Polytar

Quick links to important sections

Polytar

Selected form

Method of action: Antipsoriatic, Keratolytic

Treatment option:

Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Polytar

Property Description
Active ingredient Coal Tar (Pix Carbonis)
Form Medicated shampoo, topical solution, soap
Pharmacological class Topical Dermatological Agent, Keratolytic Agent
Common use Reduction of scaling, flaking, and skin irritation
Origin Naturally derived (from bituminous coal)

What Type of Medicine is Polytar?

Polytar is a widely recognized topical dermatological agent primarily utilizing Coal Tar (INN: Pix Carbonis) as its active ingredient. The preparation is fundamentally classified as a Keratolytic Agent because its primary function is to modify the outer layer of the skin. Available most commonly as a medicated shampoo or topical solution, Polytar is strictly formulated for external or topical administration. Its pharmacological role is to provide a localized effect, distinguishing it from medications that are absorbed systemically.

Composition and Natural Origin of Coal Tar

Its effectiveness is intrinsically linked to Coal Tar, a complex, multi-constituent mixture that is naturally derived from bituminous coal. This inherent complexity, rather than a single, isolated molecule, provides the preparation with its therapeutic profile. Coal Tar’s broad pharmacological utility is reflected in its established status within global medical standards and its long-standing use in dermatological care.

General Purpose and Foundational Benefit

Polytar’s general purpose is to help normalize the skin’s renewal process and provide high-level relief for associated discomfort. It accomplishes this through a cytostatic effect that aids in regulating the abnormal, rapid multiplication of skin cells, coupled with a keratolytic action that facilitates the removal of dead skin and scale. A typical neutral use scenario involves managing conditions that present with frequent, bothersome scaling and itching, providing the foundational benefit of reducing the visual and physical symptoms of persistent skin irritation.

Regulatory References

  1. WHO Essential Medicines List: Coal Tar

What side effects are possible with Polytar?

Possible Side Effects and Safety Information

The officially documented adverse reactions associated with topical Coal Tar preparations primarily involve localized effects, classified within the Skin and subcutaneous tissue disorders system according to regulatory labeling. These effects, often reported with a frequency of less than one percent or not known (based on post-marketing data), typically include local skin irritation (such as a burning sensation), erythema (redness), dry skin, and contact dermatitis. Cosmetic changes, such as temporary hair discoloration or abnormal hair texture, are also documented safety elements.


Systemic Reactions and Safety Constraints

While most effects are localized, the official safety profile documents the potential for rare, serious systemic reactions classified under Immune system disorders. These include signs of hypersensitivity, which may manifest as angioedema (swelling) or dyspnoea (difficulty breathing).

Polytar is associated with a temporary, duration-related risk of photosensitivity (increased sensitivity to sunlight), which regulatory documents state can persist for up to 24 hours after application. Specific contraindications established in regulatory labeling restrict use in cases of known hypersensitivity, infected open skin lesions, or sore or acute pustular psoriasis. Furthermore, constraints on concomitant therapy note caution when using the preparation alongside UVB radiation or specific photosensitising drugs. For certain formulations, there are restrictions against use in children under 12 years of age.

Overdose and Emergency Response

Overdose and When to Seek Help

Overdose involving topical Coal Tar, the active ingredient in Polytar, is classified by regulatory documents as carrying a dual risk of both severe local toxicity from excessive application and systemic effects following accidental ingestion or massive cutaneous absorption. Local manifestations documented in official regulatory sources include intense erythema (redness), a severe burning sensation, skin irritation, and folliculitis. Systemic overdose, typically from ingestion, may also result in gastrointestinal disturbances such as nausea, vomiting, and diarrhea, along with central nervous system findings like headache and vertigo.

Severe outcomes, as described in official labeling, include the potential for acute renal tubular damage due to the systemic absorption of coal tar constituents, as well as the progression of severe local reactions to skin necrosis or blister formation.

Due to the nature of these potential serious consequences, regulatory agencies mandate that individuals seek immediate medical attention and contact a Poison Control Centre for any suspected overdose or accidental ingestion. The product must be discontinued immediately upon observation of severe symptoms. Treatment is strictly symptomatic and supportive, as regulatory documents state that no specific antidote is known for coal tar. Hospital observation and monitoring of renal function are required for patients exhibiting signs of systemic toxicity, and caution is specifically noted for those with pre-existing renal impairment.

