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Antipruritic

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160: 1171: 992: 387: 4659: 934: 4680: 414: 126:. They may work either directly or indirectly to relieve itch, and evidence on their effectiveness varies from one class to another. Some alternative medicines are also used to treat itch. Side effects of abirritants also vary depending on the class of the drug. Even before the emergence of modern 825:
Despite the availability of many forms of treatment, there is only a limited number of case series or small-scale studies examining the efficacy of abirritants. There is a lack of evidence on treatment for chronic pruritus of unknown origin. There is also little to no evidence on the efficacy and
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Systemic side effects are far less prevalent than local ones. Prolonged high potency corticosteroids use on thin skin, especially in children, increases the risk of systemic side effects since thin skin allows for greater absorption. One commonly cited systemic side effect from topical use is
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A number of drug classes are available as abirritants for itching relief, but there is no one single specific abirritant to treat all forms of itch. Treatments may vary depending on the cause. Commonly prescribed abirritants can be broadly divided into
1162:, the main side effect of capsaicin is a burning sensation that usually persists for several days. A topical anaesthetic can be used to reduce the sensation. In addition, the topical anaesthetic can also provide anti-itch effect on its own. 905:
Thalidomide is effective in treating chronic refractory pruritus among patients who had failed conventional therapy (corticosteroids or antihistamines), with a 50% or greater reduction in symptoms and a shorter time to improvement.
847:, which are effective in treating inflammatory disorders of the skin, in particular atopic dermatitis. Successful treatment of atopic dermatitis with either corticosteroids or antihistamines would resolve the associated itching. 1078:, where they block the H1 receptor, reducing the neurotransmitter effect of histamine, leading to central nervous system side effects such as drowsiness and confusion. Second generation antihistamines, such as fexofenadine and 838:
Some abirritants work by indirectly treating itch through treating the causative medical conditions, which means that the itching associated with the condition will often subside when it is properly treated. This includes
1090:μ-opioid receptor antagonists are usually well-tolerated and have no abuse potential since they do not cause physical dependence. Side effects are dose-dependent and generally limited to the first two weeks of treatment. 3307:
Bergasa NV, Alling DW, Talbot TL, Swain MG, Yurdaydin C, Turner ML, et al. (August 1995). "Effects of naloxone infusions in patients with the pruritus of cholestasis. A double-blind, randomized, controlled trial".
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Suicide risk: a combined analysis of placebo-controlled trials of various antidepressants including SSRIs in children and adolescents showed a doubled risk of suicide in those taking antidepressants. In response, the
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Some abirritants treat pruritus directly without necessarily treating the causative medical condition. Abirritants that directly treat itching and are established to be effective are reported here in the table below:
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has asserted that it has little if any scientific evidence. Nevertheless, they subsequently recommended applying topical OTC skin protectants, such as calamine, to relieve the itch caused by poisonous plants such as
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Systemic corticosteroid use has been associated with a wide range of potential adverse effects. In a review article, the following common complications were noted for prolonged use: redistribution of fat tissues
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Serotonin reuptake inhibitors, including both serotonin-norepinephrine reuptake inhibitors (SNRIs) and selective serotonin reuptake inhibitors (SSRIs), are generally well tolerated. Common side effects include:
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Metze D, Reimann S, Beissert S, Luger T (October 1999). "Efficacy and safety of naltrexone, an oral opiate receptor antagonist, in the treatment of pruritus in internal and dermatological diseases".
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Zhang W, Leonard T, Bath-Hextall F, Chambers CA, Lee C, Humphreys R, Williams HC, et al. (The Cochrane Collaboration) (April 2005). Zhang W (ed.). "Chinese herbal medicine for atopic eczema".
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Generalized itch, or itching across the whole body, can be a symptom of a dermatological disorder or an underlying systemic problem. Some systemic diseases can that cause generalized itch include
1054:. A meta-analysis of topical corticosteroid use in children concluded that low-potency corticosteroid at recommended dosages and duration do not cause clinically significant HPA suppression. 947:
is extensively used in Asia for relief of itch. It is believed that itching is caused by irritations from wind, dampness or blood stasis, and can be relieved by the use of herbs such as
1334: 1150:, resulting in an increased susceptibility to infection. Other side effects include bone marrow suppression, increased risk of cardiovascular disease and increased risk of cancer. 1398:"The Traditional Chinese Medicine and Relevant Treatment for the Efficacy and Safety of Atopic Dermatitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials" 3229:
Dixon R, Gentile J, Hsu HB, Hsiao J, Howes J, Garg D, Weidler D (March 1987). "Nalmefene: safety and kinetics after single and multiple oral doses of a new opioid antagonist".
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Weisshaar E, Grüll V, König A, Schweinfurth D, Diepgen TL, Eckart WU (December 2009). "The symptom of itch in medical history: highlights through the centuries".
