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topical · for psoriasis

Coal Tar Shampoo and Cream

Reviewed by the Nimbera editorial team · Last updated May 2026

An evidence-based review confirmed coal tar preparations are efficacious for psoriasis in placebo-controlled trials, with one gel clearing or markedly improving scalp psoriasis in 83% of 112 patients.$10-$30 per month

How to use

For scalp psoriasis: apply 1-5% coal tar shampoo, leave for 5-10 minutes, then rinse 2-3 times per week. For body plaques: apply coal tar cream or ointment (0.5-5%) to plaques and cover with clothing. Use consistently for 4-6 weeks.

How it works

Coal tar suppresses DNA synthesis in rapidly dividing keratinocytes, reduces inflammation, and decreases the abnormal skin cell turnover rate that causes plaque buildup - a mechanism used clinically for over 100 years.

Where to buy

Neutrogena T/Gel shampoo, MG217 coal tar ointment, or Psoriasin products at pharmacies. Prescription-strength formulations available through dermatologists.

Typical cost: $10-$30 per month

Safety notes

Coal tar stains skin, hair, and clothing. Has a strong odor. Increases photosensitivity - avoid sun exposure on treated areas. Not recommended for use near the face. Avoid during pregnancy. Discontinue if skin becomes irritated.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.