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خرید پکیج
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Topical therapies for pruritus

Topical therapies for pruritus
Medication Dose Notes
Barrier repair creams/moisturizers/emollients Not applicable Low pH products may be particularly useful
Topical corticosteroids Variable Not directly antipruritic, may be useful in pruritus due to inflammatory skin dermatoses
Topical calcineurin inhibitors Tacrolimus 0.03% and 0.1% ointment Particularly useful in anogenital pruritus, may experience transient burning and stinging
Pimecrolimus 1% cream
Doxepin 5% cream Avoid in children, 20 to 25% risk of sedation
Menthol 1 to 3% cream or lotion Useful in patients who report cooling as an alleviating factor
Capsaicin 0.025 to 0.1% cream Particularly useful in neuropathic itch, may experience initial transient burning
Salicylic acid 2 to 6% Useful in lichen simplex chronicus, avoid in acute inflammatory dermatoses and children
Local anesthetics Pramoxine 1 to 2.5% Useful for pruritus on face and that associated with CKD
Lidocaine patch 5% Useful in neuropathic pruritus
Eutectic mixture of lidocaine 2.5% and prilocaine 2.5% Useful in neuropathic pruritus
5% urea + 3% polidocanol Both moisturizing and anesthetic properties, not available in the United States
Ketamine 5 or 10% + amitriptyline 5% + lidocaine 5% Compounded agent; may be useful for various forms of chronic pruritus
CKD: chronic kidney disease.
Adapted from: Patel T, Yosipovitch G. Therapy of pruritus. Expert Opin Pharmacother 2010; 11:1673. Copyright © 2010 Informa Healthcare. Reproduced with permission of Informa Healthcare.
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