Over the Counter Psoriasis Treatments
Understanding OTC Psoriasis Treatments
Over-the-counter products can help manage mild psoriasis symptoms like scaling, itching, and redness. These treatments can help manage your symptoms and can be used along with prescription medications. While they may not replace medical treatment for moderate to severe psoriasis, they can provide relief and are especially useful for maintaining skin health between flare-ups.
Salicylic Acid for Scaling
Salicylic acid helps remove scales by softening keratin, a protein in the skin. Available in various strengths in shampoos, soaps, and ointments, it's particularly effective for scalp psoriasis. This ingredient helps to lift and remove the buildup of dead skin cells. Start with lower concentrations to avoid irritation, and don't use on broken or inflamed skin.
Coal Tar Benefits
Coal tar slows skin cell growth and reduces inflammation, scaling, and itching. Available in various strengths in shampoos, creams, and oils, this time-tested treatment has been used for over a century. Coal tar products may cause irritation, have a strong odor, and can stain clothing and light-colored hair. They also increase sun sensitivity, so use sunscreen and limit how much time you spend in the sun when using coal tar treatments.
Daily Moisturizing
Moisturizers trap water in the skin, reducing dryness, scaling, and itching. Apply immediately after bathing when skin is still damp for best results. Thick creams and ointments provide better moisture than lighter lotions. Look for products with ingredients like ceramides, hyaluronic acid, and glycerin. Daily moisturizing is important even when psoriasis is not flaring to maintain healthy skin.
Petroleum Jelly for Protection
Petroleum jelly creates a protective barrier that locks in moisture and helps heal dry, cracked skin. This inexpensive option is particularly useful for tough areas like elbows and knees where psoriasis plaques are often thicker. Apply to trouble spots after showering to reduce flaking and irritation. For intensive treatment, apply a thick layer to affected areas before bed and cover with cotton gloves or socks.
Scale Lifters
Lactic acid, urea, or glycolic acid help remove scales by breaking down tough skin proteins. These help your skin absorb other treatments. Using them before applying medicated creams can boost their effectiveness. Start with lower concentrations and gradually increase as tolerated to avoid skin irritation.
Aloe Vera for Soothing Relief
Pure aloe vera gel can reduce redness, scaling, and inflammation. Look for products with high aloe content (ideally 99% or higher) and minimal additives or use gel directly from the plant. Many people find aloe vera provides gentle relief without the side effects that can come with some other treatments. For best results, apply several times daily to clean skin and allow it to fully absorb before getting dressed.
Epsom Salt Baths
Adding Epsom salt (magnesium sulfate) to warm—not hot—baths can help remove scales and ease itching. The magnesium in Epsom salt may help reduce inflammation and provide relief from discomfort. Soak for 15-20 minutes, then gently pat skin dry and apply moisturizer immediately to lock in hydration. Limit baths to 2-3 times weekly to prevent skin from drying out further.
Anti-Itch Products
Calamine lotion, hydrocortisone creams (0.5-1%), and products containing menthol or camphor can temporarily relieve psoriasis itching. These products address one of the most troublesome symptoms of psoriasis but should be used sparingly. Over-the-counter hydrocortisone should only be used for short periods, as long-term use can thin your skin and potentially worsen psoriasis over time.
Oatmeal Treatments
Colloidal oatmeal baths can soothe irritated skin and reduce itching. Look for bath products containing oatmeal or make your own by grinding rolled oats into a fine powder in a food processor or blender. Oatmeal has anti-inflammatory properties that can help calm inflamed psoriasis patches. Add one cup to warm bathwater and soak for 15-20 minutes, then apply moisturizer while skin is still damp.
Dead Sea Salts
Bath soaks with Dead Sea salts may improve skin hydration and reduce inflammation and roughness. Their high mineral content—including magnesium, potassium, and calcium—can help slough off scales and soothe irritation. People with psoriasis have long reported benefits from soaking in the Dead Sea itself. For home use, dissolve 1-2 cups in warm bathwater and soak for 15 minutes, then moisturize afterward.
When to See a Doctor
If OTC treatments don't provide relief after 2-3 weeks of consistent use, or if your psoriasis worsens, spreads, or causes significant discomfort, talk to a dermatologist. Severe psoriasis typically requires prescription treatments. Also seek medical attention if you develop signs of infection like increased redness, warmth, swelling, or pus. Your doctor can help you develop a treatment plan.