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Salicylic Acid Shampoo: Benefits and How to Use

Knox Beasley, MD

Reviewed by Knox Beasley, MD

Written by Lauren Panoff, MPH, RD

Published 11/27/2017

Updated 10/19/2024

Salicylic acid: You may have come across this ingredient in hair and skincare products when browsing your local drugstore’s shelves. And perhaps it’s left you scratching your head — or is that because of your dry scalp?

Salicylic acid is quite a multi-tasker, able to prevent acne, reduce dandruff, and more. But what is it, and why is it in so many products — like salicylic acid shampoo?

In this guide, we’ll look at the benefits of salicylic acid for hair and skin and how to use this key ingredient to your advantage with an effective shampoo.

Salicylic acid is a widely used active ingredient often found in anti-dandruff shampoo. It’s used as a treatment for everything from warts and calluses to dandruff, acne, scalp fungus like ringworm and various other skin and scalp conditions.

Salicylic acid works by safely and effectively exfoliating the epidermis — meaning it gently strips away the external layer of your skin.

By gently removing dead skin cells from the outermost layer of skin, salicylic acid helps your skin breathe better. Doing so also helps prevent skin conditions like pimples, fungal infections, and dandruff from developing over time.

This is why you often see shampoo with salicylic acid marketed as a top option to treat dandruff. The effect of sloughing away skin cells is what makes salicylic acid for scalp dandruff or scalp acne (yep, it’s a thing) so effective.

Now you know how salicylic acid shampoo works. But what are the main benefits of salicylic acid shampoo? Does it work for hair loss? Are shampoo products with salicylic acid the best shampoo for dandruff and hair fallout?

Find answers below.

Treats Dandruff

There’s a good reason shampoo with salicylic acid is sold as a solution for dry scalp.

Dandruff is the result of your body replacing old skin cells at an overly fast rate. Combined with natural scalp oils, this causes dead skin cells to build up and form larger, visually obvious skin flakes. The result can leave you with a scaly, dry scalp that has you scratching your head — and not because you’re confused.

There are a few causes of dandruff, including oil buildup if you don’t wash your hair enough, a yeast-like scalp fungus called Malassezia and seborrheic dermatitis (another condition that salicylic acid treats, which we’ll talk about further below). Dandruff can also be caused by other underlying skin conditions, such as scalp psoriasis or eczema.

Salicylic acid loosens the dead skin that’s built up on the flaky scalp, removing what we see as flakes in the process.

Reduces Seborrheic Dermatitis

Considered a chronic type of dandruff, seborrheic dermatitis causes scalp inflammation. The skin around parts of the body with oil glands (called sebaceous glands), including the scalp, become inflamed, causing reddish-yellow dandruff.

Seborrheic dermatitis is often linked to Malassezia (that pesky fungus that also causes regular dandruff), although other causes include hormones, stress and dry weather.

Medicated shampoos — such as shampoo with salicylic acid — have several functions. They typically have antibacterial and antifungal properties to efficiently reduce seborrheic dermatitis.

Studies have shown that salicylic acid effectively reduces seborrheic dermatitis symptoms, including an itchy scalp, by limiting fungus growth while breaking down dead skin cells.

Prevents Oil Buildup on Scalp

Dandruff could be considered a study in conflicts — those pesky flakes can be both the result of dryness as well as an oily scalp. And while salicylic acid relieves dry skin, this key ingredient can also reduce oil buildup on your scalp and prevent dandruff.

Another function of salicylic acid shampoo and other medicated shampoos is reducing sebum buildup. Sebum is the oil produced by your sebaceous glands (the oil glands mentioned above) to keep your skin soft and hydrated.

Sometimes, though, our bodies produce too much oil, causing sebum buildup on the scalp, which then leads to acne and dandruff. What fun.

This is where salicylic acid comes in and why you see it not only listed in anti-dandruff shampoo but also in acne-fighting creams or gels.

Bear with us here as we get a bit more sciencey (it could be fun or educational, at least).

Salicylic acid is a lipid-soluble agent, meaning it can dissolve through the lipid portion of a membrane. In salicylic acid’s case, the membrane is the skin, which is why this ingredient can gently remove dead skin and oil buildup.

Just like dandruff, acne is caused by the buildup of oil and dead skin cells. Salicylic acid for the scalp removes both — like magic (or science).

Before you go stocking up on anti-dandruff shampoos in hopes that it will also prevent your hairline from receding any further, we have to tell you something: Salicylic acid doesn’t treat hair loss directly.

But if you’re dealing with an itchy, flaky scalp and signs of balding, you might be wondering, does dandruff cause hair loss?

Premature hair loss may be caused by scalp conditions such as dandruff and seborrheic dermatitis, as they can limit the production of healthy hair.

Dandruff can also worsen two types of hair loss: telogen effluvium, hair loss typically resulting from stress, and androgenetic alopecia, also known as male pattern baldness.

There could also be a connection between an itchy scalp and hair loss. Salicylic acid for hair loss could decrease the risk of hair loss in the future, as it may help decrease the urge to scratch and pick at an itchy scalp.

Interestingly, several studies have found a connection between acne and higher testosterone production, including higher levels of dihydrotestosterone (DHT) — the key hormone responsible for hair loss in men.

What’s more, there have been promising studies on the effectiveness of hair loss prevention using shampoo with salicylic acid. 

