Over the Counter Psoriasis Treatments
Understanding OTC Psoriasis Treatments
Over-the-counter products can help manage mild psoriasis symptoms like scaling, itching, and redness. While they may not replace medical treatment for moderate to severe psoriasis, they can be valuable tools for everyday management.
Salicylic Acid for Scaling
Salicylic acid helps remove scales by softening keratin, a protein in the skin. Available in shampoos, soaps, and ointments, it's effective for scalp psoriasis but may cause irritation if you overuse it. Salicylic acid removes the buildup of dead skin cells that form psoriasis plaques.
Coal Tar Benefits
Coal tar slows skin cell growth and reduces inflammation, scaling, and itching. Available in various strengths in shampoos, creams, and oils, it may cause irritation and has a strong odor. Coal tar has been used for over a century to treat psoriasis and remains one of the most effective OTC options, particularly for scalp psoriasis.
Daily Moisturizing
Moisturizers trap water in the skin, reducing dryness and scaling. Apply immediately after bathing for best results. Thick creams and ointments provide better moisture than lighter lotions. Daily moisturizing is important for managing psoriasis, as it helps maintain the skin barrier and prevents further irritation.
Petroleum Jelly for Protection
Petroleum jelly creates a protective barrier that locks in moisture and helps heal dry, cracked skin. Apply it to trouble spots after showering to reduce flaking and irritation. This inexpensive option is particularly useful for tough areas like elbows and knees where psoriasis plaques are often thicker.
Scale Lifters
Similar to salicylic acid, lactic acid and urea help remove scales by breaking down tough skin proteins. These make your skin more receptive to other treatments. Use them before applying other medications helps the treatment penetrate more deeply into the skin.
Aloe Vera for Soothing Relief
Pure aloe vera gel can reduce redness, scaling, and inflammation. Look for products with high aloe content 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.
Epsom Salt Baths
Adding Epsom salt to warm (not hot) baths can help remove scales and ease itching. Soak for about 15 minutes, then apply moisturizer immediately after drying off. The magnesium in Epsom salt may help with inflammation and relieve the discomfort of psoriasis flares.
Anti-Itch Products
Calamine lotion, hydrocortisone creams, 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 as some can thin the skin with long-term use.
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. Oatmeal has anti-inflammatory properties that can help calm inflamed psoriasis patches.
Dead Sea Salts
Bath soaks with Dead Sea salts may help hydrate your skin and reduce inflammation and roughness. Their high mineral content can help slough off scales and soothe irritation. People with psoriasis have long reported benefits from soaking in the Dead Sea itself, and these bath products aim to recreate some of those therapeutic effects.
When to See a Doctor
If OTC treatments don't provide relief after consistent use, or if your psoriasis worsens or spreads, talk to a dermatologist. Severe psoriasis typically requires prescription treatments.