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What Ingredients Can A Compounding Pharmacist Use To Treat Psoriasis?

Psoriasis is a disease that affects almost one million people in Canada. Around 125 million people worldwide suffer from this condition. Almost 90% of people suffer from plaque psoriasis, which is a common form of psoriasis. That is not all. Around 30% of people who have psoriasis have or will develop arthritis. Also, if you have psoriasis, you are more at risk of developing other chronic diseases like liver disease, cancer, diabetes, heart attack, stroke, and more.

When a person has psoriasis, their skin starts making new skin cells in days rather than weeks. These new skin cells start piling up, one over the other and become thick and scaly. These scales can occur on any part of the body, but they are most commonly seen on:

  • Knees
  • Elbows
  • Lower back
  • Scalp

The scales or plaque that appears on your skin can vary in size. It could be a single small patch or a group of patches that cover a large area. The plaques are very itchy and, if not treated properly, could increase in intensity.

Compounding For Psoriasis

People who have psoriasis understand that itching is just one part of it. There is also inflammation, burning, and more. Also, psoriasis can cause embarrassment if the plaques are in visible places. Often, the plaques leave red patches.

That is why you need a treatment that is unique to your condition. Not every commercial product works for everyone. Also, many physicians prescribe different doses or different ingredients for different parts of the body. That is why compounding can be a good option for patients. A compounding pharmacist can look at the prescription and create personalized and tailored medications for the patients. As the disease recedes, the dosage can easily be changed and ingredients removed or added. Mostly, when you go to a dermatologist, they will likely recommend a steroid. It could be mild, moderate, or even super strong, depending on your condition. They could suggest a different strength of steroids for different body parts. A compounding pharmacy can create different formulations and doses easily.

Compounding the Correct Potency

Corticosteroids come in various potencies. Finding out the right potency and ensuring that the patient gets it is the difficult part. Your doctor might prescribe a mid-strength formulation for your torso, a low-potency formulation for your face, and a strong potency treatment for your extremities. Maybe the doctor prescribes a sunscreen lotion with the corticosteroid for your neck. These formulations might not be available in the market and need to be custom-made.

Other Ingredients a Compounding Pharmacist Can Add To Your Medication

There are a lot of ingredients that a dermatologist might add to your prescription for better results. These have different effects on different people. Also, the medical history and the severity of the condition impact the effects. A compounding pharmacist can easily add these ingredients to your medication based on your prescription. Otherwise, you would have to purchase a separate product from the market and make sure that you use it with your prescribed treatment. This could cause compliance issues and more. Here are some of the ingredients that can be added to your dermatological compound to offer better results, better healing, and less pain and itching.

Coal tar

Various psoriasis treatments contain coal tar as an active ingredient. It is used both in over-the-counter products as well as prescription formulations. Coal tar can:

  • Lessen the itching and flaking
  • Reduce redness, swelling, and scaling
  • Slow the rapidly growing skin cells

It can be added to almost all formulations for psoriasis, like creams, ointments, bath solutions, shampoos, and more.


Moisturizer is one of the most important ingredients for psoriasis patients. It helps keep the skin moisturized, healthy, and glowing. It ensures that there is enough water in the skin and thus heals the skin and relieves dryness. Depending on the condition, a doctor could recommend using a moisturizer once a day or more. When selecting a moisturizer, make sure that it is oil-based rather than a lotion. Also, do not buy fragrant products, as they might increase the itching. If you are using a moisturizer separately, please apply a few minutes after taking a bath or washing your target area. For best results, you could have the active ingredients of the moisturizer added to your prescription, so you won’t have to remember to use it separately.

Scale softeners

Another product that you’ll find in the market that takes care of psoriasis is salicylic acid. It helps remove the scales and soften them up. It also helps decrease the swelling. It is usually found in products for scalp psoriasis but can also be found in other products. You could have the compounding pharmacist add it to your prescription based on your dermatologist’s recommendation.


It might be better to develop a personalized treatment plan for conditions like psoriasis rather than a commercial product. This way, you can ensure that you are getting the dose that you require. If your dermatologist has prescribed different strengths of corticosteroid for different body parts, that is also possible with compounding. Other active ingredients can be added to your prescription for better results and comfort.

For more information on psoriasis and dermatological compounding, do not hesitate to contact us.

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