Center for Biotechnology Information (2021). PubChem Compound Summary for CID 24011, Selenium sulphide. Retrieved from
  10. Reeder, M., & Atwater, A. R. (2019). Methylisothiazolinone and isothiazolinone allergy. Cutis, 104(2), 94–96. Retrieved from:
  11. Bondi, C. A., Marks, J. L., Wroblewski, L. B., Raatikainen, H. S., Lenox, S. R., & Gebhardt, K. E. (2015). Human and Environmental Toxicity of Sodium Lauryl Sulfate (SLS): Evidence for Safe Use in Household Cleaning Products. Environmental health insights, 9, 27–32. Retrieved from:
  12. Monselise, A., Cohen, D. E., Wanser, R., & Shapiro, J. (2015). What ages hair?. International journal of womens dermatology, 1(4). Retrieved from:
  13. DSouza, P., & Rathi, S. K. (2015). Shampoo and Conditioners: What a Dermatologist Should Know?. Indian journal of dermatology, 60(3), 248–254. Retrieved from:
  14. Turner, G. A., Matheson, J. R., Li, G. Z., Fei, X. Q., Zhu, D., & Baines, F. L. (2013). Enhanced efficacy and sensory properties of an anti-dandruff shampoo containing zinc pyrithione and climbazole. International journal of cosmetic science, 35(1), 78–83. Retrieved from:
  15. Berger, R. S., Fu, J. L., Smiles, K. A., Turner, C. B., Schnell, B. M., Werchowski, K. M., & Lammers, K. M. (2003). The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trial. The British journal of dermatology, 149(2), 354–362. Retrieved from:
  16. ARCHER, V. E., & LUELL, E. (1960). Effect of selenium sulfide suspension on hair roots. The Journal of investigative dermatology, 35, 65–67. Retrieved from:
  17. Zito PM, Bistas KG, Syed K. Finasteride. In: StatPearls internet. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from:
  18. Suchonwanit, P., Thammarucha, S., & Leerunyakul, K. (2019). Minoxidil and its use in hair disorders: a review. Drug design, development and therapy, 13, 2777–2786. Retrieved from:,as%20increasing%20body%20hair%20growth.
  19. Burg, D., Yamamoto, M., Namekata, M., Haklani, J., Koike, K., & Halasz, M. (2017). Promotion of anagen, increased hair density and reduction of hair fall in a clinical setting following identification of FGF5-inhibiting compounds via a novel 2-stage process. Clinical, cosmetic and investigational dermatology, 10, 71–85.
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Knox Beasley, MD

Dr. Knox Beasley is a board certified dermatologist specializing in hair loss. He completed his undergraduate studies at the United States Military Academy at West Point, NY, and subsequently attended medical school at Tulane University School of Medicine in New Orleans, LA. 

Dr. Beasley first began doing telemedicine during his dermatology residency in 2013 with the military, helping to diagnose dermatologic conditions in soldiers all over the world. 

Dr. Beasley is board certified by the American Board of Dermatology, and is a Fellow of the American Academy of Dermatology.

Originally from Nashville, TN, Dr. Beasley currently lives in North Carolina and enjoys spending time outdoors (with sunscreen of course) with his wife and two children in his spare time. 





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