Topical Treatments for Psoriasis: Creams, Ointments and Lotions Explained
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Psoriasis is a chronic inflammatory skin condition that often requires ongoing management. For many Australians, topical treatments for Psoriasis form the first line of care. These include medicated creams, ointments, gels, foams and lotions applied directly to affected skin.
Understanding how these options work can help you better navigate the broader landscape of psoriasis treatment approaches and determine what may be appropriate to discuss with your healthcare professional.
Why Topical Treatments for Psoriasis Are Often Recommended First
For mild to moderate psoriasis, topical therapies are typically the starting point. They act directly on affected areas, helping to:
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Reduce inflammation
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Slow rapid skin cell turnover
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Relieve itching and discomfort
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Improve scaling and redness
Because they are localised treatments, they generally carry fewer systemic risks compared to oral or injectable therapies.
Topicals are commonly part of wider psoriasis treatment options, particularly when managing flare-ups or specific problem areas such as the scalp, elbows or knees.
Types of Topical Treatments for Psoriasis
There is no single “best” product. Different formulations suit different body areas and symptom profiles.
1. Corticosteroid Creams and Ointments
Topical corticosteroids help reduce inflammation and redness. They vary in strength from mild to very potent.
They are often prescribed for:
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Thick plaques
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Itchy, inflamed areas
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Short-term flare control
Long-term use requires medical supervision, as overuse may thin the skin.
2. Vitamin D Analogues
Synthetic vitamin D derivatives help regulate skin cell growth. They are commonly used for chronic plaque psoriasis.
These are often used:
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As a maintenance option
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In combination with corticosteroids
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For longer-term control strategies
They can be part of structured treatment plans where different treatment options for psoriasis are rotated or combined.
3. Coal Tar Preparations
Coal tar has been used for decades to slow skin cell growth and reduce scaling.
It may help with:
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Scalp psoriasis
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Thick plaque buildup
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Persistent scaling
Some people prefer tar-based shampoos for scalp involvement, though tolerance and smell can be limiting factors.
4. Calcineurin Inhibitors
These are often used for sensitive areas such as:
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Face
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Skin folds
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Genital areas
They are not typically first-line for thick plaque psoriasis but may be useful in delicate skin regions.
5. Emollients and Barrier Repair Creams
While not medicated in the traditional sense, moisturisers play a critical role in psoriasis management.
Regular use can:
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Reduce dryness
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Minimise cracking
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Improve comfort
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Support skin barrier function
They are often used alongside other psoriasis treatment options rather than as standalone therapy.
Choosing the Right Topical Treatments for Psoriasis
The form of the product matters as much as the active ingredient.
Creams
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Lighter texture
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Suitable for daytime use
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Good for moist or weeping areas
Ointments
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Thicker and more occlusive
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Better for dry, thick plaques
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Often used overnight
Lotions and Foams
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Easier for hairy areas such as the scalp
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Spread more easily over large areas
Matching the formulation to the body area improves both adherence and results.
When Topicals May Not Be Enough
For some individuals, psoriasis extends beyond mild or localised plaques. In those cases, topical therapy may be combined with:
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Phototherapy (such as UVB light therapy)
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Oral medications
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Biologic treatments
Topicals often remain part of the routine even when other therapies are introduced.
Managing Expectations
Topical treatments do not cure psoriasis. Improvement may take:
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Several weeks
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Consistent daily application
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Careful rotation or adjustment
Stopping too early or using inconsistently is one of the most common reasons people feel treatments “don’t work.”
It’s also important to distinguish between managing active plaques and preventing recurrence — these may require different strategies.
Practical Tips for Using Topical Treatments
To improve effectiveness:
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Apply to clean, dry skin
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Use the amount prescribed (often measured in fingertip units)
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Follow medical advice regarding frequency
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Avoid abruptly stopping potent steroids without guidance
For scalp psoriasis, sectioning the hair and applying directly to affected skin improves penetration.
Supporting Your Topical Treatment Plan
Topical therapy works best when part of a structured routine. This may include:
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Regular moisturising
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Identifying flare triggers
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Gentle skin care
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Avoiding harsh soaps
Many Australians benefit from combining topical therapy with lifestyle adjustments and structured monitoring of flare-ups.
Final Thoughts
Topical treatments remain a cornerstone in psoriasis management. While not a cure, they provide meaningful symptom control for many people, especially when used consistently and correctly.
Understanding the differences between creams, ointments, lotions and medicated preparations helps you navigate the wide range of treatment options available and make informed decisions with your healthcare provider.