Last updated: August 12, 2021

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Welcome to our big psoriasis cream test 2021. Here we present all the psoriasis creams that we have tested. We have compiled detailed background information and added a summary of customer reviews on the internet.

We would like to make your purchase decision easier and help you find the best psoriasis cream for you.

You can also find answers to frequently asked questions in our guide. If available, we also offer interesting test videos. Furthermore, you will also find some important information on this page that you should definitely pay attention to if you want to buy psoriasis creams.




The most important

  • Psoriasis is a chronic skin disease that can affect the whole body or only certain areas. It is not curable, but can be treated well.
  • It affects about two to three percent of the world's population. The disease can appear in childhood and adolescence, but also in adulthood.
  • Psoriasis creams are varied and contain a wide range of active ingredients that can be used to treat the typical symptoms both acutely and in the long term.

The Best Psoriasis Cream: Our Picks

Guide: Questions to ask yourself before buying a psoriasis cream

According to records, about two million people now suffer from psoriasis in Germany alone; worldwide, the number is about two to three percent.

Although the chronic skin disease is not contagious, it is very unpleasant and painful for the person affected, and often results in a considerable loss of quality of life.

Psoriasis can occur on various parts of the body and the scalp is often affected. Less air gets to the scalp through the hair than to other parts of the body, which is why psoriasis spreads quickly there. (Image source: flickr.com / lifePR.de)

The only relief from psoriasis lies in the right treatment, and a psoriasis cream is usually the first thing doctors try for local treatment. However, the variety of products is so large that it is easy to lose track.

In addition, there are many different active ingredients with which the preparations work. Before you decide to treat yourself with such a product, it is important that you read up on it.

It is not uncommon to end up with creams and tinctures that do more harm than good.

What exactly is psoriasis?

Psoriasis is a skin disease that is always chronic, but it is not contagious.

Although a complete cure is not possible, there are good treatment approaches available today that bring considerable relief when flare-ups occur.

By the way, this is also a characteristic of psoriasis: When it comes, it comes in relapses that last for shorter or longer periods of time.

The extent varies greatly and can occur over the entire body or only in certain areas.

Psoriasis is basically divided into two types:

  • Type 1: Psoriasis first appears before the age of 40.
  • Type 2: It breaks out for the first time in the fifth or sixth year of life.

Especially in children, it is sometimes mistaken for neurodermatitis. Although the two diseases are similar, they still have some differences.

The causes for the development are very complex, but genetic predisposition often plays a role. Other factors can be increasingly frequent infections or injuries, metabolic disorders or the intake of certain medications. Mental stress and obesity also play a role.

What are the symptoms of psoriasis?

Psoriasis is usually characterised by the skin suddenly growing rapidly in certain areas.

The skin grows up to seven times faster in the affected areas than in a healthy person.

It usually takes up to 28 days for the skin to renew itself, but only three to four days for psoriasis patients.

This growth shows itself in the form of reddened skin areas that are covered with a typical silvery shiny layer.

Itching is a common side effect of psoriasis and can quickly lead to infections if too much scratching is done. (Image source: 123rf.com / 106496005)

The skin in these areas has a lot of blood flow and is inflamed and scaly. Depending on where these rednesses appear, the skin can also tear and bleed.

Those affected are mainly plagued by itching and the pain that later accompanies it.

If no treatment is sought in the long term, the scales grow together over a large area and can be literally lifted off the rest of the skin.

It is not uncommon for them to leave new lesions, and sufferers often experience pain during these episodes.

What forms of psoriasis are there?

Most people are familiar with psoriasis in the form that it appears all over the body. However, there are several forms, each of which has a different name.

