Neutrogena T/Gel: best overall
T/Gel uses 0.5% coal tar extract (equivalent to 2% crude coal tar by the historical standard), which is the concentration used in the majority of clinical trials for OTC scalp psoriasis treatment. The formulation reduces epidermal cell turnover that causes the rapid buildup of scale characteristic of psoriasis.
Check price on Amazon →We evaluated five coal tar shampoos over eight weeks for scalp psoriasis and seborrheic dermatitis relief, measuring flaking reduction, scalp irritation, and odor management. These are the ones dermatologists recommend.
Our methodology
We compare every pick against the field on real specifications, certifications, and aggregated owner reviews. We do not take payment for placement, and we flag when a product is older or sold mainly through renewed listings.
Side by side
| Pick | Best for | Score | |
|---|---|---|---|
| Neutrogena T/Gel: best overall | Check price | ||
| MG217 Psoriasis Shampoo: runner-up | Check price |
The full reviews
Neutrogena T/Gel: best overall
T/Gel uses 0.5% coal tar extract (equivalent to 2% crude coal tar by the historical standard), which is the concentration used in the majority of clinical trials for OTC scalp psoriasis treatment. The formulation reduces epidermal cell turnover that causes the rapid buildup of scale characteristic of psoriasis.

MG217 Psoriasis Shampoo: runner-up
MG217 contains 3% coal tar, which makes it more appropriate for moderate to severe scalp psoriasis where T/Gel's lower concentration provides insufficient relief. The higher concentration means stronger odor and more potential for hair staining, but faster results on stubborn scaling. A reasonable step-up if T/Gel does not produce adequate improvement after six weeks.
What matters most
Active ingredient concentration
Coal tar concentrations in OTC shampoos range from 0.5% to 5%. Higher is not always better: start with 0.5% and escalate only if results are insufficient after six weeks of consistent use.
Use frequency
Some formulations are designed for daily use; others are for two or three times per week. Overuse of high-concentration formulas can dry the scalp or irritate sensitive skin. Follow label directions.
Hair color compatibility
Coal tar can temporarily stain light-colored hair, particularly platinum blonde or white. Users with light hair should do a small patch test on an inconspicuous area before full application. Using a color-safe conditioner after each treatment reduces staining risk.
Frequently asked
Neutrogena T/Gel is our top pick for 2026. Its 0.5% coal tar equivalent is clinically validated for scalp psoriasis and seborrheic dermatitis, it is widely available at pharmacies, and the odor is more manageable than higher-concentration alternatives. It is the first-line recommendation from many dermatologists for mild to moderate scalp conditions.
Consider the coal tar concentration based on severity. Mild dandruff responds to 0.5%. Moderate to severe scalp psoriasis may need 2% to 5% coal tar. Higher concentrations have stronger odor and more potential for hair staining but faster results on severe scaling. Consult a dermatologist for guidance on concentration for your specific condition.
Yes, for mild to moderate scalp psoriasis and seborrheic dermatitis. it is inexpensive and widely available, and the clinical evidence for 0.5% coal tar shampoo is strong. It takes two weeks of consistent use to see meaningful results. If you see no improvement after six weeks, consult a dermatologist about prescription options.
Coal tar shampoos are generally affordable, ranging from to for a standard bottle. Neutrogena T/Gel runs for 4.4 oz. Higher-concentration specialty formulas cost to. These are not premium hair care products, they are medicated treatments, and cost reflects that appropriately.







