When my scalp was bad, I persevered and used T/gel. The key was to get the scales off first. I used P/S solution, which is very oily, overnight with shower cap, BUT it did the trick. Once the scales were off, I used Olux foam at night and T/gel for shampoo. I did switch to Nioxin shampoo and creme rinse once it got better. It has a much better smell and promotes a healthy scalp. I still use it even though I’ve been in remission for 3 years!