Diseases and Conditions

Itchy skin (pruritus)

Treatment

Itchy skin treatment focuses on removing the cause of the itch. If home remedies don't ease the itchy skin, your doctor may recommend prescription medications or other treatments. Controlling itchy skin symptoms can be challenging and may require long-term therapy. Options include:

  • Corticosteroid creams and ointments. If your skin is itchy and red, your doctor may suggest applying a medicated cream or ointment to the affected areas. You might then cover the treated skin with damp cotton material. Moisture helps the skin absorb the medication and has a cooling effect.

    If you have severe itching or a chronic condition, your doctor might recommend this bedtime routine: Bathe in plain lukewarm water for 20 minutes, and then apply triamcinolone .025% to 0.1% ointment to the wet skin. This traps the moisture and helps the medication absorb. Then put on a pair of old pajamas. Repeat this routine at bedtime for several nights.

  • Other creams and ointments. Other treatments that you apply to your skin include calcineurin inhibitors, such as tacrolimus (Protopic) and pimecrolimus (Elidel). Or you may find some relief with topical anesthetics, capsaicin or doxepin.
  • Oral medications. Antidepressants called selective serotonin reuptake inhibitors, such as fluoxetine (Prozac) and sertraline (Zoloft), and tricyclic antidepressants, such as doxepin, may be helpful in easing some types of chronic itch. You may not feel the full benefit of some of these drugs for 8 to 12 weeks after starting treatment.
  • Light therapy (phototherapy). Phototherapy involves exposing your skin to a specific type of light. This can be a good option for people who can't take oral drugs. You'll likely need multiple phototherapy sessions, until the itching is under control.