Hydrahair CS Solution: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe burning, blistering, or peeling of the scalp.
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Ringing in the ears, dizziness, rapid breathing, or confusion (signs of salicylate toxicity).
- Signs of skin infection such as pus, increasing pain, warmth, or fever.
- No improvement or worsening of the condition after 4 weeks of use.
- Severe headache, nausea, or vomiting after applying the medicine over large areas.
If experiencing severe symptoms, call emergency services immediately.
What is xaliderm solution used for?
This medicine is a topical scalp solution containing coal tar 4.25% w/w and salicylic acid 2% w/w. It is used to treat scalp psoriasis, seborrheic dermatitis, and dandruff by reducing scaling, itching, and inflammation. Apply it only to the affected scalp areas as directed by your doctor.
- Generic Name: Coal Tar (4.25% w/w) + Salicylic Acid (2% w/w)
- Manufacturer: KLM Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 xaliderm solution के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से सिर की त्वचा पर लगाने वाला स्कैल्प सॉल्यूशन है, जिसमें कोल टार 4.25% w/w और सैलिसिलिक एसिड 2% w/w मौजूद होते हैं। इसका इस्तेमाल स्कैल्प सोरायसिस, सेबोरहिक डर्मेटाइटिस और डैंड्रफ के इलाज के लिए किया जाता है। यह सिर की त्वचा पर जमी पपड़ी को नरम करके हटाने, खुजली कम करने और सूजन तथा लालिमा को कम करने में मदद करती है। इसे सिर्फ बाहरी इस्तेमाल के लिए ही लगाया जाना चाहिए। आंखों, होंठों और नाक के अंदर इसका इस्तेमाल न करें। इस दवा का उपयोग डॉक्टर की सलाह के अनुसार ही करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली, लालिमा या सूखापन शामिल हैं। कुछ लोगों को तेज गंध या त्वचा का रंग थोड़ा बदलना महसूस हो सकता है। कभी-कभी एलर्जी के कारण त्वचा पर सूजन, छाले या गंभीर लालिमा हो सकती है। अगर आपको सांस लेने में तकलीफ, चेहरे या गले में सूजन, या बहुत तेज जलन महसूस हो, तो तुरंत दवा लगाना बंद करें और डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को सिर्फ सिर की त्वचा और प्रभावित हिस्सों पर ही लगाएं। आंखों, पलकों, होंठों और नाक के अंदर इसका इस्तेमाल न करें। अगर गलती से आंखों में चली जाए, तो ठंडे पानी से अच्छी तरह धो लें। दवा लगाने के बाद हाथ अच्छी तरह धोएं। बिना डॉक्टर की सलाह के इसे शरीर के बड़े हिस्से पर या लंबे समय तक न लगाएं। धूप में जाने से बचें क्योंकि कोल टार से त्वचा सूरज के प्रति संवेदनशील हो सकती है। बाहर जाते समय सनस्क्रीन और टोपी का इस्तेमाल करें। गर्भवती या स्तनपान कराने वाली महिलाएं बिना डॉक्टर की सलाह के इसका इस्तेमाल न करें। बच्चों की पहुंच से दूर रखें।
💊 xaliderm solution Uses & Benefits
[{"condition":"Scalp psoriasis","description":"Helps reduce scaling, itching, and inflammation on the scalp by slowing down rapid skin cell turnover and removing thick scales.","evidence":"Well-established"},{"condition":"Seborrheic dermatitis of the scalp","description":"Reduces flaking, redness, and itching associated with seborrheic dermatitis.","evidence":"Well-established"},{"condition":"Dandruff","description":"Provides relief from persistent dandruff by softening and removing scales and reducing scalp irritation.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Lichen simplex chronicus of the scalp","description":"Sometimes used off-label to reduce scaling and itching in localized scalp conditions.","evidence":"Limited"},{"condition":"Scalp eczema","description":"May be used off-label to soften thick scales and reduce itching in scalp eczema.","evidence":"Limited"}]
Primary treatment for: Scalp psoriasis
Also treats: Seborrheic dermatitis, Dandruff
📋 Drug Information
| Generic Name(s) | Coal Tar (4.25% w/w) + Salicylic Acid (2% w/w) |
| Brand Name | xaliderm solution |
| Manufacturer | KLM Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | DERMA |
| Action Class | |
| Route of Administration | Topical |
| Storage | Store at room temperature between 15°C and 30°C. Keep away from direct sunlight and moisture. Keep the container tightly closed when not in use. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms. Coal tar is a complex mixture of phenolic compounds that slows down the excessive proliferation of skin cells, reduces inflammation, and relieves itching. It also helps restore normal skin cell turnover. Salicylic acid is a keratolytic agent that softens and loosens the bonds between dead skin cells, allowing scales and crusts to be removed more easily. Together, they reduce scaling, plaque thickness, and itching on the scalp.