In the following table, we have listed the different forms and explained what they are:

Form Description
Psoriasis vulgaris the typical form of psoriasis, which occurs in about 80 to 90 per cent of sufferers, appears mainly on the extensor sides of the arms and legs, on the head, the ears or the cruciate region, has severe itching in 60 to 70 per cent
Psoriasis palmoplantaris mainly appears on the palms of the hands or soles of the feet, affects about 10 to 15 per cent of sufferers
Psoriasis inversa (psoriasis intertriginosa) in this form of psoriasis, the deeper skin folds are particularly affected, groin, genital area, armpits and gluteal folds if overweight, the abdominal fold is also affected
Psoriasis capitis the disease spreads mainly on the hairy scalp and at the hairline
Psoriasis guttata usually affects those who first notice a flare-up, psoriasis affects the whole body, usually appears in childhood or adolescence
Psoriasis pustulosa here psoriasis is accompanied by the development of purulent blisters, the blisters appear without there being an infection
Onychodystrophia psoriatica affects the toenails and fingernails, appearing as yellow or white patches on the nails
Psoriatic arthritis Finger and toe joints are affected, the areas thicken and become stiff over time, usually show inflammation
Erythrodermic psoriasis the entire surface of the skin is affected and becomes easily inflamed, often brings symptoms such as fever, feeling sick and swollen lymph nodes, fortunately is a relatively rare form of psoriasis

Although some of the forms listed are much rarer than others, they all fundamentally entail limitations for the person affected.

Not only do they lose a good part of their quality of life, they often suffer from exclusion and discrimination.

This is why the World Health Organization (WHO) recently ranked psoriasis as one of the most serious non-infectious diseases in the world.

How is psoriasis treated?

The only relief from symptoms is proper treatment. There are several forms of this, of which psoriasis cream is only one option.

Basically, a distinction is first made here between systemic and local therapy.

Did you know that "fish spas" help against psoriasis?

Dead skin flakes are sucked off by kangal fish in a foot bath. Sufferers should be careful when choosing a spa, as not every spa uses quality fish. Chin-chin fish leave small skin wounds when they suck, which can trigger new plaque foci.

In addition, there is treatment with biologics, but this is only used for patients whose disease is extremely severe and is a subset of systemic treatment.

What makes up local therapy:

  • Used for all degrees of psoriasis severity
  • Treatment with suitable creams and skin lotions
  • Light or phototherapy with UV rays

Meanwhile, the following approach is used for systemic treatment:

  • Use of tablets or injections
  • For patients who are not helped by local treatments
  • For moderate to severe psoriasis

Treatment with biologics involves the use of novel drugs, which can be particularly useful for moderate or severe psoriasis.

The drugs consist of a mixture between therapeutically active proteins or molecules that have an influence on the cell culture. The aim is to manipulate the messenger substances of the immune system and thus to reduce the inflammatory reactions.

In the following, this guide focuses exclusively on the local therapy by means of a cream against psoriasis and explains which active substances are really useful in the application.

Decision: What types of psoriasis creams are there and which one is right for you?

Basically, you can distinguish between five different types of psoriasis creams:

  • Dithranol products
  • Glucocorticosteroids
  • Creams with calcineurin inhibitors
  • Creams with concentrated vitamin D3
  • Herbal alternatives

To make your search for the perfect psoriasis cream easier, we will go into more detail about the different types in the next section.

We will also explain the advantages and disadvantages of each type of psoriasis cream to give you a good overview of their properties.

What distinguishes dithranol products and what are the advantages and disadvantages?

The active ingredient dithranol is a form of tar that is produced artificially. Creams with this active ingredient have been used in treatment for over 100 years.

Dithranol has the property of inhibiting cell division and thus stopping the growth of the skin. To do this, the active ingredient passes through the skin inflammation and thus reduces the symptoms.

Advantages
  • For mild to moderate psoriasis
  • Can be used for long-term treatment
  • Available without a prescription
Disadvantages
  • Spoils quickly and therefore needs to be regularly mixed
  • Not tolerated by all users

Such products are used especially for mild or moderate psoriasis. The creams are often additionally mixed with salicylic acid.

What are the characteristics of glucocorticosteroids and what are the advantages and disadvantages?

The active ingredient also known as cortisone is very often used by doctors for treatment.

A big advantage is that it can be used for all types of psoriasis, so there are preparations with different dosages.

Advantages
  • Can be used for any severity of the disease
  • Shows a rapid effect in most cases
  • Also relieves the symptoms in the long term
Disadvantages
  • Prescription required
  • Makes the skin thinner over time in some users

Improvement occurs relatively quickly; treatment is only necessary every few days later if used consistently and regularly for the first time.

