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Overview: Coal tar is applied to the skin or scalp to help with symptoms of dandruff, psoriasis, or seborrheic dermatitis. Common side effects may include stinging or burning where it is applied and sensitivity to sunlight. If you need to be in the sun, wear sunscreen, a hat, and clothing that covers your skin. Stop using coal tar and contact your health care provider if your skin condition does not improve or if it gets worse. Coal tar comes in several forms, including a cream, gel, liquid, or ointment that is applied to the skin and a shampoo that is applied to the scalp.

Uses

What is coal tar used for?

Coal tar is commonly used to help with skin itching, scaling, flaking, redness, and irritation from the following conditions.

The areas where you apply coal tar may vary, depending on the specific product used. Coal tar may also be used for other conditions as determined by your health care provider.

How does coal tar work (mechanism of action)?

Coal tar seems to help with skin itching, scaling, flaking, redness, and irritation by slowing the rapid growth of skin cells in certain skin conditions. It may also have mild antiseptic effects to help limit or prevent growth of bacteria or other germs that can worsen these skin conditions.

How is coal tar supplied (dosage forms)?

Brands and other names

  • Balnetar
  • Cutar
  • Denorex
  • DHS
  • Doak Tar
  • Fototar
  • MG217 Psoriasis
  • Neutrogena T/Gel
  • Oxipor VHC
  • Polytar
  • Psoriasin

Dosage forms and strengths

Coal tar is available in various forms and strengths that are applied to the skin or scalp.

How should I store coal tar?

Store coal tar according to the package labeling. Some products may be flammable. If you have any questions about how to store your coal tar product, ask your pharmacist.

Side Effects

What are the most common side effects of coal tar?

The most common side effects of coal tar are listed below. Tell your health care provider if you have any of these side effects that bother you.

There may be other side effects of coal tar that are not listed here. Contact your health care provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at www.fda.gov/medwatch or by calling 800-FDA-1088 (800-332-1088). In Canada, you can report side effects to Health Canada at www.health.gc.ca/medeffect or by calling 866-234-2345.

What are the serious side effects of coal tar?

While less common, the most serious side effects of coal tar are described below, along with what to do if they happen.

Severe Allergic Reactions. Coal tar may cause allergic reactions, which can be serious. Stop using coal tar and get help right away if you have any of the following symptoms of a serious allergic reaction.

  • Breathing problems or wheezing
  • Racing heart
  • Fever or general ill feeling
  • Swollen lymph nodes
  • Swelling of the face, lips, mouth, tongue, or throat
  • Trouble swallowing or throat tightness
  • Itching or skin rash
  • Bumps on the skin called hives that can be red, pink, white, or brown, depending on your skin tone
  • Nausea or vomiting
  • Dizziness, feeling lightheaded, or fainting
  • Stomach cramps
  • Joint pain

Warnings & Precautions

Who should not use coal tar?

Allergies to Ingredients. People who are allergic to any of the following should not use coal tar.

  • Coal tar
  • Any of the ingredients in the specific product

Your pharmacist can tell you all of the ingredients in the specific coal tar products they stock.

What should I know about coal tar before using it?

There are multiple forms of coal tar available. Read and follow the instructions for the product you have and make sure you understand how to use it properly. Use it as directed on the product label or as your health care provider recommends. If you have any questions, talk to your health care provider.

Coal tar is only for use on the skin or scalp, depending on the product. You should avoid getting coal tar in your eyes. If you get coal tar in your eyes, rinse them well with water. Contact your health care provider if you have any concerns.

Keep coal tar out of the reach of children.

Follow any other health care provider recommendations for your skin condition, such as using other medicines or a moisturizer. Dry skin can make itchy skin conditions worse.

Talk to your health care provider before using coal tar in any of the following ways.

  • For a long period of time
  • In or around your rectum, genitals, or groin
  • On a large area of your body
  • On cuts or areas of broken skin

Coal tar can make your skin more sensitive to light from the sun, sunlamps, and tanning beds, even up to 24 hours after using it. This is called photosensitivity. Exposure to this light can cause severe sunburns, blisters, and swelling. If you need to be in sunlight, wear sunscreen, a hat, and clothing that covers your skin.

Some coal tar products are used on your hair or scalp. It is possible that this may rarely cause changes to your hair color, especially if you have light-colored hair. You can test it on a few strands of hair before using it on your whole head if you have concerns. Coal tar may also stain or discolor clothing or skin.

Each coal tar product may be used differently. Some coal tar products should be shaken well before each use. Some products should be massaged into the affected area or left on for several minutes. Check the label and ask your health care provider if you are not sure how to use your coal tar product.

Stop using coal tar and contact your health care provider if your symptoms do not improve or get worse.

What should I tell my health care provider before using coal tar?

Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them know if coal tar is right for you.

In particular, make sure that you discuss any of the following.

Sensitive Skin. Coal tar may cause skin irritation or sensitivity. If you have very sensitive or allergic skin, talk to your health care provider before using coal tar.

Other Medicines and Supplements. Coal tar may interact with other medicines and supplements. Before using coal tar, tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.

Pregnancy. It is not known if or how coal tar could affect pregnancy or harm an unborn baby. Tell your health care provider if you are pregnant or plan to become pregnant. Your health care provider will let you know if you should use coal tar while you are pregnant or trying to get pregnant.

Breastfeeding. It is not known if coal tar passes into breast milk. Tell your health care provider if you are breastfeeding or plan to breastfeed. Your health care provider will let you know if you should use coal tar while breastfeeding. If you breastfeed while using coal tar, take care to keep your baby’s skin from touching areas of your skin where coal tar is used.

Interactions

Does coal tar interact with foods or drinks?

There are no known interactions between coal tar and foods or drinks.

It is unknown if drinking alcohol will affect coal tar.

Does coal tar interact with other medicines (drug interactions)?

Always tell your health care provider about any other treatments (including light therapy) or any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

In particular, make sure that you discuss if you are using any other medicines for psoriasis before using coal tar.

Psoriasis medicines may not be the only medicines that can interact with coal tar. Always check with your health care provider.

Does interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose/Missed Dose

What should I do if I accidentally use too much coal tar?

If you or someone else has used too much coal tar, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222.

What should I do if I miss a dose of coal tar?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and only use the next dose. Do not use double or extra doses.