Therapeutic Uses of Polytar

What Polytar Treats: Main Uses and Benefits

Polytar is commonly used across conditions presenting with episodic or fluctuating symptom patterns. It is applied across domains where additional symptomatic support is needed for conditions such as scalp psoriasis and seborrhoeic dermatitis (severe dandruff). It is considered relevant for managing symptoms associated with certain types of eczema and chronic dermatitis where excessive scaling is present.


Relief from Persistent Itching and Inflammation

This medication is used for managing symptom clusters related to inflammatory or irritative states, such as persistent itching (pruritus), localized inflammation, and redness. It is relevant for managing symptoms that interfere with daily comfort and supports general well-being during symptomatic phases. Polytar is applied in scenarios where symptoms create noticeable physiological strain, such as excessive scaling and persistent flaking, and helps with the management of thick, adherent scales. It offers symptomatic relief that helps patients cope more steadily during difficult episodes.


Quick Fact: Relief for Persistent Itching

Polytar is commonly used when short-term symptomatic assistance is needed, providing support that helps ease the overall symptom load.


Targeting Chronic Psoriasis and Seborrhoeic Dermatitis

Polytar is commonly used for the symptomatic relief of conditions characterized by periods of heightened symptoms, specifically scalp psoriasis and seborrhoeic dermatitis. It is applied in clinical settings that involve acute or unstable symptom patterns of persistent flaking and scaly skin, providing support that helps ease the overall symptom burden.

Regulatory References

  1. DailyMed Label

Eligibility and Restrictions for Use

The eligibility for Polytar use is strictly defined by regulatory guidelines based on age, specific skin conditions, and physiological status.

Category Official Regulatory Statement
Populations for whom use is allowed Adults and children aged 12 years and over may use the product under standard labeled conditions. Dosage instructions are suitable for the elderly.
Populations for whom use is contraindicated Individuals with known hypersensitivity to Coal Tar or any other listed ingredient. Patients with infected, open, or damaged skin, or pus-filled blisters (pustules).
Age-related eligibility rules Use in children under 12 years is not established, and is generally not recommended.
Pregnancy and lactation eligibility status Use must be avoided during the first trimester of pregnancy. Conditional use is considered in later trimesters and during lactation only after a risk-benefit assessment.
Eligibility-related restrictions Use should be avoided on acutely inflamed skin. Caution is advised for patients taking photosensitizing medications or who anticipate strong sun exposure.

The official eligibility profile is structured by absolute contraindications concerning allergic history and the integrity of the application site, such as broken skin. It establishes an age threshold of 12 years due to a lack of established safety and efficacy data, and imposes strict, formal limitations on use related to pregnancy status.

What should I know about interactions with other medicines?

Interactions with other medicines and products

This section describes the officially documented interaction patterns for topical Coal Tar (Polytar) as found in government regulatory labeling.

Pharmacodynamic and Environmental Interactions

The primary official interaction caution involves pharmacodynamic risk with specific drug classes. Co-administration with other agents known to be photosensitisers carries an increased possibility of augmented photosensitivity. Regulatory documents cite drug classes such as thiazides, tetracyclines, fluoroquinolones, phenothiazines, and sulphonamides as examples of photosensitisers that necessitate caution when used alongside Coal Tar.

Pharmacokinetic and Timing Constraints

Official labeling documents note a pharmacokinetic potential for induction of drug-metabolizing enzymes in the skin and systemically. This enzyme induction is the documented mechanism that may potentially affect the clearance of co-administered systemic medications. However, the regulatory context acknowledges that the systemic absorption of Coal Tar from a wash-off formulation is extremely low.

An essential timing restriction applies to the interaction with physical substances: regulatory labeling requires caution in exposing treated skin areas to Ultraviolet Radiation (UVR) or sunlamps for up to 24 hours following application, due to the documented increase in sunburn tendency.