Side effects are rare, but in some users the affected skin became slightly thinner over time.

What distinguishes creams with calcineurin inhibitors and what are the advantages and disadvantages?

These products are originally creams that are used to treat neurodermatitis, for which they are officially only approved.

However, there are some products that are also suitable for the treatment of psoriasis outside the scope of the approval.

The substances are especially useful when it comes to the form of psoriasis that occurs predominantly in skin folds.

The treatment of these areas is always relatively difficult in the long term, which is why a good product with a quick effect is needed here.

Advantages
  • Alternative for cortisone preparations
  • Especially suitable for psoriasis in deeper skin folds
  • Also suitable for treatment on the face
Disadvantages
  • Not actually intended for the treatment of psoriasis
  • Prescription only

The creams are also often considered as an alternative to cortisone preparations because the skin areas where the cream is to be used are already very thin and one wants to prevent the situation from getting worse.

What distinguishes creams with concentrated vitamin D3 and what are the advantages and disadvantages?

Within studies, it has been found that a concentrated form of vitamin D3 can help treat psoriasis.

The effect is similar to that of medium-dose cortisone preparations and therefore shows a relatively quick effect.

Advantages
  • Relatively natural alternative to typical creams
  • Most are available without prescription
  • Have a similarly strong effect as cortisone creams
  • Can also be used long-term
  • Cause hardly any side effects
Disadvantages
  • Quality is not evident in some products
  • Not suitable for treating severe forms of psoriasis

However, the number of side effects remains much lower. As an alternative to pure vitamin D3 preparations, a subgroup of medicines is available that work with active substances called calcipotriol or tacalcitol.

These creams, however, are rarely consulted. Although they are related to vitamin D3, they are less effective in certain areas (for example, the head). Furthermore, they cause burning or itching in some users.

These products are mainly used to treat mild and moderate psoriasis.

What are the advantages and disadvantages of herbal cream alternatives?

An alternative to the creams mentioned so far has been available on the market for several years in the form of herbal products that work exclusively with oils and other natural substances.

A typical complex of active ingredients consists of coconut oil, neem oil and evening primrose oil, for example. However, there are also other compositions.

The treatment here is predominantly aimed at softening the skin and supplying it with vitamins.

Among them, of course, are many sources containing vitamin D3. A great advantage of these products is that they are mostly available without prescription and are used for different forms of psoriasis.

Advantages
  • Very well tolerated by most users
  • Available without a prescription
  • Work with different complexes of active ingredients
  • Suitable for all types of psoriasis
Disadvantages
  • Do not work properly in some users with severe disease
  • The effect is never guaranteed with such products

However, most users have limited success with them in more severe disease.

On the other hand, they are completely free of side effects - as long as there is no allergy to any of the active ingredients.

Buying criteria: These are the factors you can use to compare and evaluate psoriasis creams

In the following, we would like to show you which factors you can use to compare and evaluate psoriasis creams.

This will make it easier for you to decide whether a particular psoriasis cream is suitable for you or not.

In summary, these are:

  • Dosage form
  • Application
  • Active ingredients
  • Quality
  • Pack size

You can read about how the individual purchase criteria should be interpreted and evaluated in the following sections.

Form of presentation

A cream is actually always a viscous emulsion that contains various active ingredients.

However, this is not necessarily always ideal for the treatment of psoriasis.

These alternatives can therefore also be included in the area of the dosage form:

  • Gel
  • Lotion
  • Ointment

These versions are basically also an emulsion, but their consistency is somewhat different from that of a cream.

Creams have the advantage that they are not greasy like ointments. Therefore, they are mainly used for slightly oozing skin areas.

A gel, on the other hand, together with the lotion, is an ideal alternative for areas such as the head or other parts of the skin.

In addition, some users find them more pleasant to use.

Ointments contain the highest amount of fat of all the forms of application and are therefore particularly useful when there is a very dry form of psoriasis that flakes badly and requires moisture.

Use

Most creams are applied about two to three times a day. However, there are also preparations on the market that need to be applied even more often.

