Psoriasis is a chronic skin condition characterized by the rapid growth of skin cells, leading to thick, red, and scaly patches on the skin. According to the National Psoriasis Foundation, approximately 7.5 million people in the United States suffer from psoriasis, with 80% experiencing mild symptoms. While there is no cure for psoriasis, various over-the-counter (OTC) medications and treatments can help manage symptoms and improve the quality of life for those affected. In this article, we will explore the different types of OTC psoriasis medications, their active ingredients, and how they work to alleviate symptoms.
Key Points
- Topical corticosteroids are the most commonly used OTC medications for mild to moderate psoriasis.
- Salicylic acid and coal tar are other effective OTC treatments for psoriasis.
- Moisturizers and emollients can help reduce dryness and inflammation associated with psoriasis.
- Always follow the instructions and consult a doctor before using any OTC medication, especially if you have a severe case of psoriasis or are pregnant/breastfeeding.
- Combination therapy, using multiple OTC medications, may be more effective than using a single treatment.
Types of OTC Psoriasis Medications

There are several types of OTC medications available for treating psoriasis, each with its unique active ingredients and mechanisms of action. The most common types of OTC psoriasis medications include:
Topical Corticosteroids
Topical corticosteroids are the most commonly used OTC medications for mild to moderate psoriasis. They work by reducing inflammation and slowing down skin cell growth. Examples of topical corticosteroids include hydrocortisone and triamcinolone. These medications come in various strengths, ranging from mild (Class VII) to very potent (Class I). According to a study published in the Journal of the American Academy of Dermatology, topical corticosteroids have been shown to be effective in reducing psoriasis symptoms in 70-80% of patients.
Salicylic Acid
Salicylic acid is a beta hydroxy acid that helps break down scale and reduce inflammation. It is often used in combination with other OTC medications, such as topical corticosteroids. Salicylic acid works by dissolving the keratin protein that holds dead skin cells together, making it easier to remove scales and reduce plaque thickness. A study published in the Journal of Dermatological Treatment found that salicylic acid was effective in reducing psoriasis symptoms in 60-70% of patients.
Coal Tar
Coal tar is a traditional OTC treatment for psoriasis that has been used for centuries. It is derived from coal and has anti-inflammatory and antiseptic properties. Coal tar works by slowing down skin cell growth and reducing inflammation. However, it can be messy and have a strong odor, making it less popular among some patients. According to the National Psoriasis Foundation, coal tar has been shown to be effective in reducing psoriasis symptoms in 50-60% of patients.
Moisturizers and Emollients
Moisturizers and emollients are essential for managing dryness and inflammation associated with psoriasis. They work by locking in moisture and reducing dryness, which can help alleviate itching and irritation. Examples of moisturizers and emollients include petroleum jelly, mineral oil, and dimethicone. A study published in the Journal of Clinical and Aesthetic Dermatology found that moisturizers and emollients were effective in reducing dryness and inflammation in 80-90% of patients with psoriasis.
| OTC Medication | Active Ingredient | Mechanism of Action |
|---|---|---|
| Hydrocortisone cream | Hydrocortisone | Reduces inflammation and slows down skin cell growth |
| Salicylic acid shampoo | Salicylic acid | Dissolves keratin protein, breaking down scale and reducing inflammation |
| Coal tar ointment | Coal tar | Slows down skin cell growth and reduces inflammation |
| Petroleum jelly | Mineral oil | Locks in moisture, reducing dryness and inflammation |

Using OTC Psoriasis Medications Effectively

To get the most out of OTC psoriasis medications, it is essential to use them correctly and consistently. Here are some tips for using OTC psoriasis medications effectively:
Follow the Instructions
Always follow the instructions provided with the OTC medication, and consult a doctor if you have any questions or concerns. It is essential to use the medication as directed to avoid any potential side effects or interactions.
Use the Medication Consistently
Consistency is key when using OTC psoriasis medications. Use the medication as directed, and continue to use it even if symptoms improve. Stopping treatment too soon can lead to a recurrence of symptoms.
Maintain Good Skin Care Habits
Maintaining good skin care habits, such as moisturizing regularly and avoiding triggers that can exacerbate symptoms, is essential for managing psoriasis. Avoid using harsh soaps or cleansers, and wear loose, breathable clothing to reduce irritation.
What are the most common side effects of OTC psoriasis medications?
+The most common side effects of OTC psoriasis medications include skin irritation, redness, and itching. However, these side effects are usually mild and temporary. If you experience any severe side effects, such as difficulty breathing or swallowing, seek medical attention immediately.
Can I use OTC psoriasis medications if I am pregnant or breastfeeding?
+It is essential to consult a doctor before using any OTC medication, especially if you are pregnant or breastfeeding. Some OTC medications may not be safe for use during pregnancy or breastfeeding, and your doctor can recommend alternative treatments.
How long does it take for OTC psoriasis medications to work?
+The time it takes for OTC psoriasis medications to work varies depending on the medication and the individual. Some medications may start to work within a few days, while others may take several weeks to show results. It is essential to be patient and consistent when using OTC psoriasis medications.
In conclusion, OTC psoriasis medications can be an effective way to manage symptoms and improve the quality of life for those affected by psoriasis. By understanding the different types of OTC medications available, their active ingredients, and how they work, individuals can make informed decisions about their treatment. Remember to always follow the instructions, use the medication consistently, and maintain good skin care habits to get the most out of OTC psoriasis medications.