The Most Effective Over-The-Counter Treatments For Facial Psoriasis

Oct 25, 2023 By Madison Evans

Psoriasis is an extremely prevalent skin disorder. Plaques of redness and scaling, itching, and flaking characterize outbreaks. FacialPsoriasis treatments range from pills and transfusions to phototherapy as well as topical medicines. The most effective topical products are discussed here. Patients with severe, resistant, or widespread psoriasis may not get improvement with topical treatments alone.

The Most Effective Psoriasis Topical Treatments

Psoriasis treatments available without a doctor's prescription include over-the-counter creams and gels. You may use them alone or with other systemic (whole-body) therapies. Topical treatments for psoriasis, such as lotions and ointments, may alleviate symptoms and lessen the need for systemic medication.

Topical Steroids

Prescription-strength, The best topical therapy for psoriasis is topical steroids. They reduce swelling, stop cells from multiplying uncontrollably, and reduce the thickness of psoriasis plaques. Dermatologists may recommend them on their own or in combination with other therapies. There is a wide range of types and intensities available. Accent with oil-rubbed hydrocortisone is no match for these alternatives, which are all stronger and more effective.

Topical steroids often used for psoriasis include:

  • Foam, cream, solution, or shampoo containing clobetasol (0.05%)
  • 0.1% cream or ointment of triamcinolone
  • Cream with 2.5% Hydrocortisone
  • Topical steroid combinations with other drugs, including retinoids or vitamin D analogs, are also available. Psoriasis treatment with these products is more effective than using them alone.
  • Betamethasone with calcipotriene (brand name Taclonex) betamethasone matches the expectations of ointment Enstilar. Dobri Lotion Foam (Halobetasol/Tazarotene)

Overuse of topical steroids might cause them to cease being effective against psoriasis. Furthermore, they may have adverse consequences such as:

  • Skin that is too delicate
  • Bruising
  • Acne scars
  • Blood vessel rupture
  • Infections
  • Discoloration

Steroid Alternatives

When used with other prescription drugs, such as those listed below, topical steroid usage may reduce the likelihood of adverse effects while maintaining efficacy.


The FDA has given the vitamin A compound tazarotene (Tazorac) the green light for treating psoriasis. Plaques of psoriasis are reduced in size, which is how it works. Irritation is the most common negative impact. Combining the medication with a topical steroid at the same time or on rotation may help lessen the problem. To be sure, psoriasis doesn't always respond to over-the-counter retinoids, but tazarotene is significantly more potent. If you are pregnant or trying to become pregnant, you should avoid this product.

Vitamin D Analogs

Similar to the vitamin D your body produces naturally when exposed to sunlight, these supplements also derive from the same source. They alleviate psoriasis symptoms by controlling the skin's immune system as well as halting the development of plaques. Both calcitriol (Vectical) and calcipotriene (Dovonex, Sorilux) are sold over the counter in the United States. They complement topical steroid treatments quite well. Dermatologists commonly advise alternating topical vitamin D treatments with topical steroid treatments to reduce the potential for adverse effects from the steroids. Vitamin D analogs shouldn't be applied to more than 30% of your body at a time. Hormonal disruptions may occur at high doses.

Calcineurin Inhibitors

Calcineurin inhibitors like pimecrolimus and tacrolimus may reduce inflammation. FDA approval has been granted for using both tacrolimus (Protopic) and pimecrolimus (Elidel) for treating eczema. However, these treatments are effective for psoriasis when applied to parts of the body with thinner skin, such as the face, genitalia, and body folds. Also, they may be used in conjunction with topical steroids to reduce the risk of negative effects on the skin. Despite the black-box warnings concerning the possible development of cancer from both drugs, no evidence has emerged to suggest that topical use of either drug increases the risk of cancer.

Nonprescription Psoriasis Treatments

Over-the-counter remedies for psoriasis are plenty (OTC). They are helpful, but most individuals with psoriasis will need to take them with medication. To help those who have psoriasis find safe and effective OTC treatments, the National Psoriasis Foundation maintains a register of such items. A link to it is provided below.


To effectively treat psoriasis, it is crucial to maintain enough skin hydration. Cracking, fissuring, itching, and flares are all symptoms of overdrying, which may make redness, flaking, as well as itching much worse. Shower for no more than ten minutes at a time, using warm (not hot) water, to help maintain your skin's natural moisture balance. It would be best if you used a mild body cleanser. Scrubbing might make your psoriasis worse, so try to avoid doing it. You should pat dry after your shower, apply any prescribed topicals directly to any active psoriasis plaques, and moisturize your whole body.

Medicated Shampoos

Appropriately shampoo may alleviate scalp psoriasis symptoms, particularly when combined with topical steroids obtained with a doctor's prescription. Two common active ingredients in medicinal shampoos are coal tar and salicylic acid. In other words, coal tar is tar extracted from coal. It helps reduce inflammation, itching, and scaling associated with psoriasis. Neutrogena T-Gel is one such widely used product. Lather it on your scalp for a couple of minutes, then rinse. Hair may get dry, and the stench may be overpowering.


Inflammation of the skin is a symptom of psoriasis, an inflammatory disorder. Psoriasis is characterized by thick, discolored patches of skin that are scaled. Plaques are the thickened, scaly regions that are characteristic of this condition. Since psoriasis is a long-term skin condition with no known treatment, it may suddenly worsen and cause significant discomfort.

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