For instance, a 24-week-long randomized placebo-controlled study found a 17 percent increase in the number of hairs on the crown of the head for those who used salicylic acid shampoo, along with improvements in hair thickness and other signs of hair loss.

However, this study was done on a small number of participants. Also, the salicylic acid was combined with other ingredients, so the effectiveness of SA alone on hair loss is questionable.

While a quick search of “salicylic acid shampoo hair loss” may turn up products that promise hair growth, this isn’t the whole truth.

But all’s not lost when dealing with male pattern baldness. There are plenty of other ingredients that can prevent hair fallout, which we covered in our guide on what to look for in a hair loss shampoo.

Any medication has the possibility of causing side effects — salicylic acid included.

More serious side effects are rare, but they can include skin irritation, redness, stinging or burning in the area of application.

Salicylic acid may also increase sensitivity to the sun, according to the FDA. Be sure to apply sunscreen (ahem, whether you use SA or not), even to your scalp and hairline.

Who Shouldn’t Use Salicylic Acid Shampoo

While salicylic acid shampoo is generally safe for most people, there are some who may need to find another option or, at the very least, speak to a dermatology professional or your healthcare provider before using it:  

  • People with allergies to salicylates: Those allergic to aspirin or other salicylates should avoid salicylic acid shampoos as it may cause allergic reactions.

  • People with sensitive or broken skin: Salicylic acid can make your skin super dry, and it definitely won’t feel good if you have sensitive or damaged skin.  

  • Those with certain medical conditions: People with kidney or liver disease may need to avoid salicylic acid due to the risk of absorption and possible toxicity. 

And if you decide to use salicylic acid shampoo for yourself, be aware that it’s not meant for children under age two or pregnant and breastfeeding women (due to lack of research), in case anyone else in your family gets curious.

Using salicylic acid shampoo may seem like a no-brainer — wash, rinse, repeat. And this is true, for the most part.

Still, there are a few other tips to consider when using an SA shampoo to get rid of dandruff or treat other scalp conditions.

  • Apply a small amount of shampoo to wet hair and work into a lather by massaging your scalp. Don’t scrub or rub the shampoo through your ends.

  • Let the shampoo sit for up to five minutes after lathering.

  • Rinse thoroughly.

  • Healthy hair has the right balance of hydration but not too much oil, so don’t skip the conditioner. Use it only on the mid-to-end sections of hair after using shampoo to replenish moisture.

Regular use of salicylic acid for hair is key to treating scalp conditions. A dermatologist may recommend daily use until your condition improves, but you’ll likely need to use salicylic acid shampoo once or twice a week for maintenance.

When you’re not using your shampoo, simply store it at room temperature like your other haircare products.

Hims dandruff detox shampoo has salicylic acid and 1 percent pyrithione zinc (another dandruff-fighting ingredient). A ketoconazole shampoo like Nizoral can also help treat dandruff with regular use.

And if you’re dealing with the unfortunate combo of hair loss and dandruff, you can check out these hair loss treatments for help with early balding.

A frequent flier in over-the-counter products, salicylic acid is a star ingredient in the skin and haircare world. But should you be using salicylic acid for dandruff or other issues?

Here’s what to keep in mind:

  • It’s effective for dandruff and acne. Scalp conditions like dandruff, seborrheic dermatitis, and acne are caused by oil and dead skin buildup, as well as fungal infection. Shampoos with salicylic acid not only work to remove this buildup, but they also have antifungal properties to limit fungus growth. 

  • It works through exfoliation. Salicylic acid is thought to work by gently exfoliating the skin and removing excess oil and dead skin to prevent scalp buildup. Doing so gently strips away the external layer of your skin so it can breathe easier. 

  • It’s not a proven hair loss treatment. While there are links between scalp conditions and hair loss (and some intriguing early research), we can’t definitively say that salicylic acid shampoo can prevent hair loss. If this is your main concern, consider medications like finasteride, a minoxidil solution, or a combined topical finasteride and minoxidil spray. If you’re just looking for something to boost your existing mane, consider a thickening shampoo with saw palmetto or our volumizing shampoo and conditioner combo.

Need help navigating the right hair care treatment? Looking for the best salicylic acid shampoo for you? No problem. Start by taking our free online hair assessment and head here to explore hair loss treatment options.

14 Sources

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  7. Kim H, et al. Double-blind randomized placebo-controlled study of the efficacy and safety of hair loss prevention shampoo containing salicylic acid, panthenol, and niacinamide in alopecia patients. Retrieved from: https://link.springer.com/article/10.1007/s13530-022-00126-9#citeas
  8. Makrantonaki E, et al. (2011). An update on the role of the sebaceous gland in the pathogenesis of acne. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051853/
  9. Manuel F, Ranganathan S. (2011). A new postulate on two stages of dandruff: a clinical perspective. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129121/
  10. National Center for Biotechnology Information (2024). PubChem Compound Summary for CID 338, Salicylic Acid. Retrieved from: https://pubchem.ncbi.nlm.nih.gov/compound/Salicylic-Acid
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  13. Squire RA, Goode K. (2002). A randomised, single-blind, single-centre clinical trial to evaluate comparative clinical efficacy of shampoos containing ciclopirox olamine (1.5%) and salicylic acid (3%), or ketoconazole (2%, Nizoral) for the treatment of dandruff/seborrhoeic dermatitis. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/12060502/
  14. Trüeb R, et al. (2018). Scalp Condition Impacts Hair Growth and Retention via Oxidative Stress. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/
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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