The Best Lotions and Creams to Help Ease Psoriasis

Deep hydration and gentle exfoliation soothe irritation and restore skin comfort.

By Medha deb
Created on

Psoriasis is a chronic skin condition that affects millions of people worldwide, characterized by dry, itchy, and scaly patches. Managing symptoms often requires a combination of treatments, but one of the most effective ways to seek daily relief is through topical creams and lotions. This guide explores expert-recommended over-the-counter (OTC) and prescription solutions, as well as practical advice for finding the best fit for your needs.

Understanding Topical Treatments for Psoriasis

Psoriasis symptoms vary, but dryness and itching are almost universal. Topical creams and lotions are a cornerstone of symptom management. Some options are available without a prescription, while others require a doctor’s supervision. Often, finding what works for you involves some trial and error. Below are the most common types and how they might help:

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Salicylic Acid

Salicylic acid is a keratolytic (exfoliating) agent approved by the FDA to treat psoriasis. It works by softening and removing thickened, scaly skin, making it easier for other medications to penetrate and function effectively. This key ingredient is found in:

  • Lotions and creams
  • Ointments
  • Foams
  • Soaps and gels
  • Patches

While effective, stronger concentrations can irritate skin and, when applied to the scalp, may lead to temporary hair loss by making hair more brittle. Always use as directed and consult a healthcare provider if you notice adverse effects.

Topical Steroids (Corticosteroids)

Topical steroids are among the most frequently used treatments for psoriasis. These creams and ointments reduce inflammation and slow the overproduction of skin cells, thus preventing the buildup that leads to scales.

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  • Available in various strengths: mild versions OTC; stronger versions by prescription
  • Effective for difficult-to-treat areas like elbows, knees, and scalp
  • Potential side effects include skin thinning, broken blood vessels, and in people with darker skin, temporary lightening in the treated area

Due to these risks, use steroids sparingly and only on affected spots under medical supervision. Apply directly to problem patches and avoid spreading onto healthy skin.

Moisturizers and Emollients

Moisturizing regularly can significantly reduce itching and flakiness. Moisturizers fortified with ceramides, shea butter, and other emollients help rebuild the skin barrier and lock in hydration. These can be used daily and are particularly beneficial after bathing, when they help trap existing moisture in the skin.

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Top Dermatologist-Recommended OTC Creams and Lotions

According to the National Psoriasis Foundation, moisturizing daily is essential for anyone living with psoriasis. Look for products that are fragrance-free and designed to prevent further dryness. Below are expert-recommended options that may provide relief:

  • Aveeno Anti-Itch Concentrated Lotion with Calamine and Triple Oat Complex
    Key Features: Anti-inflammatory and antioxidant protection; calms irritated skin with the triple oat complex and calamine.
  • CeraVe Moisturizing Cream for Psoriasis
    Key Features: Developed with dermatologists, contains ceramides and salicylic acid; deeply moisturizes while helping restore the skin barrier.
  • Curél Skincare Hydra Therapy, Itch Defense Moisturizer
    Key Features: Includes shea butter; formulated for post-shower application to lock in moisture and relieve persistent itch.
  • Dermarest Psoriasis Medicated Treatment Gel
    Key Features: Contains salicylic acid; targets scales, itching, and dryness effectively; gel format for fast absorption.
  • Eucerin Skin Calming Intensive Itch Relief Lotion
    Key Features: Fortified with menthol and colloidal oatmeal for nighttime itch; non-greasy and soothing.
  • Gold Bond Ultimate Multi-Symptom Psoriasis Relief Cream
    Key Features: Salicylic acid and a blend of moisturizers; fragrance-free, with broad symptom relief for redness and itching.
  • Lubriderm Intense Skin Repair Body Lotion
    Key Features: Long-lasting hydration; intended for severe dryness and skin barrier repair.
  • MG217 Medicated Moisturizing Psoriasis Cream
    Key Features: Contains salicylic acid, aloe, and shea butter; softens scales and soothes irritation.
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Prescription Creams and Treatments

While the above OTC products can help, some individuals require prescription-strength options. Prescription topicals often include higher concentrations of corticosteroids, vitamin D analogues, or newer immunomodulatory medications. Only your healthcare provider can determine which prescription product is appropriate based on the severity of your symptoms, your personal medical history, and prior treatments.

