What is the best over the counter psoriasis treatment medication? 

Table of Content:
Over the counter creams | Oral supplements | Topical prescription creams | About psoriasis | FAQ

---

Dr. Eric Howell, a board-certified dermatologist, says that the effectiveness of over-the-counter creams and oral supplements in managing mild psoriasis symptoms is somewhat restricted. These creams and supplements are not as effective as prescription medications and do not target the chronic inflammation associated with psoriasis. 

Here are some OTC creams, ointments and supplements to manage mild symptoms of psoriasis.

OTC psoriasis creams and ointments

Although there isn’t over-the-counter psoriasis medication per se, these creams and supplements will help you alleviate some mild symptoms of psoriasis and calm down the itchiness and dryness associated with it.

Moisturizers and emollients

Dr. Howell says keeping the skin well-hydrated is essential to manage the symptoms associated with psoriasis. Moisturizers  with ingredients like white soft paraffin, liquid paraffin, ceramides, glycerin, hyaluronic acid, and shea butter are effective at moisturizing and repairing the skin’s barrier and help soothe dry and flaky skin. Look for products that are fragrance-free and hypoallergenic.

White soft paraffin and liquid paraffin

White soft paraffin and liquid paraffin, found in psoriasis creams, lotions, and ointments, help soften and loosen the scales that are characteristic of psoriasis plaques. By moisturizing the skin deeply, these ingredients may facilitate the gentle removal of scales, providing relief from itchiness, irritation and inflammation associated with psoriasis.

Coal tar products

Coal tar has been used for many years to treat psoriasis. Coal tar shampoos, creams, and ointments, can help reduce itching and scaling and also have a mild anti-inflammatory effect. Follow the instructions carefully, as coal tar products have a strong odor and may stain clothing.

Salicylic acid

You can find creams, lotions, gels and shampoos with salicylic acid. These products will help soften and remove scales caused by psoriasis. Start with a concentration of 1% to see how your skin reacts and increase concentration if needed.

Lactic acid

Dr. Howell says that formulations containing 5-12% lactic acid, such as lotions, creams, and exfoliating solutions, are commonly used in topical treatments for psoriasis. Lactic acid aids in gently exfoliating the skin, reducing scaling, and promoting cell turnover. Its keratolytic properties help remove dead skin cells, leading to smoother skin and alleviating psoriasis symptoms.

Urea

Urea, a natural compound found in the skin, aids in psoriasis treatment by softening and moisturizing the affected areas, reducing scales and itching. Its keratolytic properties help in exfoliating dead skin cells, promoting skin renewal. Urea is present in various formulations like creams, lotions, and ointments specifically designed for psoriasis. OTC products typically contain urea concentrations ranging from 2% to 10%.

Hydrocortisone

Hydrocortisone is a mild corticosteroid and is commonly available OTC in 1% cream form. It can be used to alleviate itching, redness, and mild inflammation associated with psoriasis and other skin irritations.

Capsaicin cream

Capsaicin is a substance found in chili peppers and is available as an over-the-counter cream. It may provide relief from itching and pain associated with psoriasis lesions. Be cautious when using these products as they can cause a burning sensation on sensitive skin.

Aloe vera gel

Although aloe vera gel is not specifically indicated for psoriasis, it is soothing for irritated skin and can provide relief from itching and discomfort.

Oatmeal baths 

Oatmeal baths are recommended for various skin conditions, including dry skin, eczema, psoriasis, contact dermatitis, sunburn, itching, chickenpox, and shingles. They soothe and moisturize the skin, reducing redness, inflammation, and itching. To take an oatmeal bath, use lukewarm water, place colloidal oatmeal or finely ground oats in a bag, and soak in the bath for 15-20 minutes. Afterward, pat your skin dry and apply moisturizer. 

