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Treating Uremic Itch

Uremic Itch Medications

There are many medications that can be used to control symptoms of uremic pruritus. A few treatment options physicians may prescribe based on the severity of symptoms and your individual health include:
Nonspecific itch-reducing household products or medications, such as
  • Moisturizers for dry skin
  • Camphor, menthol
  • Diphenhydramine (Benadryl) and other antihistamines
  • Capsaicin
Medications to reduce factors in the blood that cause itch
  • Kayexelate for potassium
  • Cholestyramine for bile acids (made by the liver and secreted by the gallbladder)
Neurologic medications to reduce itch
  • Pramoxine lotion
  • Lidocaine
  • Amitriptyline
  • Pregabalin and gabapentin
  • Nalfurafine
Immunosuppressants to reduce inflammation
  • Dupilumab
  • Thalidomide
Dialysis can decrease blood levels of electrolytes and other substances that worsen itch by damaging nerves and over-activating the immune system.

Phototherapy can also reduce itch.