Coal Tar
Indications
Psoriasis, Seborrhoeic dermatitis
Adult Dose
Topical
Apply a thin layer of Cream two or four times a day onto the affected areas, massage in gently and leave to dry
Decrease frequency to 2-3 times/week once improvement is observed
Child Dose
Safety & efficacy not established
Contra Indications
Application to inflamed or broken skin.
Hypersensitivity.
Precautions
Use with caution on the face, near eyes and mucous membranes.
Do not apply to genital or rectal areas.
Avoid use in patient with exacerbation of psoriasis.
Avoid exposure to direct sunlight and sunlamps for at least 24-72 hr after application.
May stain clothes and hair. If undergoing Goeckerman treatment, all coal tar preparation should be removed from skin before exposure to radiation.
Pregnancy-Lactation
C
Pregnancy category: C
Lactation: Unknown
Adverse Effects
Frequency Not Defined
Stinging/burning of skin
Desquamation
Folliculitis
Photosensitivity
Coal tar may cause discoloration or staining
Mechanism of Action
Coal tar has antipruritic, keratoplastic and keratolytic properties. It slows down excessive epidermal cell turnover and is often used topically either alone or in combination with other drugs (e.g. salicyclic acid, sulfur) in conditions such as dandruff, seborrheic dermatitis or psoriasis.