Top 8 Local Therapies for Psoriasis and Their Advantages
Effective management of psoriasis often involves topical treatments tailored to symptom severity and skin location. From moisturizers and vitamin D creams to coal tar and natural remedies, these options can alleviate itching, scaling, and inflammation. Consulting a healthcare provider ensures safe and appropriate use, leading to better skin health and improved quality of life.

Psoriasis is a chronic skin disorder characterized by red, scaly, and itchy patches commonly appearing on the knees, back, and scalp. These symptoms can cause discomfort and disrupt daily routines. Managing psoriasis involves various treatment options, including topical therapies that target affected areas. Before choosing a treatment, consulting a healthcare provider is essential to determine the most suitable options and understand their benefits.
Overview of topical treatments
Topical therapies are designed for mild to moderate psoriasis and include creams, ointments, and lotions that are applied directly to the skin. These treatments can effectively control symptoms and improve skin condition. It may take several weeks of consistent use to see results, so patience and professional guidance are crucial. Searching online for the best psoriasis creams can provide helpful options, especially for scalp or plaque psoriasis. Always seek medical advice before starting any new topical regimen.
Types of topical therapies
1. Moisturizers (Emollients)
These are soothing creams or ointments that hydrate the skin and prevent water loss. For mild psoriasis, healthcare providers often recommend starting with emollients. They help reduce itching and scaling by forming a protective barrier on the skin. After applying moisturizers, other treatments can be layered on about 30 minutes later. These are available over-the-counter or via prescription, providing a simple way to manage dryness and discomfort.
2. Dithranol
Used under medical supervision, dithranol is a cream or ointment that inhibits excessive skin cell growth. Typically applied for short periods on the trunk or limbs, it may be combined with therapies like light treatment for better results. Proper application by trained professionals is important to avoid skin irritation.
3. Salicylic Acid
Available as a lotion or cream, salicylic acid assists in loosening and removing scales from psoriasis patches. It enhances the effectiveness of other treatments by clearing away dead skin, while also alleviating redness and swelling, easing daily activities.
4. Anthralin
This tar-based cream slows skin cell division and helps shed scales, leading to smoother skin. It should be applied carefully following medical instructions, avoiding sensitive areas like the face or genitals. Due to its staining effect and potential irritation, short contact periods are recommended before washing off.
5. Vitamin D Analogues
These creams regulate skin cell production and reduce inflammation, making them suitable for mild to moderate psoriasis on the scalp, trunk, or limbs. It's vital to follow application directions to minimize side effects.
6. Coal Tar
One of the oldest treatments, coal tar is available in different strengths, from over-the-counter options to prescription formulas. It helps lessen itching, scaling, redness, and swelling, but may cause some skin irritation, strong odor, and stain clothing due to its oily nature.
7. Calcineurin Inhibitors
These medications reduce skin inflammation, especially useful for sensitive areas like the face or genitals. They should be used in rotation with other treatments as advised by a healthcare professional to minimize risks.
8. Alternative topical therapies
Other options include products with natural ingredients such as aloe vera, capsaicin, tea tree oil, or turmeric. Consult a healthcare provider before trying new treatments, and perform patch tests to check for reactions. These may offer additional relief when used safely and appropriately.