Topical corticosteroids range in strength, from mild to very strong. Coal tar is available in over-the-counter shampoos, creams and oils. If you have severe psoriasis or it’s resistant to other types of treatment, your doctor may prescribe oral or injected drugs. This article has been cited by other articles in PMC. Coal tar has been used to treat psoriasis for hundreds of years. Commonly used topical medications for psoriasis include corticosteroids, Vitamin D analog, keratolytics, anthralin, coal tar, and tazarotene. Further investigation is warranted to fully evaluate the efficacy of this new coal tar formulation, but coal tar 2 foam may be a promising addition to the armamentarium of medications available for these challenging patients. In severe chronic cases, the doctor may recommend rotational therapy. Corticosteroids are available in a wide range of strengths, and are generally given as follows:. Combining topical steroids with other topical drugs (see below) is often needed. Coal tar preparations have been used to treat psoriasis for about 100 years, although their use has declined with the introduction of topical vitamin D3-related medicines.
Alhough not as fast acting as corticosteroid ointments, topical retinoids have fewer side effects. Your doctor may prescribe these alone or with other treatments to treat mild to moderate psoriasis. Coal tar products reduce scaling, itching, and inflammation. Phototherapy is a procedure in which skin is carefully exposed to natural or artificial ultraviolet (UV) light. There are plenty of over-the-counter (OTC) topicals available. OTC topicals are available in pharmacies, drugstores, supermarkets or directly from the manufacturer without a doctor’s prescription. There are other products which don’t contain salicylic acid or coal tar that are beneficial for treating psoriasis. Coal tar and ichthammol can be useful in some cases of chronic eczema.
Most people with psoriasis can be treated by their GP. Your GP may refer you to a dermatologist (sk. Different types of treatment are often used in combination. Topical corticosteroids range in strength from mild to very strong. Coal tar causes staining of clothes and bedding and has a very strong smell. Over-the-counter treatments (OTC): creams and ointments available over the counter from pharmacies. Coal tar baths can be very soothing for people with widespread psoriasis and are part of the Ingram regimen. Another problem that occurs if potent topical steroids are used continuously is that, over a period of time, they become less effective. The whole procedure is repeated daily. Photochemotherapy (PUVA) is a medically supervised procedure that combines medication with exposure to ultraviolet light (UVA) to treat localized or widespread psoriasis. Other medications used to treat severe psoriasis include etrentinate (Tegison) and isotretinoin (Accutane), whose chemical properties are similar to those of vitamin A. Capsaicin is available without a prescription, but should be used under a doctor’s supervision to prevent burns and skin damage. D called calcitriol, and coal-tar shampoos and ointments can relieve symptoms.
To optimize the topical treatment of psoriasis in Saudi Arabia, the Saudi Society of Dermatology and Dermatologic surgery (SSDDS) have initiated a project to develop guidelines for the management of psoriasis. We will discuss the efficacy and safety as well as offer recommendations for the use of topical corticosteroids, vitamin D analogues, tacrolimus, pimecrolimus, salicylic acid, anthralin, coal tar, as well as combination therapy. It is important to keep working with your doctor until you find the treatment plan that reduces or eliminates your symptoms. The new CPN brochure, Understanding Your Treatment Options is now available. Coal tar is likely the oldest known treatment for psoriasis, resulting as a by-product from the manufacture of coal and petroleum products. Creams, lotions or ointments containing corticosteroids are powerful anti-inflammatories that, when applied to the affected areas of the skin help reduce itching, irritation and redness. If you have scalp psoriasis, your doctor can tailor treatment to your specific needs. Tar derived from coal has been used for years in many over-the-counter medicated shampoos like T/Gel and T/Sal. Talk to your doctor about the most appropriate psoriasis treatment for you. Be aware of all the various options available to manage psoriasis. Stronger corticosteroids are used for thicker skin (e.g., palms, soles). It is available without a prescription combined with other topical medications such as coal tar (e.g., Targel SA, Polytar AF ) and corticosteroids (e. Other manifestations of plaque psoriasis include the following:. This procedure, however, is usually reserved for the evaluation of atypical cases or for excluding other conditions in cases of diagnostic uncertainty. Diagnostic Procedures. Risk of Cushing’s syndrome and other systemic effects of topical steroids are minimal. Coal tar is a crude ointment preparation having several phenolic compounds which can induce remission of the psoriasis skin lesions in most of the patients.
Other: Phototherapy and Systemic Therapy Other: Biologic Therapy. Further study details as provided by University of California, Irvine:. Subjects will be recruited from an outpatient population of subjects with psoriasis from Dr. Jennifer Soung’s clinic at the Gottschalk Medical Plaza at the University of California, Irvine. People who have psoriasis are at greater risk for contracting other health problems, such as heart disease, inflammatory bowel disease and diabetes. Food and Drug Administration has approved of two active ingredients for the treatment of psoriasis: salicylic acid, which works by causing the outer layer to shed, and coal tar, which slows the rapid growth of cells. Topical steroids, the most commonly prescribed medication for treating psoriasis. Your doctor will recommend the best oral medication based on the location, type and severity of your condition. Treatment for psoriasis may include topical medicines such as corticosteroids, Anthralin, or coal tar to block inflammation & reduce scales, UV light therapy. This is another stage 1 topical medication that works by slowing down your body’s production of new skin cells. Coal tar also makes your skin more sensitive to sunlight, so your doctor may have you use it in combination with light therapy. Dr Henry Roenigk is a national expert in psoriasis and has dozens of publications on the topic. The Extract Laser is a relatively new, safe and effective procedure for psoriasis. Since some treatments work better for some patients than others, be prepared to try more than one treatment.
Unfortunately, no cure for psoriasis has yet been discovered. Even though psoriasis can resist treatment, there are many measures available to help you cope with the disease and make you more comfortable. Like coal tar preparations, anthralin slows the rate of production of skin cells in psoriatic lesions. Another procedure that can be done only in a doctor’s office involves taking an oral compound called methoxsalen and then exposing the psoriatic area to ultraviolet light from a sunlamp. Psoriasis Treatment. Treatment regimens must be individualized according to age, sex, occupation, personal motivation, other health conditions, and available resources. The main topical treatments are corticosteroids, vitamin D3 derivatives, coal tar, anthralin, or retinoids. The procedure is usually very uncomfortable and is not approved for use in the United States, which makes it a rather expensive treatment. Medically Reviewed by a Doctor on 11/30/2015.