THE MERCK MANUAL MEDICAL LIBRARY: The Merck Manual of Diagnosis and Therapy
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Coal Tar Drug Information Provided by Lexi-Comp

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Medication Safety Issues

Sound-alike/look-alike issues:

Pentrax® may be confused with Permax®

Tegrin® may be confused with Tegretol®

Pronunciation

(KOLE tar)

U.S. Brand Names

  • Balnetar® [OTC]
  • Betatar® Gel [OTC]
  • Cutar® [OTC]
  • Denorex® Original Therapeutic Strength [OTC]
  • DHS™ Tar [OTC]
  • DHS™ Targel [OTC]
  • Doak® Tar [OTC]
  • Exorex®
  • Fototar® [OTC]
  • Ionil T® Plus [OTC] [DSC]
  • MG 217® Medicated Tar [OTC]
  • MG 217® [OTC]
  • Neutrogena® T/Gel Extra Strength [OTC]
  • Neutrogena® T/Gel Stubborn Itch Control [OTC]
  • Neutrogena® T/Gel [OTC]
  • Oxipor® VHC [OTC]
  • Polytar® [OTC]
  • Reme-T™ [OTC]
  • Tera-Gel™ [OTC]
  • Zetar® [OTC]

Index Terms

  • Crude Coal Tar
  • LCD
  • Pix Carbonis

Generic Available

No

Canadian Brand Names

  • Balnetar®
  • Estar®
  • Targel®

Pharmacologic Category

  • Topical Skin Product

Use: Labeled Indications

Topically for controlling dandruff, seborrheic dermatitis, or psoriasis

Pregnancy Risk Factor

C

Contraindications

Hypersensitivity to coal tar or any component of the formulation

Warnings/Precautions

Concerns related to adverse effects:

• Photosensitivity: May increase photosensitivity; avoid exposure to direct sunlight for 24 hours following application.

Other warnings/precautions:

• Appropriate use: For external use only; avoid contact with eyes, genital/rectal areas.

Adverse Reactions

Frequency not defined: Dermatologic: Dermatitis, folliculitis. irritation, photosensitivity

Drug Interactions

There are no known significant interactions.

Dosage

Topical:

Bath: Add appropriate amount to bath water; for adults usually 60-90 mL of a 5% to 20% solution or 15-25 mL of 30% lotion; soak 5-20 minutes, then pat dry; use once daily to 3 days

Shampoo: Rub shampoo onto wet hair and scalp, rinse thoroughly; repeat; leave on 5 minutes; rinse thoroughly; apply twice weekly for the first 2 weeks then once weekly or more often if needed

Soap: Use on affected areas in place of regular soap. Work into a lather using warm water; massage into skin; rinse.

Skin: Apply to the affected area 1-4 times/day; decrease frequency to 2-3 times/week once condition has been controlled

Scalp psoriasis: Tar oil bath or coal tar solution may be painted sparingly to the lesions 3-12 hours before each shampoo

Psoriasis of the body, arms, legs: Apply at bedtime; if thick scales are present, use product with salicylic acid and apply several times during the day

Dental Health: Effects on Dental Treatment

No significant effects or complications reported

Dental Health: Vasoconstrictor/Local Anesthetic Precautions

No information available to require special precautions

Mental Health: Effects on Mental Status

None reported

Mental Health: Effects on Psychiatric Treatment

None reported

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Cream:

Fototar®: Coal tar 2% (85 g, 454 g)

Emulsion, topical:

Cutar®: Coal tar solution 7.5% (180 mL, 3840 mL)

Exorex®: Coal tar 1% (240 mL)

Gel, shampoo:

DHS™ Targel: Coal tar solution 2.9% (240 mL) [equivalent to coal tar 0.5%]

Liquid:

Doak® Tar Distillate: Coal tar 40% (60 mL) [for compounding use only]

Lotion, topical:

MG 217®: Coal tar solution 5% (120 mL) [equivalent to coal tar 1%; contains jojoba]

Oxipor® VHC: Coal tar solution 25% (60 mL, 120 mL) [equivalent to coal tar 5%; contains alcohol 79%]

Oil, topical:

Balnetar®: Coal tar 2.5% (225 mL) [for use in bath]

Doak® Tar: Coal tar distillate 2% (240 mL) [equivalent to coal tar 0.8%; for use in bath]

Ointment, topical:

MG 217®: Coal tar solution 10% (107 g, 430 g) [equivalent to coal tar 2%]

Shampoo:

Betatar Gel®: Coal tar solution 5% (240 mL) [equivalent to coal tar 2.5%; green apple scent]

Denorex® Original Therapeutic Strength: Coal tar solution 12.5% (120 mL, 240 mL, 360 mL) [equivalent to coal tar 2.5%; available with or without conditioner]

DHS™ Tar: Coal tar solution 2.9% (120 mL, 240 mL, 480 mL) [equivalent to coal tar 0.5%]

Doak® Tar: Coal tar distillate 3% (240 mL) [equivalent to coal tar 1.2%]

Ionil T® Plus: Coal tar 2% (240 mL) [DSC]

MG 217® Medicated Tar: Coal tar solution 15% (120 mL, 240 mL) [equivalent to coal tar 3%]

Neutrogena® T/Gel: Coal tar 0.5% (132 mL, 255 mL, 480 mL)

Neutrogena® T/Gel Extra Strength: Coal tar extract 4% (132 mL) [coal tar 1%]

Neutrogena® T/Gel Stubborn Itch Control: Coal tar extract 2% (132 mL) [coal tar 0.5%]

Polytar®: Coal tar 0.5% (177 mL)

Reme-T™: Coal tar 5% (236 mL)

Tera-Gel™: Solubilized coal tar 0.5% (120 mL, 240 mL)

Zetar®: Coal tar 1% (180 mL)

Soap (Polytar®): Coal tar 0.5% (113 g)

International Brand Names

  • Alphosyl (AU)
  • Carbotural (MX)
  • Doak Tar (HK)
  • Evorex Lotion (IE)
  • Linotar (ZA)
  • Linotar Gel 1 (AU)
  • Linotar Gel 2 (AU)
  • Linotar Gel 3 (AU)
  • Medic (AR)
  • Polytar (AU, ZA)
  • Polytar Plus (AU)
  • Tarmed (CN, CO)
  • Tarmed Shampoo (MX)

Lexi-Comp.com

Last full review/revision August 2008

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