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Topical keratolytic / antipruritic (for scaly skin)

Coal tar: uses, side effects & precautions

Also known as Polytar, Exorex, Neutrogena T/Gel, Capasal.

Ces informations sont fournies à titre indicatif uniquement et ne constituent pas un avis médical. Consultez toujours un professionnel de santé qualifié pour toute préoccupation médicale personnelle. En cas d'urgence, appelez votre numéro d'urgence local.

What it is used for

  • Psoriasis
  • Seborrhoeic dermatitis and scaly scalp
  • Dandruff
  • Chronic dry, itchy, scaly skin conditions

How it works

Coal tar slows the overly fast growth of skin cells and reduces scaling, itching and inflammation in conditions like psoriasis.

How it is taken

Available as shampoos, creams, ointments, lotions and bath additives. Use on the scalp or skin exactly as the label or your clinician directs, leaving shampoos on for the stated time before rinsing. It has a strong smell and can stain skin, hair, fabrics and surfaces, so take care with clothing and bedding.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Skin irritation, redness or a burning feeling
  • Staining of skin, hair, clothing and surfaces
  • Strong, lingering smell
  • Increased sensitivity of skin to sunlight

Serious effects — get help

  • Severe irritation, blistering or a spreading rash
  • Signs of an allergic reaction such as facial swelling, widespread rash or difficulty breathing

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other strong topical treatments on the same area may increase irritation
  • Sunlight and light therapy can increase skin sensitivity while using it

Who should take care

  • Avoid broken, weeping or infected skin unless advised
  • Protect treated skin from strong sunlight, as sensitivity can increase
  • Avoid the eyes, genitals and inside skin folds unless directed
  • Tell your clinician if you are pregnant or breastfeeding before regular use

Frequently asked questions

Why does coal tar smell so strong?
The characteristic smell comes from the tar itself. Modern formulations try to reduce it, but some odour is expected; rinsing well helps.
Will it stain my hair or clothes?
It can stain light hair, skin, fabrics and surfaces. Use older towels and bedding and rinse thoroughly to limit staining.
Is it safe for long-term use?
It is widely used for chronic conditions, but use it as directed and review with your clinician, especially if applying to large areas regularly.
Do I need sun protection with it?
Yes. Coal tar can make skin more sensitive to sunlight, so protect treated areas from strong sun.

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