Calamine, camphor and menthol

Calamine, camphor, and menthol are topical treatments with soothing and anti-inflammatory properties. Calamine helps alleviate itching and irritation on the skin, while camphor provides a cooling effect and acts as a mild anesthetic. Menthol, with its cooling sensation, can also temporarily relieve itching and discomfort associated with psoriasis. These ingredients can be used individually or together. When combined, they work synergistically to reduce the itching, redness, and inflammation often experienced in psoriatic flare-ups, providing temporary relief and soothing the affected skin.

Are there over-the-counter oral medications for psoriasis?

Oral over-the-counter (OTC) medicines for psoriasis are limited, as psoriasis treatments require a prescription due to their potential side effects and the need for monitoring by a healthcare provider. However here are three OTC supplements can complement prescription treatments.

Omega-3 supplements

Omega-3s, found in fish oil and flaxseed oil, have significant anti-inflammatory properties. They can help reduce the inflammation associated with psoriasis. Omega-3 fatty acids can alter the body’s immune response in a way that may decrease the severity of psoriasis symptoms. Studies have shown that regular intake of omega-3 supplements can lead to improvements in psoriasis severity, particularly in reducing redness, itching, and scaling.

Vitamin D tablets

Vitamin D plays a crucial role in skin health, including modulating the immune system and the lifecycle of skin cells. It’s thought that vitamin D can help normalize the rapid rate of skin cell growth seen in psoriasis. Topical vitamin D analogues are commonly prescribed for psoriasis, but oral vitamin D supplementation can also support skin health and potentially improve psoriasis outcomes. Adequate vitamin D levels are associated with better overall skin health and may help manage psoriasis symptoms when used as part of a comprehensive treatment plan.

Turmeric capsules

Turmeric contains curcumin, a compound with potent anti-inflammatory and antioxidant properties. Curcumin can help reduce inflammation in the body, including the skin. While research on turmeric’s effectiveness specifically for psoriasis is still evolving, preliminary studies suggest that oral curcumin supplements could reduce psoriasis severity and improve symptoms. Its anti-inflammatory effects are thought to be beneficial in managing the chronic inflammation associated with psoriasis.

Are there prescription medications that work better for psoriasis?

There is a wide range of prescription medications used for the treatment of psoriasis, they range from topical psoriasis creams, to oral medications and self-injections.

How can I get a prescription for psoriasis medication?

You can have a photo-consultation with a board-certified online dermatologist via Miiskin. You just need to take some photos, answer a few questions about your symptoms and background, pay the fee with your credit card and wait less than 2 business days to get your prescription.

About psoriasis

What is psoriasis?

Psoriasis is a chronic autoimmune condition that affects the entire body and manifests on the skin, resulting in rapid buildup of skin cells. Psoriasis is characterized by the formation of thick, red patches that are often covered with silvery scales primarily on the knees, elbows, scalp, and lower back. Psoriasis symptoms can vary in severity and can also affect the eyes, nails and joints¹.

What is the root cause of psoriasis?

The root cause of psoriasis is not fully understood, but it’s believed to involve a combination of genetic, immunological, and environmental factors. Individuals with psoriasis have an overactive immune system that triggers inflammation and the production of excess skin cells. Normally, skin cells grow and shed over a month, but in psoriasis, this process is significantly accelerated to just a few days, leading to the build-up of cells on the skin’s surface. Genetics also play a part, people with a family history of psoriasis are more likely to develop it, however, not everyone with a genetic predisposition will develop the condition².

What triggers psoriasis?

Dr. Howell says that psoriasis flare-ups can be triggered by a variety of factors, with common ones including skin injuries like cuts, burns, and bug bites, stress, which can significantly worsen symptoms, and infections, particularly those caused by streptococci. Other triggers might include certain medications, alcohol consumption, smoking, and significant changes in weather or climate. 

What is the best thing to calm psoriasis?