Mechanism Steps
💡 How to Take xaliderm solution
Strength: Topical solution containing Coal Tar 4.25% w/w and Salicylic Acid 2% w/w.
Dosage Information
| Adult Dosage | Apply a thin layer of this medicine to the affected areas of the scalp once or twice daily, or as directed by your doctor. The frequency and duration of use depend on the severity of your condition and your response to treatment. Dose must be individualized by a qualified clinician based on indication, age, and overall health. Do not exceed the recommended frequency or duration without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine should not be used in children below 2 years of age unless specifically prescribed by a doctor. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Use with caution and follow your doctor's instructions. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is established for topical use. However, patients with kidney disease should use this medicine with caution and under medical supervision because salicylic acid is excreted by the kidneys. |
| Hepatic Impairment | No specific dose adjustment is established for topical use. However, patients with liver disease should use this medicine with caution and under medical supervision. |
| Maximum Daily Dose | Not established from the available information. Do not exceed the frequency recommended by your doctor. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of xaliderm solution
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Methotrexate | Major | |
| Warfarin | Moderate | |
| Oral hypoglycemic agents | Moderate | |
| Other topical salicylic acid products | Major | |
| Topical retinoids | Moderate | |
| Benzoyl peroxide | Moderate | |
| Topical corticosteroids | Minor | |
| Sunscreens | Minor |
🚨 Major Interactions
- Other topical salicylic acid products
- Methotrexate
⚡ Moderate Interactions
- Warfarin
- Oral hypoglycemic agents
- Other topical irritants (e.g., retinoids, benzoyl peroxide)
🍷 Alcohol Interaction
No direct interaction is established between this topical medicine and alcohol. However, alcohol may worsen certain skin conditions and can increase the risk of liver problems if you are also taking other medicines. Consult your doctor about safe alcohol use.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to coal tar, salicylic acid, or any component of this medicine.","Application to broken skin, open wounds, or infected areas.","Use in children below 2 years of age unless prescribed by a doctor.","Use on large areas of the body or for prolonged periods without medical supervision.","Use in patients with severe kidney or liver disease without medical advice."]
⚠️ Warnings & Precautions
["For external use only. Do not swallow.","Avoid contact with eyes, lips, nostrils, and other mucous membranes.","Coal tar increases sensitivity to sunlight. Avoid sun exposure and use sunscreen.","Do not apply to large areas or use under tight bandages unless directed by a doctor.","Wash hands thoroughly after application.","Keep away from children.","Consult a doctor before use if you are pregnant, planning pregnancy, or breastfeeding.","Stop use and consult a doctor if irritation or allergic reaction occurs.","Do not use on children below 2 years without medical advice.","Avoid using other topical products on the same area unless advised."]
🤱 Lactation Safety
It is not known whether coal tar or salicylic acid pass into breast milk in significant amounts after topical application. To be safe, avoid applying this medicine to the breast area and consult your doctor before use while breastfeeding.
💊 Overdose Management
This medicine is for topical use. Accidental ingestion can cause salicylate toxicity. If swallowed, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include nausea, vomiting, ringing in the ears, dizziness, rapid breathing, and confusion. Do not induce vomiting unless instructed by a healthcare professional. Excessive topical application over large areas can also lead to systemic toxicity; wash off the product and seek medical help if symptoms occur.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.
