Grahams Natural Psoriasis Cream is a non-sterile topical emollient therapy for use in conjunction with professional medical management of psoriasis. Natural ingredients include manuka honey, calendula flower extract, gotu kola extract, avocado oil and jojoba oil. It may be used alone or with phototherapy and/or other treatments. This product acts by softening, soothing and lubricating the skin surface, enhancing scale removal and facilitating epidermal re-hydration. Humectants, antioxidants and gentle keratolytic agents assist with the emollient/moisturising action, working to normalise the appearance, structure and function of the skin. Directions for use: Apply to clean, dry skin as frequently as required (nominally 2-3 times daily) to keep plaques and psoriasis effected skin moist and comfortable. It is best to use emollients thinly and frequently throughout the day (not thickly and occasionally), because the emollient action helps the skin to maintain its natural hydration and barrier function. Not suitable for use on large or open wounds. For Combination Therapies: Tell your doctor you are using this cream. Grahams Natural Psoriasis cream has been designed for use in combination with phototherapy and can typically be used in combination with salicylic acid, topical Vitamin A & Vitamin D. IMPORTANT: When treating with Dithranol (Anthralin); the skin should be clear of this cream prior to treatment, however its use maybe beneficial as a follow up. Your doctor will advise the most suitable regime for you. This product is a Class l Medical Device and is scientifically proven to help with Psoriasis.