Dr. Howell says that managing psoriasis symptoms effectively often involves a combination of treatments tailored to the individual. Topical treatments, including corticosteroids, calcineurin inhibitors, and vitamin D analogs, may calm inflammation and control the rapid growth of skin cells. For severe cases, oral medications or biologic medications (self-injections) might be recommended. Additionally, lifestyle adjustments, such as moisturizing regularly, stress reduction techniques, and maintaining a healthy weight can significantly improve symptoms and overall skin health.

What clears psoriasis fast?

Dr. Howell mentioned that to get rid of psoriasis symptoms quickly, he usually prescribes corticosteroids due to their potent anti-inflammatory properties, which can quickly reduce redness, swelling, and itching. Topical therapies are typically first-line treatments for mild to moderate cases. For severe psoriasis, he may prescribe biologic medications such as Skyrizi, Tremfya or Taltz. 

Frequently asked questions about psoriasis

Is psoriasis a fungal infection?

No, psoriasis is not a fungal infection, it is a chronic skin condition that is caused by Inflammation. It is characterized by the rapid buildup of skin cells, leading to scaling on the skin’s surface. Unlike fungal infections, which are caused by external fungal pathogens and can be treated with antifungal medications, psoriasis is related to the body’s internal immune processes and requires different types of management strategies, including topical treatments, phototherapy, systemic medications, and lifestyle changes.

What are 2 signs of psoriasis?

Dr. Howell says two of the most distinctive signs of psoriasis are red patches (plaques) of skin covered with thick, silvery scales. These plaques can appear anywhere on the body and can vary in severity, from minor localized patches to eruptions that cover large areas. Another distinctive symptom of psoriasis is dry, cracked skin that may bleed. This symptom can be especially uncomfortable and may increase the risk of infection if the skin’s barrier is compromised.

Does psoriasis get worse with age?

Dr. Howell says that usually, psoriasis does not get worse with age. Instead, it may get better or worse depending on different factors such as stress, climate, smoking, drinking, poor nutrition, and obesity.

Should you shower more or less with psoriasis?

For people with psoriasis, it is recommended to take a bath or shower each day while keeping baths short and showers shorter. Showers should be kept quite short.

What soap is good for psoriasis?

Dr. Howell recommends using mild, moisturizing soaps or cleansers that are fragrance-free and designed for sensitive skin can be beneficial. Soaps containing natural ingredients like oatmeal, aloe vera, or glycerin can help soothe and moisturize the skin, reducing the dryness and scaling associated with psoriasis. It is also advisable to look for products labeled as “non-drying” and to avoid those with alcohol, dyes, or perfumes, which can exacerbate symptoms. 

What body wash is best for psoriasis?

Look for body washes that are free from harsh chemicals, fragrances, dyes, and alcohol, as these ingredients can irritate the skin and exacerbate psoriasis symptoms. Products containing hydrating ingredients like glycerin, aloe vera, oatmeal, or oils (such as coconut or jojoba oil) can be particularly beneficial as they help to soothe and moisturize the skin, reducing dryness and flakiness. Some brands also offer body washes with added ingredients like salicylic acid or coal tar, which can help to gently exfoliate and reduce scaling, but these should be used carefully and under medical supervision, as they might not be suitable for everyone. Seek out products specifically formulated for eczema or psoriasis as they are designed with sensitive skin in mind.

What shampoos to avoid if you have psoriasis?

When choosing a shampoo for psoriasis, it is important to avoid products with harsh chemicals, fragrances, high alcohol content, and formaldehyde releasers, as these can irritate and dry out the scalp, worsening symptoms. Instead, opt for gentle, fragrance-free shampoos formulated for sensitive skin or specific to psoriasis. These might contain therapeutic ingredients like coal tar or salicylic acid, which can help manage scalp psoriasis effectively. Since individual responses vary, finding the right shampoo may require some experimentation, and you may want to consult with your online dermatologist for personalized advice.

Is it better to keep psoriasis moist or dry?

