It hasn't gotten rid of all my itching and flakes, but it's the only thing that's come close so far in my search. I've tried t/gel, stinky tar shampoos from pharmacies, head and shoulders, body shop ginger shampoo... all of them lose out to this shampoo. It definitely reduces the itching and flaking more than anything else. It also leaves my hair more manageable and less frizzy somehow, which is always a bonus! It's just a shame about the price.