Coal tar is applied to the skin to reduce the itching of
atopic dermatitis. It is not as strong as a
corticosteroid and can be used as a "bridge therapy"
from a stronger medication when symptoms have improved. Coal tar may also be
used for treatment of thick skin (lichenified) if
other treatment is not effective.
Coal tar is available as a gel, cream, or ointment or as a solution
for the bath. Examples of coal tar preparations include 5% coal tar in a
hydro-alcoholic gel (such as Estar) or 5% liquor carbonis detergens in a cream
base.
Coal tar preparations are generally felt to be safe. There have been
some concerns of cancer-causing chemicals in coal tar, but the U.S. Food and
Drug Administration (FDA) reports that the chemical concentrations in
non-prescription coal tar are at safe levels. Use coal tar carefully when the
skin rash is inflamed or is near the eyes or in skin folds.