Best Over-the-Counter Treatments for Psoriasis
Psoriasis is a chronic autoimmune condition that leads to the rapid buildup of skin cells, resulting in scaling on the skin’s surface. This build-up causes redness, inflammation, and distinctive silvery scales.
While there is no known cure for psoriasis, several over-the-counter (OTC) treatments can help manage symptoms and provide relief. These treatments generally focus on reducing inflammation, soothing irritation, and slowing down the excessive skin cell production.
Topical Emollients and Moisturizers
Moisturizers are fundamental in managing psoriasis as they help to maintain skin hydration, reducing dryness and scaling. Options range from simple emollients to more complex formulations that include active ingredients aimed at soothing psoriasis symptoms.
- Petroleum Jelly: Petroleum jelly, commonly known as Vaseline, creates a barrier that holds moisture in the skin. It’s often recommended for severe dryness and can be used on both body and scalp psoriasis.
- Thicker Creams and Ointments: Products like Eucerin and Aquaphor are designed to retain skin moisture and offer longer-lasting hydration than lotions. They are particularly beneficial for those with very dry skin or thick plaques.
Salicylic Acid
Salicylic acid aids in the removal of scales by softening and loosening the top layer of the skin. It’s a common ingredient in many OTC psoriasis treatments and can be found in shampoos, creams, and ointments.
- How it Works: Salicylic acid is a keratolytic, which means it promotes the shedding of the outer layer of the skin. This results in clearer, less scaly patches.
- Usage: Products like Scalpicin Scalp Treatment and MG217 Medicated Conditioning Shampoo contain salicylic acid and can be particularly helpful for scalp psoriasis. It’s important to use these products as directed to avoid skin irritation.
Coal Tar
Coal tar has been used for decades in the treatment of psoriasis. It helps to slow down the rapid growth of skin cells and can also reduce itching and inflammation.
- Types: Coal tar products come in various forms, including shampoos, creams, and ointments. Brands such as Neutrogena T/Gel and Psoriasin offer coal tar-based treatments tailored for both skin and scalp usage.
- Benefits: Coal tar is particularly effective in managing the scaling, itching, and inflammation associated with psoriasis. However, it can stain clothing and bedding and has a strong odor that some users might find off-putting.
Calamine Lotion
Calamine lotion, a combination of zinc oxide and ferric oxide, is widely recognized for its soothing and anti-itch properties.
- Application: This treatment can be particularly helpful in reducing itching and irritation. It is gentle enough for use on sensitive skin and can be applied directly to psoriatic lesions.
- Benefits: While primarily used for its soothing properties, calamine lotion can also help to dry out oozing or weeping lesions, which may alleviate discomfort.
Aloe Vera
Aloe vera is known for its soothing and healing properties. When used regularly, it can help to reduce redness and scaling associated with psoriasis.
- Form: Available in gels, creams, and lotions, aloe vera products are highly versatile. Pure aloe vera gel, such as that from the inner leaf, is often recommended for direct application on psoriatic patches.
- Usage: Aloe vera can be applied multiple times a day to affected areas. It is gentle and can be safely used in combination with other forms of treatment for added relief.
Hydrocortisone Cream
Hydrocortisone is a mild corticosteroid available over the counter. It is effective in reducing inflammation, itching, and redness.
- Products: Common OTC products include Cortizone-10 and Aveeno 1% Hydrocortisone Anti-Itch Cream.
- Usage: These creams can be applied to affected areas up to four times a day. However, it is essential to follow the instructions on the packaging and consult with a healthcare provider to ensure its appropriate use, especially for prolonged periods.
Natural Oils
Natural oils like coconut oil, olive oil, and tea tree oil can offer significant relief from the symptoms of psoriasis.
- Coconut Oil: Known for its moisturizing properties, coconut oil can be applied to the skin or scalp to help reduce dryness and scaling. Warm the oil slightly before application for better absorption.
- Olive Oil: Olive oil is another excellent moisturizer that can be used to soften scales and reduce plaque thickness. It can be particularly useful in scalp treatments; applying it overnight and washing it out in the morning is a common practice.
- Tea Tree Oil: This oil has natural antiseptic and anti-inflammatory properties. Diluted tea tree oil can be applied to the skin to help reduce inflammation and prevent infections in psoriatic lesions.
Oatmeal Baths
Oatmeal has soothing properties that can alleviate itching and discomfort. Colloidal oatmeal, in particular, is finely ground to dissolve in bathwater and can provide a protective barrier over the skin.
- Products: Brands like Aveeno offer colloidal oatmeal products designed for bath use. These can help to soothe and moisturize the skin during a bath.
- Directions: Add colloidal oatmeal to warm (not hot) bathwater and soak for 15-20 minutes. Gently pat the skin dry after the bath, avoiding vigorous rubbing that may irritate the skin.