Additional Safety Advice
Apply this medicine only to the scalp and affected skin areas as directed by your doctor. Avoid contact with eyes, eyelids, lips, nostrils, and other mucous membranes. If accidental contact occurs, rinse thoroughly with cool water. Do not cover the treated area with tight bandages or dressings unless your doctor advises otherwise. Wash your hands thoroughly after applying this medicine. Do not use this medicine on large areas of the body or for prolonged periods without medical supervision. Keep this medicine away from children. Do not use it on children below 2 years of age unless prescribed. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before use. Avoid sun exposure on treated areas because coal tar can make your skin more sensitive to sunlight. Use a sunscreen and wear a hat when outdoors. Do not use this medicine if the skin is broken, infected, or severely inflamed. Stop using this medicine and consult your doctor if irritation worsens or if you develop signs of an allergic reaction.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have thinner skin and be more prone to irritation. Use this medicine with caution and follow your doctor's instructions carefully. Monitor for signs of irritation or systemic effects, especially if using over large areas.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. Topical coal tar and salicylic acid should be used during pregnancy only if clearly needed. Your doctor may recommend alternative treatments or adjust the frequency of use.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine on any surgical area or if you have recently had scalp surgery. Avoid applying to healing wounds or broken skin.
🦷 Dental Procedures
No specific precautions are required for dental procedures. Inform your dentist about all medicines you are using.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
No specific exercise restrictions are associated with this topical medicine. However, avoid swimming in chlorinated pools immediately after application, as it may irritate the scalp. If you experience dizziness or unusual symptoms, consult your doctor before resuming strenuous exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, the strong tar odor and the need to leave it on for a certain time may require planning around your work schedule. Apply it when you can leave it on for the recommended duration and wash it off before going out, if the odor bothers you.
🛑 When to Stop This Medicine
Stop using this medicine and consult your doctor if you develop severe irritation, allergic reaction, or signs of infection. Do not stop prescribed treatment abruptly without consulting your doctor, as symptoms may return. If you have used it for 4 weeks without improvement, consult your doctor for a review.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use over large areas may increase the risk of systemic absorption of salicylic acid, leading to salicylate toxicity. Coal tar may increase photosensitivity with prolonged use. Regular follow-up with your doctor is recommended to assess response and adjust treatment. Do not use continuously for more than 4 weeks without medical review.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help control dandruff and seborrheic dermatitis.
Evidence: Well-establishedReduce inflammation and itching in scalp psoriasis and seborrheic dermatitis.
Evidence: Well-establishedControlled exposure to ultraviolet light under medical supervision for psoriasis.
Evidence: Well-establishedCan help reduce flare-ups triggered by stress.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established with this topical medicine. You can receive vaccinations as scheduled. Inform your healthcare provider about all medicines you are using.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate or freeze.
✅ DO
Keep the container tightly closed when not in use.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the prescription label intact. Keep a copy of your prescription with you, especially when traveling internationally. Store it at room temperature and protect it from direct sunlight and extreme heat. If you are traveling across time zones, continue with your regular application schedule as advised by your doctor. Do not leave the medicine in a hot car or checked luggage. Check customs regulations for carrying topical medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice relief from itching within a few days, but visible reduction in scaling and plaques usually takes 1 to 2 weeks of regular use.
A: Use it only as often as your doctor recommends. Some people are advised to use it once or twice daily, while others may use it less frequently. Do not exceed the recommended frequency.
A: Consult your doctor before using this medicine during pregnancy. Topical coal tar and salicylic acid should be used only if clearly needed and under medical supervision.
A: No, this medicine is intended for the scalp and affected skin areas. Avoid applying it to the face, eyes, and mucous membranes unless specifically advised by your doctor.
A: Coal tar can stain light-colored fabrics, including clothing, bedding, and pillows. Use old towels and pillowcases, and wash your hair thoroughly after application to minimize staining.
🤔 Common Patient Concerns
🔄 Substitutes for xaliderm solution
View AllAlternative brands with exact same active ingredient:
-
red-tar solutionNanz Med Science Pharma Ltd ₹150.00 54.3% CHEAPER
-
hydrahair cs solutionCyrus Remedies ₹464.00 41.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure psoriasis permanently.
Fact: This medicine helps control symptoms but does not cure psoriasis. Psoriasis is a chronic condition that requires ongoing management. - Myth: More medicine means faster results.
Fact: Applying more than directed can increase side effects and does not speed up healing. Always follow your doctor's instructions. - Myth: This medicine is safe to use on any skin area.
Fact: This medicine is for scalp and affected skin only. Avoid sensitive areas like the face, eyes, and mucous membranes unless specifically advised. - Myth: You can stop using it as soon as symptoms improve.
Fact: Stopping too early may cause symptoms to return. Follow your doctor's advice on duration of treatment.
🔄 Alternative Options
Generic Alternatives
- Coal tar 4.25% w/w + Salicylic acid 2% w/w topical solution