If you’ve ever spotted coal tar listed on your medicated shampoo label, you might have done a double take. After all, the word “tar” sounds more industrial than skincare-friendly. But dermatologists have used coal tar shampoos for decades to treat dandruff, psoriasis, eczema, and seborrhoeic dermatitis — and yes, they really work.
Coal tar is a thick, dark liquid derived as a by-product of burning coal to make coke or gas. When purified and refined, it becomes a therapeutic ingredient that helps manage stubborn scalp conditions.
According to Dr Kiran Sethi, dermatologist and medical director at Isya Aesthetics, “Coal tar slows the rate at which new skin cells form, reducing flaking, itching, and inflammation. It also helps loosen the crusts that form on the scalp.”
That’s why it’s still prescribed — even with the rise of antifungal shampoos like ketoconazole and salicylic acid-based formulas.
Coal tar shampoos are known for their multifunctional scalp benefits, including:
Reducing dandruff and flakes
Soothing itching and irritation
Controlling excess scalp oil
Managing psoriasis and seborrhoeic dermatitis
Calming inflammation and bacterial growth
Dermatologist Dr Ameesha Mahajan adds, “Coal tar has antimicrobial and anti-inflammatory properties that help calm the scalp and prevent fungal or bacterial overgrowth.”
Coal tar shampoos typically contain 0.5% to 5% coal tar and are meant for short-term or intermittent use, not daily application.
Usage tips:
Apply the shampoo to wet hair and gently massage into the scalp.
Leave it on for 5–10 minutes before rinsing thoroughly.
Use 2–3 times a week as directed by your dermatologist.
Follow with a mild shampoo or conditioner to avoid dryness.
Avoid using on broken or inflamed skin.
“Moderation is key. Use it a few times weekly, alternating with gentle shampoos,” advises Dr Deepali Bhardwaj, Delhi-based dermatologist and hair transplant surgeon.
Coal tar’s industrial origin has led to concerns about its potential cancer risk. However, experts confirm that modern cosmetic-grade coal tar is purified and regulated, making it safe for short-term use.
Dr Bhardwaj explains: “Crude coal tar contained polycyclic aromatic hydrocarbons (PAHs), some of which are carcinogenic. But medical-grade coal tar used today is refined to remove harmful compounds.”
Dr Geetika Srivastava, dermatologist and founder of Influennz Clinic, adds: “No long-term human studies have shown an increased cancer risk from coal tar used in regulated concentrations. Modern formulations are much safer and less messy than older versions.”
👉 Safe concentration: 0.5% to 5% coal tar in shampoo formulations.
While safe under dermatological guidance, coal tar shampoos can cause:
Mild skin irritation or redness
Photosensitivity (sun sensitivity)
Temporary staining of light-colored hair or fabrics
To stay safe:
Do a patch test before using.
Avoid sunlight or use a hat when stepping out post-wash.
Rinse thoroughly to prevent residue buildup.
Coal tar shampoos are a tried-and-tested remedy for chronic scalp conditions like dandruff and psoriasis. When used in the right concentration and under medical supervision, they’re safe and highly effective.
But remember — they’re not for everyday use. Use sparingly, follow your dermatologist’s advice, and alternate with gentle shampoos to keep your scalp healthy and balanced.
So next time you see coal tar on your shampoo label, don’t panic — it might just be the solution your scalp needs.
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