Clinical data | |
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Trade names | Balnetar, Cutar, others |
Other names | liquor carbonis detergens (LCD) liquor picis carbonis (LPC)[1] |
AHFS/Drugs.com | Multum Consumer Information |
Routes of administration | Topical |
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CompTox Dashboard (EPA) | |
ECHA InfoCard | 100.029.417 |
Coal tar is a thick dark liquid which is a by-product of the production of coke and coal gas from coal.[2][3] It is a type of creosote. It has both medical and industrial uses.[2][4] Medicinally it is a topical medication applied to skin to treat psoriasis and seborrheic dermatitis (dandruff).[5] It may be used in combination with ultraviolet light therapy.[5] Industrially it is a railroad tie preservative and used in the surfacing of roads.[6] Coal tar was listed as a known human carcinogen in the first Report on Carcinogens from the U.S. Federal Government, issued in 1980.[7]
Coal tar was discovered circa 1665 and used for medical purposes as early as the 1800s.[6][8] Circa 1850, the discovery that it could be used as the main raw material for the synthesis of dyes engendered an entire industry.[9] It is on the World Health Organization's List of Essential Medicines.[10] Coal tar is available as a generic medication and over the counter.[4]
Side effects include skin irritation, sun sensitivity, allergic reactions, and skin discoloration.[5] It is unclear if use during pregnancy is safe for the baby and use during breastfeeding is not typically recommended.[11] The exact mechanism of action is unknown.[12] It is a complex mixture of phenols, polycyclic aromatic hydrocarbons (PAHs), and heterocyclic compounds.[2] It demonstrates antifungal, anti-inflammatory, anti-itch, and antiparasitic properties.[12]