Dr. Howell says that in general, it is better to moisturize psoriasis-affected skin as it helps to reduce symptoms such as scaling, itching, and the discomfort associated with dryness. Keeping the skin hydrated can also minimize the formation of dry, flaky skin patches and help maintain the skin’s integrity, reducing the risk of cracking and bleeding. Applying a moisturizer immediately after bathing can help lock in moisture and you should opt for a fragrance-free, hypoallergenic moisturizer designed for sensitivity or specifically for psoriasis. It is also essential to avoid overly wet environments and prolonged water exposure, which can worsen psoriasis symptoms.

What is good to rub on psoriasis?

Dr. Howell recommends applying thick, fragrance-free moisturizers, especially those containing glycerin, lanolin, or petroleum jelly, can keep psoriasis-affected skin moisturized which helps, reduce scaling, and ease itching. Natural remedies such as aloe vera and tea tree oil might offer mild relief. Over the counter products do not work, you can try prescription topical treatments such as corticosteroids, calcineurin inhibitors, or vitamin D analogues to slow skin cell growth.

Does neosporin help psoriasis?

No, Neosporin is a topical antibiotic and it is not beneficial for the treatment of psoriasis. Instead, to manage psoriasis symptoms effectively, you might consider treatments like topical corticosteroids, calcineurin inhibitors, and vitamin D analogues. Each of these options targets specific aspects of psoriasis, helping to relieve symptoms and manage the condition more effectively. 

Is Vaseline good for psoriasis?

Yes, Vaseline (petroleum jelly) is often considered a good way to moisturize skin with psoriasis because its occlusive nature helps lock in moisture on the skin, preventing dryness and reducing the scaling and itching. However, while it’s beneficial for hydrating and soothing the skin, Vaseline does not treat the underlying inflammation that causes psoriasis. It’s typically used as part of a broader skin care and treatment regimen, which might also include prescription medications, topical treatments, and lifestyle adjustments. 

Does caffeine affect psoriasis?

The relationship between caffeine and psoriasis has not been established.  Some studies suggest that caffeine may exacerbate symptoms, while other studies have not found a significant link between caffeine consumption and psoriasis incidence. It is essential for individuals with psoriasis to monitor how their skin reacts to caffeine and consult with a dermatologist for personalized advice. 

Is the sun good for psoriasis?

Moderate sun exposure can be beneficial for psoriasis, as UVB rays from the sun help slow down the overproduction of skin cells associated with psoriasis plaques. However, using fragrance-free, hypoallergenic, and broad-spectrum or mineral sunscreen containing zinc oxide or titanium dioxide are often recommended for sensitive skin conditions like psoriasis because they are less likely to cause irritation.

Does drinking lots of water help psoriasis?

Staying well-hydrated can help maintain skin hydration, potentially reducing the severity of dryness and scaling associated with psoriasis. Besides, proper hydration supports skin’s elasticity and can help in minimizing the discomfort caused by dry, flaky skin patches. Moreover, maintaining good hydration is important for facilitating the body’s natural detoxification processes and supporting overall immune system function.

Why is my psoriasis so bad right now?

Psoriasis symptoms may be worsening due to several factors, including increased stress, weather changes, infections, the impact of certain medications, dietary and lifestyle habits, skin injuries, or the use of alcohol and tobacco. These elements can trigger flare-ups by affecting the immune system or directly irritating the skin. Evaluating recent changes in your environment, health, or habits might help identify specific triggers. Managing stress, maintaining a healthy lifestyle, avoiding known irritants, and adhering to your treatment regimen are essential steps in controlling psoriasis symptoms. 

The takeaway

Although psoriasis is a chronic and autoimmune condition by using stress-coping techniques, identifying and managing your triggers, and adequate treatment, you can more less stay symptom-free most of the time. Talk to your online dermatologist, or find a dermatologist in your area to get the treatment plan for you. 

Did you know that psoriasis can also affect the face, causing redness and scaling? For more details on managing facial psoriasis, check out our in-depth article “Psoriasis on face: What is it and how to get rid of it?“

Article References:
https://www.ncbi.nlm.nih.gov/books/NBK448194/