Mechanism of Action

The mechanism of action for Coal Tar is a multi-target process that occurs peripherally in the skin, spanning cellular regulation, inflammation, and neurosensory pathways. At the cellular level, active components interact with the keratinocyte cell nucleus to exert a cytostatic effect by inhibiting DNA synthesis and the mitotic rate of epidermal cells. This action contributes to the modulation of epidermal cell turnover, and the drug’s keratolytic property facilitates the controlled separation and shedding of the outer skin layers.

Simultaneously, the substance acts as an anti-inflammatory modulator through enzyme inhibition. Components suppress the activity of Cyclooxygenase (COX) and Lipoxygenase (LOX), thereby decreasing the localized synthesis of inflammatory mediators. This suppression influences local tissue-level chemical signaling which regulate vasodilation and tissue fluid dynamics. Furthermore, non-specific interaction with cutaneous nerve endings creates a localized attenuation of sensory signal transmission, modulating nerve excitability and influencing local neurosensory dynamics.

Dosage and Administration Information

How to Use Polytar: Official Administration Guidelines

The administration of Polytar is governed by a topical, intermittent regimen as detailed in regulatory documents. This section describes the standard administration protocols and conditions strictly based on official labeling, which establishes a standardized approach for use.


Administration Scope

Instruction Entity Regulatory Statement
Route of administration Topical application (cutaneous use) to the scalp and adjacent areas.
Dosing schedule Apply a sufficient amount to produce an abundant lather; the regimen requires a double application and rinse sequence during each treatment session.
Preparation requirements The hair must be wetted before use; thorough rinsing is required after both the initial and repeated application.
Age-group administration rules Approved for use in adults and adolescents aged 12 years and over. Use is not established for children under 12 years.
Special procedural conditions The total product contact time must be 3 to 5 minutes across the repeated applications.

Instruction Classifications (High-Level)

Classification Type Summary of Official Pattern
Administration method type Topical (Cutaneous)
Frequency pattern Intermittent Use (Once or twice weekly)
Regulatory basis Consistent with standard product labeling and official summary of product characteristics.
Use-context constraints Short-term usage is generally four weeks; continuation beyond this duration requires professional medical guidance.

Resulting Procedural Structure

The official instructions establish a specific two-stage procedural sequence: first, apply to wetted hair, lather, and rinse; second, repeat the application process. This structured application method ensures the necessary 3 to 5 minutes of total contact time with the scalp. This defined protocol and the once or twice weekly frequency dictate the overall short-term duration of use, which should not exceed four continuous weeks without clinical review.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Polytar (Coal Tar)


Evidence Supporting Use in Psoriasis and Chronic Scaling

Coal tar preparations were studied for their potential to address symptoms of plaque psoriasis and scalp psoriasis. The research consists of Randomized Controlled Trials (RCTs), comparative studies, and systematic reviews. Researchers have examined outcomes such as changes in composite severity scores and monitored individual symptoms. These outcomes related to physical discomfort included measurements of scaling, redness, and the thickness of the skin plaques. Findings from these trials report how symptoms evolved in the studied populations, typically within follow-up periods of 4 to 12 weeks.

Research findings also describe limitations. Systematic reviews have highlighted that a limited number of large, double-blind, placebo-controlled RCTs exist for some specific, modern formulations. Furthermore, the product's characteristics pose a challenge to study blinding, which may introduce heterogeneity in findings. Research examined the relationship between concentration and effect, noting that some studies observed that higher concentrations may not always provide proportionally greater results in the studied populations.


Studies for Seborrhoeic Dermatitis and Flaking

The evidence structure for coal tar in seborrhoeic dermatitis and associated flaking includes short-term clinical trials that studied this preparation against comparators. These trials primarily research examined adults. Study outcomes examined focused on outcomes linked to inflammatory or irritative states on the scalp, where researchers monitored changes in disease severity scores and patient-reported outcomes describing discomfort from itching (pruritus) and the reduction of loose or adherent scaling. Findings report how symptoms evolved during defined time intervals, usually over a 2- to 4-week study interval.

Follow-up durations were limited in many of these trials, with a primary focus on research exploring short-term symptom changes. Comparative evidence is lacking regarding the long-term role versus newer therapeutic agents for symptom stabilization. Consequently, long-term effects are not fully established.