How to Choose the Right Psoriasis Cream or Lotion

Every person’s psoriasis is unique, and the right choice depends on symptom severity, affected areas, and skin sensitivities. Consider these expert tips when making a selection:

  • Moisturize daily: Apply after bathing to retain moisture.
  • Choose fragrance-free: Fragrances are a common irritant.
  • Know your ingredients: Salicylic acid helps exfoliate, while ceramides and emollients focus on hydration and skin barrier repair.
  • Monitor for irritation: Patch test new products before widespread use.
  • Consult your dermatologist: They can recommend prescription options or spot potential ingredient sensitivities.

Best Ingredients for Psoriasis-Prone Skin

IngredientMain FunctionNotes
Salicylic AcidExfoliates, removes scalesFDA-approved; can be drying if overused
CorticosteroidsReduces inflammationUse with caution; potential side effects with long-term use
CeramidesHydrates, repairs skin barrierIdeal for daily, gentle relief
Oatmeal ExtractSoothes and calms itchingNatural anti-irritant
Shea Butter & AloeDeeply moisturizes, soothes rednessGreat for sensitive and dry skin

What to Avoid in Psoriasis Creams

  • Harsh drying agents: Ingredients like isopropyl or denatured alcohol can dry out and irritate the skin.
  • Sulfates and strong detergents: Often increase irritation and exacerbate symptoms.
  • Heavy fragrances: Can trigger sensitivity and allergic reactions.

Tips for Applying Psoriasis Creams and Lotions

  • Moisturize right after bathing, when skin is still slightly damp, to lock in hydration.
  • Use lukewarm water in showers—avoid very hot water, which can worsen dryness and redness.
  • Gently pat skin dry instead of rubbing, to avoid irritation.
  • Apply medicated creams to active flare-ups, but use restorative moisturizers on the rest of your body to prevent new patches.
  • Always follow the product’s directions and your healthcare provider’s advice, especially with prescription products.

When to See a Doctor About Psoriasis Creams

If OTC creams and lotions aren’t sufficiently relieving your symptoms, or if you notice worsening patches, cracked skin, signs of infection (like oozing or increasing redness), or significant side effects from topical steroids, contact your healthcare provider. They can offer prescription treatments, discuss alternative therapies, and help you develop a comprehensive care plan to control flare-ups.

Frequently Asked Questions

What is the most important step in daily psoriasis care?

The single most important step is to moisturize at least once daily—ideally after bathing when the skin is most receptive to hydration.

Are there any side effects to using OTC creams for psoriasis?

Some ingredients (like salicylic acid and topical steroids) can cause skin irritation, redness, or increased sensitivity with overuse. Always patch test new products and follow recommended usage guidelines.

Should I use medicated creams every day?

Medicated creams should usually be used according to your dermatologist’s instructions; daily use may not be recommended for all products, especially those containing steroids.

Are these lotions safe for people with sensitive skin?

Most dermatologist-recommended options are fragrance-free and suitable for sensitive skin, but individual tolerances vary. Always review ingredient lists and patch test before regular application.

What lifestyle tips help manage psoriasis flare-ups?

  • Avoid prolonged exposure to hot water and harsh cleansers.
  • Protect your skin from dryness and injury.
  • Maintain a healthy, balanced diet, and manage stress, both of which can influence flares.

Key Takeaways

  • Consistent, gentle moisture is your best defense against psoriasis symptoms.
  • Seek out fragrance-free, dermatologist-backed products rich in salicylic acid, ceramides, and oatmeal extracts.
  • Use medicated creams and steroids as directed to avoid significant side effects.
  • Patch test new products and consult with professionals for persistent or particularly severe cases.

If your symptoms persist or worsen despite over-the-counter interventions, consult your dermatologist for personalized advice and advanced treatment options. Quality skin care and proper product selection can make a significant difference in controlling flares and maintaining comfort.

Medha Deb is an editor with a master's degree in Applied Linguistics from the University of Hyderabad. She believes that her qualification has helped her develop a deep understanding of language and its application in various contexts.

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