• The National Psoriasis Foundation released a webinar with dermatologist-recommended tips on over-the-counter (OTC) products for psoriasis.
• Over-the-counter products like moisturizers, topical hydrocortisone, and topical tar-based products can help manage mild to moderate psoriasis.

The National Psoriasis Foundation released a new webinar, “What You Need to Know About Over-the-Counter Treatments for Psoriatic Disease,” on Sept. 23. In the webinar, dermatologist Dr. Steven Feldman, director of the Psoriasis Treatment Center at the Wake Forest School of Medicine in Winston-Salem, North Carolina, shared insights and tips on a wide variety of nonprescription products for psoriasis.

The majority of the webinar focused on treating and relieving the symptoms of mild to moderate psoriasis (disease that covers less than 3 percent of the body’s surface area). As Dr. Feldman noted, over-the-counter products alone may not be sufficient in treating extensive disease.

Over-the-Counter Options

The three types of OTC products Dr. Feldman discussed were moisturizers, topical hydrocortisone creams or ointments, and topical tar preparations. He noted that moisturizers, in particular, can reduce the visibility of plaques and help keep irritants out, improving the skin barrier and thereby reducing inflammation.

Moisturizers

Moisturizers have anti-inflammatory properties and come in a variety of formulations. Lotions and creams are the lightest, containing more water and less oil. Ointments and oils can be very effective, but messy. If you don’t like ointment, Dr. Feldman noted, you can try a cream. If you prefer lighter formulations, look for foams or even spray-on moisturizers.

Emollients containing lactic acid or other alpha hydroxy acids, salicylic acid (between 5 percent and 10 percent concentration), or urea (10 percent to 40 percent concentration) can also help remove scales. These are referred to as keratolytic agents.

Hydrocortisone

Over-the-counter hydrocortisone can be very effective for dry, itchy psoriasis — particularly on the face or genital area. Dr. Feldman recommended looking for hydrocortisone creams with a 1 percent concentration. Because OTC hydrocortisone is not as strong as prescription-strength steroid creams or ointments, it is unlikely to cause side effects, like thinning skin, unless used for a very long time on delicate areas (like the skin around the eyes).

Tar Products

Like moisturizers and hydrocortisone, tar-based products — like MG217 Psoriasis and Neutrogena T/Gel shampoo — are anti-inflammatory. Dr. Feldman stated that tar products “may be one of the most effective over-the-counter treatments for psoriasis.” He noted that they can be particularly effective for the elbows or knees and in shampoos for scalp psoriasis.

Tips for Use

Dr. Feldman stressed the importance of giving OTC products enough time to work. He recommended allowing psoriasis shampoos, for instance, several minutes to absorb before rinsing them out. In some cases, he said, put on the shampoo about 20 minutes before stepping into the shower may be a good idea.

Dr. Feldman also explained that other approaches can help alleviate psoriasis symptoms alongside OTC treatments. He noted eating a healthy diet and maintaining a balanced body weight as two key factors in helping to manage psoriatic disease. He also recommended avoiding harsh cleansers and body products containing fragrances, as they are a common irritant.

You can watch the National Psoriasis Foundation’s webinar with Dr. Feldman here.

Dr. Feldman recommended visiting the American Academy of Dermatology and National Psoriasis Foundation websites for more information on over-the-counter treatments for psoriasis.