Summary of Evidence Consistency and Research Gaps

The available evidence contributes to understanding symptom patterns for chronic scaling conditions, but it also highlights significant gaps. A primary limitation noted in scientific reviews is the lack of high-quality, contemporary, placebo-controlled trials for many modern formulations. Evidence quality varies across studies due to sample sizes were modest and the historical nature of some supporting research. Certainty remains low in areas such as long-term comparison of outcomes against newer agents and research exploring the preparation's utility in Atopic Dermatitis. Overall, research is ongoing in certain areas, but the existing data highlight what is known and what is still uncertain regarding the research landscape.

Frequently Asked Questions (FAQ)

Common questions about Polytar (FAQ)

Q: Can Polytar be used on parts of the body other than the scalp?

The official product information for the shampoo formulation specifies that it is for use on the scalp, hair, and adjacent affected areas. If a non-scalp area needs treatment, other forms of coal tar preparations, such as bath solutions, may be authorized for wider use on the body. Referencing the specific preparation's label provides guidance regarding authorized administration sites.

Q: What are the most commonly reported temporary effects or discomforts associated with Polytar?

Documented localized effects associated with use include skin irritation, which may feel like a burning sensation, as well as redness (erythema), and dry skin. There is also a temporary risk of increased sensitivity to sunlight (photosensitivity). Official reports indicate the incidence of these documented adverse reactions is less than one percent.

Q: What is the official guidance on using Polytar with color-treated hair?

The official information indicates that Polytar may cause temporary discoloration or staining of hair. This effect is specifically noted for hair that is blonde, bleached, dyed, or tinted.

Q: Is it possible to use too much Polytar in a single application?

The official instructions direct the user to apply only a sufficient amount to create an abundant lather, and do not specify a maximum amount per application. Regulatory documents note that the prolonged use of strong preparations for long periods may lead to chronic folliculitis, sometimes referred to as 'tar acne,' or other increased irritant effects.

Q: Do experts view Polytar as different from prescription-only treatments?

Regulatory documents acknowledge that within the general category of coal tar preparations, there is a difference in availability. Some formulations, depending on their strength and regional regulation, are sold over-the-counter (OTC), while others require a prescription.

Q: Does Polytar have a potential to interact with other topical products applied to the skin?

Official regulatory documents state that no data on drug interactions with topical coal tar formulations are available. This means that interactions with other topical products have not been formally identified or documented in the product's official labeling.

Q: Can individuals with sensitive skin generally use Polytar?

According to the official product information, use in individuals with sensitive, broken, or inflamed skin is described as requiring caution. Official guidance notes that if irritation develops, use should cease.

Q: What should a user know if Polytar accidentally gets into their eyes?

Official warnings state that contact with the eyes should be avoided. In the event of accidental contact, the official safety advice is that the area is rinsed immediately and thoroughly with clean water.

Q: Is there a link between Polytar use and staining of clothing or towels?

Coal tar, the active ingredient, is known to potentially stain clothes and skin. In addition, official safety warnings describe a flammability risk: clothing and bedding containing the dried product may ignite easily when exposed to naked flames.

Q: What concentration of coal tar is typically found in Polytar products?

Regulatory documents identify the active ingredient as Coal Tar solution. This is typically found at a concentration of 4% (w/w) in the medicated shampoo formulation.

How should Polytar be stored and disposed of?

How to Store and Dispose of Polytar?

Polytar Scalp Shampoo must be stored according to specific regulatory requirements to maintain its stability and ensure user safety.


Storage and Safety Constraints

The product must be stored below 25°C (77°F) to preserve its integrity and must not be used past the printed expiry date. For safety, the medicine must be kept out of the sight and reach of children.

A critical safety constraint on the storage and use environment is the flammability risk: do not smoke or go near naked flames while using Polytar, as clothing and bedding with the product dried on them can catch fire easily.


Disposal

There are no special handling instructions for disposal stated in regulatory documents. Unused or expired Polytar must be disposed of in accordance with local requirements for medicinal products.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

Available in countries:

Equivalent of Polytar found in:

A-Z Index: