# Best Cleanser for Psoriasis: A Complete Guide to Soothing, Medicated, and Gentle Washes Sarah, a 42-year-old marketing executive, had lived with plaque psoriasis for over a decade. Every morning, she dreaded stepping into the shower. Would the water sting her raw, red patches? Would her usual body wash leave her skin feeling tight and flaky by noon? After one particularly bad flare—triggered by a harsh new soap—she visited her dermatologist, who told her something simple but life-changing: "Your cleanser matters as much as your prescription cream." If you live with psoriasis, you know that washing your face or body can feel like a gamble. Will the water sting? Will the soap strip your skin and leave you redder than before? The wrong cleanser can trigger a flare, while the right one can be a powerful tool in your daily management routine. Finding the **best cleanser for psoriasis** isn't just about removing dirt; it's about balancing pH, reducing inflammation, and gently exfoliating scales without damaging the skin barrier. This guide breaks down exactly what to look for, the top products by category, and how to use them safely—based on clinical evidence and dermatologist expertise. --- ## What Is a Psoriasis-Friendly Cleanser? A psoriasis-friendly cleanser is a non-stripping, often medicated, wash designed to cleanse the skin while managing the symptoms of plaque, scalp, or facial psoriasis. Unlike standard body washes or facial cleansers, these products prioritize: - **Moisture retention:** Avoiding sulfates and high-pH detergents that dry out plaques. - **Anti-inflammatory ingredients:** Incorporating colloidal oatmeal, salicylic acid, or coal tar. - **Gentle exfoliation:** Helping to soften and lift scales without manual picking. These cleansers come in various forms, including body washes, bar soaps, and liquid facial cleansers. They are typically fragrance-free and dye-free to minimize irritation. Research published in the *Journal of the American Academy of Dermatology* confirms that gentle cleansing is a cornerstone of psoriasis management, as it reduces the risk of Koebner phenomenon (new plaques forming at sites of skin injury) [1]. --- ## Key Benefits of Using the Right Psoriasis Cleanser Using a targeted cleanser offers several therapeutic benefits beyond simple hygiene: 1. **Reduces Scale Build-Up:** Ingredients like salicylic acid (2-3%) help dissolve the bonds between dead skin cells, allowing scales to wash away gently. A 2021 study in *Dermatology and Therapy* found that salicylic acid-based cleansers significantly improved scale thickness after four weeks of use [2]. 2. **Decreases Itching:** Colloidal oatmeal and aloe vera provide immediate relief from the itch-scratch cycle by forming a protective barrier on the skin. 3. **Soothes Inflammation:** Coal tar and pine tar have anti-proliferative properties, slowing the rapid skin cell turnover that defines psoriasis. The National Psoriasis Foundation recognizes coal tar as a safe, effective OTC treatment for mild to moderate disease. 4. **Prepares Skin for Topicals:** Cleansing removes debris and excess oil, allowing prescription creams and ointments (like corticosteroids or Vitamin D analogs) to absorb more effectively. 5. **Prevents Infection:** Psoriatic skin is prone to fissures and cracks. A gentle, antimicrobial cleanser helps prevent secondary bacterial infections, which can worsen flares. --- ## How to Choose the Best Cleanser for Psoriasis Not all "gentle" cleansers are created equal. Here's how to evaluate a product before you buy. ### 1. Check the Active Ingredients - **Salicylic Acid (1-3%):** Best for thick, stubborn plaques. Avoid on large areas of broken skin. - **Coal Tar (0.5-5%):** Gold standard for scalp and body. It slows cell turnover. Note: It has a strong smell and can stain fabrics. - **Colloidal Oatmeal:** Excellent for sensitive, inflamed skin. It forms a protective film and reduces itching. - **Pyrithione Zinc:** Often used in dandruff shampoos; effective for mild scalp psoriasis. ### 2. Avoid Irritants Look for labels that say **"Fragrance-Free"** (not "unscented," which can still contain masking fragrances). Avoid: - Sodium Lauryl Sulfate (SLS) and Sodium Laureth Sulfate (SLES) - Denatured Alcohol (SD Alcohol 40) - Essential oils (lavender, tea tree, peppermint) which can be irritants on broken skin. ### 3. Consider the Texture - **Gels:** Good for oily skin or scalp. - **Creams/Milks:** Best for dry, cracked skin on the body. - **Oils:** Ideal for pre-wash treatment to soften scales before shampooing. ### 4. Match the Product to the Location - **Face:** Use a gentle, non-comedogenic cream cleanser (e.g., La Roche-Posay Lipikar). - **Scalp:** Use a medicated shampoo with coal tar or salicylic acid (e.g., Neutrogena T/Gel). - **Body:** Use a therapeutic body wash with colloidal oatmeal or pine tar (e.g., MG217). --- ## Quick Comparison Table: Top Psoriasis Cleansers | Product | Key Active | Best For | Texture | Scent | Price Range | | :--- | :--- | :--- | :--- | :--- | :--- | | **CeraVe Psoriasis Cleansing** | Salicylic Acid 3% | Body & Face | Cream-to-foam | Fragrance-free | $$ | | **Neutrogena T/Gel Therapeutic** | Coal Tar 0.5% | Scalp & Body | Thin gel | Strong medicinal | $ | | **MG217 Medicated Tar** | Coal Tar 5% | Stubborn Body Plaques | Ointment-like | Strong medicinal | $$ | | **Vanicream Gentle Facial Cleanser** | None (non-medicated) | Sensitive Facial Skin | Cream | Fragrance-free | $$ | | **Aveeno Skin Relief Body Wash** | Colloidal Oatmeal | Dry, Itchy Skin | Creamy gel | Fragrance-free | $ | | **Derma-Smoothe/FS** | Fluocinolone (Rx) | Scalp | Oil | Mild | $$$ (Rx) | *Note: Prices vary by retailer. $ = Under $10, $$ = $10-$20, $$$ = Over $20.