Coal Tar + Precipitated Sulphur + Salicylic Acid

Indications

This Scalp Ointment has mild, antipruritic, antiseptic and keratolytic properties. It is indicated in the treatment of common scaly skin disorders of the scalp such as psoriasis, eczema, seborrhoeic dermatitis and dandruff.

Pharmacology

Coal Tar has antipruritic, keratoplastic and keratolytic properties. It slows down excessive epidermal cell turnover and is often used topically either alone or in combination with other drugs (e.g. salicyclic acid, sulfur) in conditions such as dandruff, seborrheic dermatitis or psoriasis.

Precipitated Sulpher is converted to hydrogen sulfide (H2S) through reduction, partly by bacteria. H2S kills bacteria (possibly including Propionibacterium acnes which plays a role in acne) fungi, and parasites such as scabies mites.

Salicylic Acid has a potent keratolytic action and a slight antiseptic action when applied topically. It softens and destroys the stratum corneum by increasing endogenous hydration which causes the horny layer of the skin to swell, soften, and then desquamate. At high concentrations, salicylic acid has a caustic effect. It also possesses weak antifungal and antibacterial activity.

Dosage

Adults, children over 12 years and the elderly: Apply to the affected areas of the scalp and remove after one hour using warm water and shampoo. Repeat the process daily for three to seven days until control has been obtained. With mild scaliness use intermittently as necessary.

Children 6–12 years: To be used under medical supervision only.

Children under 6 years: Not recommended.

Administration

Coal Tar ointment is for external use only, ie applied onto the skin. Follow your doctor’s instructions and check the leaflet on how to use. In severe scaly scalp conditions it is usually necessary to apply Coal Tar ointment daily for 3-7 days until control has been obtained. With mild scaliness use intermittently as necessary, eg once a week.
  • Pierce the tube membrane by inverting the cap. This scalp applicator to the threaded portion of the tube.
  • Part the hair and apply a thin ribbon of Coal Tar ointment to the affected areas of the scalp. Take care to avoid contact with the eyes. Gently rub in the ointment and leave in contact with scalp for approximately one hour. Wash the hands immediately afterwards.
  • After One hour remove the ointment by showering or rinsing with warm water. If after the first week there is no improvement or after 4 weeks symptoms persist, consult your doctor. If you accidentally get some into your eyes wash it out immediately with plenty of cold tap water. If irritation of the eyes develops consult your doctor or pharmacist.

Contraindications

Cool tar Scalp Ointment is contraindicated in patients known to be sensitive to sulphur, salicylates, coal tar or in the presence of local infections. Warnings & Precautions: Do not use if the tube membrane is already perforated. Avoid contact with the eyes and wash hands.

Discontinue use if irritation develops. If symptoms persist after four weeks, consult your doctor.

Side Effects

Coal Ta ointment may occasionally cause irritation of the skin, inflammation of the hair follicles and rarely photosensitivity of the skin.

Pregnancy & Lactation

To be used at the discretion of the physician.

Overdose Effects

Overdose is extremely unlikely If necessary, remove medication by washing with warm water and treat symptomatically.

Therapeutic Class

Coal-tar preparations

Storage Conditions

Store in a cool and dry place, protected from light.

Available Brand Names