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Treating Itch

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.

Uremic Itch

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Treating Neuropathic Itch

Neuropathic Itch Medications

There are many medications that can be used to control symptoms of neuropathic itch. 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
  • Calamine lotion
  • Camphor, menthol
  • Diphenhydramine (Benadryl)
  • Capsaicin
Treatment of specific systemic disorders:
  • Diabetes medications (insulin, metformin, SGLT-2 inhibitors, DPP-4 inhibitors) to stabilize blood sugar levels
  • Multiple sclerosis medications (interferon, corticosteroids) to treat long-term and treat flare-ups
Neurologic medications to reduce itch
  • Lidocaine
  • Amitriptyline
  • Pregabalin and gabapentin
  • Naltrexone
Botulinum injections (Botox) can reduce nerve over-activation

Neuropathic Itch

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Treating Prurigo Nodularis

Prurigo Nodularis Medications

There is currently one FDA approved therapy, dupilumab, which is an IL-4 Receptor alpha inhibitor and reduces itch, skin lesions, and sleep disturbance. Phototherapy may also be used to reduce itch.

Nonspecific itch-reducing household products or medications
  • Calamine lotion
  • Camphor
  • Diphenhydramine (Benadryl)
Topical corticosteroids to reduce inflammation
  • Clobetasol 0.05%
  • Betamethasone 0.1%
Topical calcineurin inhibitors to reduce itch
  • Pimecrolimus 1% cream
  • Tacrolimus 0.1% ointment
Neurologic medications to reduce itch
  • Amitriptyline
  • Pregabalin
  • Naltrexone
Oral immunosuppressants to reduce inflammation
  • Cyclosporine
  • Methotrexate
  • Thalidomide

Prurigo Nodularis

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Treating Psoriasis

Psoriasis Medications

There are many medications that can be used to control symptoms of psoriasis. A few treatment options physicians may prescribe based on the severity of symptoms and your individual health include:
Topical corticosteroids to reduce inflammation
  • Fluocinocide 0.05%
  • Clobetasol 0.05%
  • Betamethasone 0.05%
  • Hydrocortisone 1%
  • In addition, your provider may prescribe tar along with your steroid cream to further reduce symptoms.
Vitamin D analogs
  • Calcipotriol
  • Calcitriol
  • Tacalcitol
Topical calcineurin inhibitors to reduce itch
  • Pimecrolimus 1% cream
  • Tacrolimus 0.1% ointment
Systemic therapies
  • Methotrexate
  • Cyclosporine
Phosphodiesterase 4 inhibitors
Apremilast
Biologic agents that target immune cells
  • Etanercept
  • Infliximab
  • Adalimumab
  • Secukinumab
  • Ixekinumab
  • Brodalumab

Psoriasis

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Treating Atopic Dermatitis

Home Remedies

Avoid Triggers

There are many potential triggers in the environment and things around you that can cause an eczema flare. Identifying and avoiding potential triggers is an easy way to help get your eczema under control. See our list of common triggers below.
  • Dry skin.
  • Household products – hand soaps, laundry detergent, shampoos, body wash, and surface cleaners.
  • Fragrances.
  • Fabrics, especially wool and polyester.
  • Antibiotic ointments.
  • Certain chemical dyes.

Keep skin moisturized

Non-hydrated skin is more prone to eczema flares, as dry skin is more prone to irritation and itchiness.

Apply a cold compress to itchy skin areas

This can help to alleviate skin itch and prevent scratching.

Wear cotton gloves and cut fingernails

This can help to limit scratching of the skin which can lead to increased intensity of itch and skin damage.

Atopic Dermatitis Medications

There are many medications that can be used to control symptoms of atopic dermatitis. A few treatment options physicians may prescribe based on the severity of symptoms and your individual health include:
Topical corticosteroids to reduce redness and inflammation
  • Desonide 0.05% ointment
  • Hydrocortisone 2.5% ointment
  • Bethamethasone
Topical calcineurin inhibitors to reduce pain and itch
  • Pimecrolimus 1% cream
  • Tacrolimus 0.03 to 0.1% ointment
Phosphodiesterase 4 inhibitors to reduce itch
Crisaborole
Tricyclic antidepressants can help relieve itch
Doxepin
Oral jak inhibitors
  • Abrocitinib
  • Upadacitinib
Oral antihistamines to reduce itch and improve sleep
  • Diphenhydramine
  • Hydroxyzine
  • Cyproheptadine
Oral immunosuppressants to suppress the immune system and reduce inflammation
  • Cyclosporine
  • Methotrexate
  • Azathioprine
Monoclonal antibodies to suppress the immune system and reduce inflammation
  • Dupilumab
  • Tralokinumab

Atopic Dermatitis

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