* --- ## Top Recommendations by Category Here are our expert picks based on formulation science, clinical evidence, and user reviews. ### Best Overall: CeraVe Psoriasis Cleansing Body Wash **Why it wins:** It combines 3% salicylic acid with ceramides and hyaluronic acid. It exfoliates while repairing the skin barrier. It is also National Psoriasis Foundation (NPF) accepted. - **Pros:** Fragrance-free, non-comedogenic, gentle enough for face and body. - **Cons:** May not be strong enough for very thick scalp plaques. ### Best for Scalp: Neutrogena T/Gel Therapeutic Shampoo (Original) **Why it wins:** The 0.5% coal tar formulation is the most studied OTC option for scalp psoriasis. It reduces scaling and itching with consistent use, as confirmed by a 2020 review in *Clinical, Cosmetic and Investigational Dermatology* [3]. - **Pros:** Widely available, affordable. - **Cons:** Strong smell; can make hair feel dry (use a conditioner on ends only). Do not use on dyed or chemically treated hair without consulting a stylist. ### Best for Sensitive Skin: Vanicream Gentle Facial Cleanser **Why it wins:** It contains no active drugs, making it ideal for flared facial psoriasis where medicated products may sting. It is free of dyes, fragrance, lanolin, parabens, and formaldehyde. - **Pros:** Extremely gentle; safe for use before prescription topicals. - **Cons:** No exfoliating action; does not help with scale removal. ### Best Drugstore Value: Aveeno Skin Relief Body Wash **Why it wins:** Colloidal oatmeal is a proven anti-itch ingredient. This wash soothes irritation without stripping natural oils. - **Pros:** Very hydrating; safe for daily use; affordable. - **Cons:** Does not remove thick scales; more of a maintenance product. ### Best for Thick Plaques: MG217 Medicated Multi-Symptom Moisturizing Tar Ointment **Why it wins:** While technically an ointment, it is often used as a "soak" before washing. The 5% coal tar is highly effective for thick, resistant plaques on elbows and knees. - **Pros:** Strongest OTC tar option. - **Cons:** Very greasy; stains clothing and sheets. Best used overnight under gloves or cotton clothing. --- ## Application Tips: How to Wash Psoriatic Skin Even the best cleanser can fail if used incorrectly. Follow these dermatologist-recommended steps: ### For the Body 1. **Lukewarm Water Only:** Hot water strips natural oils and worsens inflammation. Keep water temperature tepid (similar to a swimming pool). 2. **Apply with Hands, Not a Loofah:** Loofahs, washcloths, and scrub brushes are too abrasive. Use your fingertips to gently massage the cleanser onto the skin in circular motions. 3. **Let It Sit:** For medicated washes (salicylic acid or coal tar), leave the lather on the skin for **2-5 minutes** before rinsing. This allows the active ingredients to penetrate. 4. **Pat Dry (Don't Rub):** Use a soft cotton towel to pat the skin dry. Rubbing can tear scales and cause the Koebner phenomenon (new psoriasis forming at the site of injury). 5. **Moisturize Immediately:** Apply a thick, fragrance-free moisturizer or prescription ointment within 3 minutes of drying to lock in moisture. ### For the Scalp 1. **Pre-treat with Oil:** If you have thick scales, apply mineral oil, coconut oil, or a specific scalp oil (like Derma-Smoothe/FS) 30 minutes before shampooing. 2. **Shampoo Gently:** Use your fingertips (not nails) to massage the medicated shampoo into your scalp. Let it sit for 5 minutes. 3. **Rinse and Repeat:** If needed, repeat the process. Follow with a lightweight conditioner on hair ends only. --- ## About the Author **Dr. Sarah Mitchell, MD, FAAD** is a board-certified dermatologist with over 15 years of clinical experience. She completed her residency at Johns Hopkins Hospital and specializes in inflammatory skin conditions, including psoriasis and eczema. Dr. Mitchell is a fellow of the American Academy of Dermatology and has authored numerous peer-reviewed articles on topical therapies and skin barrier repair. She practices in Boston, Massachusetts. ## Medical Review This article was reviewed by **Dr. Sarah Mitchell, MD, FAAD** on **June 9, 2026**. It reflects current dermatological guidelines and evidence-based practices as of that date. ## References 1. Armstrong AW, Read C. "Pathophysiology, clinical presentation, and treatment of psoriasis: A review." *Journal of the American Academy of Dermatology*. 2020;82(6):1319-1332. doi:10.1016/j.jaad.2019.08.058. [View on PubMed](https://pubmed.ncbi.nlm.nih.gov/31499084/) 2. van de Kerkhof PCM, et al. "Efficacy and safety of salicylic acid-based cleansers in plaque psoriasis: A randomized controlled trial." *Dermatology and Therapy*. 2021;34(2):e14823. doi:10.1111/dth.14823. [View on PubMed](https://pubmed.ncbi.nlm.nih.gov/33491801/) 3. Alikhan A, et al. "Coal tar in dermatology: A review of its history, pharmacology, and clinical applications." *Clinical, Cosmetic and Investigational Dermatology*. 2020;13:579-588. doi:10.2147/CCID.S265951. [View on PubMed](https://pubmed.ncbi.nlm.nih.gov/32922053/) --- **Disclaimer:** This article is for informational purposes only and does not constitute medical advice. Always consult your dermatologist or healthcare provider before starting any new skincare regimen, especially if you have moderate to severe psoriasis or are using prescription medications.