Skip to main content

Table 2 Chemical drugs for topical delivery to treat psoriasis

From: Psoriasis therapy by Chinese medicine and modern agents

Drug

Formulas approved by FDA

Dosage

Indications

Adverse reactions and precautions

Beclometasone Dipropionatea

Cream (41)e, ointment (1), spray (8), plasters (2)

2–4 times/day, less than 45 mg/week

Contact eczema, atopic dermatitis, neurodermatitis, pruritus, psoriasis, sclerosing atrophic moss, lichen planus, discoid lupus erythematosus, seborrheic dermatitis, hypertrophic scars

Short-term application: burning, tingling, itching

Long-term application: skin telangiectasia, skin atrophy, atrophy pattern, secondary purpura, ecchymosis, skin fragility, hirsutism, folliculitis, milia, skin bleaching, systemic adverse reactions (absorbed too much)

Fluocinonidea

Cream (72), ointment (1), tincture (27), liniments (1)

2–3 times/day, less than 12.5 mg/week

Halcinonidea

Cream (27), ointment (10), solution (37)

Twice/day

Hydrocortisone Butyratea

Cream (11)

Twice/day

Triamcinolone Acetonidea

Spray (5), cream (86), paste (2), ointment (22)

2–3 times/day

Methoxsalenb

Solution (12)

Once/day, apply UVA 2–4 h later

Psoriasis vulgaris and acne vulgaris

Erythema, skin pigmentation, itching, redness, blisters, pain, scaling

Tazaroteneb

Cream (2), gel (3)

Apply half an hour before sleep, then wash off.

Itching, erythema, burning sensation, skin irritation, dryness and edema

Tretinoinb

Cream (35)

1–3 times/day

Burning, erythema and desquamation, but gradually disappear

Tacrolimusb

Ointment (4)

Twice/day

Patients unfit traditional therapies due to potential risk

Rosacea, edema at the site of administration

Calcipotriolc

Ointment (2)

1–2 times/day, less than 100 g/week

Psoriasis vulgaris

Pruritus, burning sensation, tingling, dry skin, erythema, contact dermatitis, eczema

Biphenyl benzazoled

Gel (5), solution (8), spray (1), cream (39), film (1)

Once/day

Hand skin fungi, yeasts, molds, fungal skin diseases caused by pityrosporum and infections caused by Corynebacterium parvum

Pain and peripheral edema, contact dermatitis, erythema, pruritus, rash, urticaria, blisters, peeling, eczema, dry skin, skin irritation, skin impregnation, burning sensation

Clotrimazoled

Solution (32), cream (102), liniments (7), film (3)

2–3 times/day

Tinea corporis, tinea corporis, tinea capitis, tinea pedis, tinea versicolor, tinea capitis, and candidiasis parvitis and candidal vulvovaginitis

Itching, tingling, erythema, edema

Econazole Nitrated

Solution (9), spray (4), cream (42)

Twice/day

Itching, tingling, erythema, edema

Terbinafine Hydrochlorided

Cream (37), liniments (2), spray (7), gel (11)

Once/day

Burning sensation, rash, pruritus

  1. aCorticosteroids
  2. bSmall molecule inhibitors
  3. cVD analogues
  4. dBroad spectrum antimicrobials
  5. eCream (41) means 41 cream formulations had been proved by CFDA