For some users, however, this is too time-consuming because they have a stressful daily life in which work, family and other obligations have to be fulfilled.

Therefore, when choosing the right cream, it is also important to pay attention to how often the cream needs to be used in order to be effective with good regularity.

There are now also products that only need to be applied once or twice a day.

Especially with cortisone-containing creams, too frequent use is more harmful than beneficial.

Active ingredients

There is a wide range of active ingredients, but not all of them can be used for every type of psoriasis.

Some work particularly well for one type, while they hardly show any results for others.

This point becomes especially important for users who may seek treatment with more than one active ingredient.

For some, for example, it is important to have the quickest possible effect.

You should pay attention to the active ingredients, especially for children.

They do better with cortisone or highly concentrated vitamin D3 creams. Others, however, want to try herbal alternatives.

Many people pay special attention to the active ingredients, especially when it comes to a child whose psoriasis needs to be treated.

In this case, most people prefer a herbal cream and use other products only when nothing else helps.

Quality

When it comes to quality, it is always important that the manufacturer of the creams uses good raw materials or meets a certain quality standard with its active ingredients. The market is full of herbal creams, but they often come from abroad.

Make sure that the cream is free of additives or colourants.

The label "Made in Germany" promises quality, but consumers should always place special emphasis on compliance with other quality standards.

In addition to using qualitative raw materials, no artificial additives or dyes should be used in production.

Allergy sufferers in particular have their problems with these products, which can not infrequently manifest itself in the form of side effects.

The quality of a cream is usually also characterised by the fact that good products using high-quality raw materials are available in every pharmacy.

Package size

Since psoriasis is a disease that needs to be treated in the long term, small tubes containing 20 grams are usually used up quickly.

These pack sizes are ideal for trying out, but for a longer period of application, variants with 200 grams and more are recommended.

Here again, it is a question of the active ingredient: with creams containing cortisone, only a very small amount is usually sufficient for application.

Herbal preparations, on the other hand, may also be applied over a large area and somewhat thicker.

In the case of large packs, be sure to check the expiry date! This indicates how long a cream can be used after it has been opened for the first time without losing its effect.

If you need a cream less often, for example, a smaller pack size is also sufficient. Most creams can be used for about 12 months after the first opening.

Facts worth knowing about psoriasis cream

We have already explained where psoriasis comes from and how it can be treated. You now know which creams you can use and what you should look for when buying them.

In the following, we will summarise a few interesting facts to round off the guide and so that you are even better informed.

Is there a connection between tonsils and psoriasis?

An interesting study by the Dermatology and Allergology Department of the University of Munich was able to prove that the removal of the tonsils can help to significantly alleviate the symptoms and outbreaks of psoriasis.

The reason for this is that doctors assume that the psoriasis was triggered by streptococcal angina.

Inside the tonsils are so-called lymphocytes, which are very similar in nature to the foci of psoriasis.

In general, there is no recommendation that psoriasis patients should have their tonsils removed, as there is no basic derivation.

Did you know that psoriasis affects over 125 million people worldwide?

2.5% of the German population suffer from psoriasis. Men and women are equally affected. Skin renewal in sufferers takes 3-6 days. Healthy skin renews itself in a 28-day cycle.

However, there are patients with psoriasis who could definitely benefit from the removal at the beginning of their disease and after the development of frequent tonsillitis.

Another trigger, which can have similar dimensions and be responsible for psoriasis, is tooth roots, which is why an examination is definitely recommended here in the case of psoriasis.

What other measures can be taken for psoriasis?

In addition to regular treatment of the affected skin areas, there are certain measures that can be used to reduce the severity of the attacks.

These include, for example:

  • Avoidance of stress
  • Change of diet (lots of fruit, wholemeal products, omega-3)
  • Avoid being overweight

Omega-3 fatty acids are known to have anti-inflammatory properties and can therefore mitigate the progression of psoriasis episodes.

Appropriate oils in the diet can therefore have a very positive effect. Add to this a lot of exercise and the avoidance of excess weight.

Finally, stress can also have a great influence on the number and severity of relapses. Meditation, autogenic training and other deceleration techniques can be used here.

(Image source: 123rf.com / 83307420)

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