3542:"Das "Lorscher Arzneibuch": Ein medizinisches Kompendium des 8. Jahrhunderts (Codex Bambergensis medicinalis 1): Text, Ubersetzung und Fachglossar. Ulrich Stoll" 2688:"British Association of Dermatologists' guidelines for the investigation and management of generalized pruritus in adults without an underlying dermatosis, 2018" 4611: 3691: 2399: 1224: 3659: 2920:"Butorphanol prevents morphine-induced pruritus without increasing pain and other side effects: a systematic review of randomized controlled trials" 2285:
Long, D.; Ballentine, N. H.; Marks, J. G. (September 1997). "Treatment of poison ivy/oak allergic contact dermatitis with an extract of jewelweed".
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Eusebio-Alpapara KM, Castillo RL, Dofitas BL (April 2020). "Gabapentin for uremic pruritus: a systematic review of randomized controlled trials".
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Schmitt J, Schmitt N, Meurer M (May 2007). "Cyclosporin in the treatment of patients with atopic eczema - a systematic review and meta-analysis".
4668: 3150:"Evaluation of Hypothalamic-Pituitary-Adrenal Axis Suppression following Cutaneous Use of Topical Corticosteroids in Children: A Meta-Analysis" 2505: 1227:
in the 7th century described many preparations of abirritants for both systemic and topical use, such as an ointment prepared from stinging
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formulations are preferred for treating localized itch caused by skin damage, inflammation or dryness. Topical antipruritics in the form of
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Gastrointestinal effects such as nausea and vomiting, which depend on the dose and usually resolve within the first two weeks of treatment.
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Phan NQ, Bernhard JD, Luger TA, Ständer S (October 2010). "Antipruritic treatment with systemic μ-opioid receptor antagonists: a review".
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Rungsiprakarn P, Laopaiboon M, Sangkomkamhang US, Lumbiganon P, et al. (Cochrane Pregnancy and Childbirth Group) (February 2016).
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Andrade A, Kuah CY, Martin-Lopez JE, Chua S, Shpadaruk V, Sanclemente G, Franco JV, et al. (Cochrane Skin Group) (January 2020).
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Matsuda KM, Sharma D, Schonfeld AR, Kwatra SG (September 2016). "Gabapentin and pregabalin for the treatment of chronic pruritus".
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Sexual dysfunction, which is the most common side effect of all serotonin reuptake inhibitors, manifesting as delayed ejaculation,
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Leslie TA, Greaves MW, Yosipovitch G (2015). "Current topical and systemic therapies for itch". In Cowan A, Yosipovitch G (eds.).
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are less able to move from blood circulation into the brain and are therefore associated with fewer side effects in usual doses.
550: 914:μ-opioid receptor antagonists such as naltrexone and nalmefene demonstrated significant improvement in treating patients with 4035: 3473: 2447: 1733: 1566: 4322: 4315: 649:
and blocks the μ-opioid receptor, inhibiting generalized pruritus due to an imbalance between the μ- and κ-opioid systems
3460:. Handbook of Experimental Pharmacology. Vol. 226. Berlin, Heidelberg: Springer Berlin Heidelberg. pp. 337–56. 108: 2959: 1716:
Buddenkotte J, Maurer M, Steinhoff M (2010). "Histamine and Antihistamines in Atopic Dermatitis". In Thurmond RL (ed.).
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Er U, Naderi S (April 2013). "Paulus aegineta: review of spine-related chapters in "Epitomoe medicoe libri septem"".
2729:"Pharmacological interventions for generalised itching (not caused by systemic disease or skin lesions) in pregnancy" 2320:
Gibson, M. R.; Maher, F. T. (May 1950). "Activity of jewelweed and its enzymes in the treatment of Rhus dermatitis".
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Antihistamines have anti-inflammatory properties that can relieve itching by suppressing the underlying inflammation
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Antihistamines have anti-inflammatory properties that can relieve itching by suppressing the underlying inflammation
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Both local and systemic side effects can result from topical corticosteroid use, especially in prolonged treatment.
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issued a warning in 2004 regarding the elevated risk of suicidal thoughts and behavior in children and adolescents.
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There is a lack of data on adverse effects associated with corticosteroid use of a shorter period and lower dose.
4218: 3674: 1017: 1963: 1237:-coated girdles were used in the 17th century as an expensive treatment to alleviate symptoms of itch caused by 3019:
Poetker DM, Reh DD (August 2010). "A comprehensive review of the adverse effects of systemic corticosteroids".
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Hengge UR, Ruzicka T, Schwartz RA, Cork MJ (January 2006). "Adverse effects of topical glucocorticosteroids".
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Norris DA (July 2005). "Mechanisms of action of topical therapies and the rationale for combination therapy".
733:, is a traditional remedy for mild itching, such as that typically associated with chicken pox – although the 122:
Abirritants consist of a large group of drugs belonging to different classes with varying mechanisms to treat
346: 17: 130:, abirritants have already been used in many civilizations, but practices and choice of drugs may differ by 3917: 3699: 1212:, metallic components, and goat droppings which were applied externally. These drugs are common in ancient 1134: 944: 809:
Other unconventional forms of treatment with potential efficacy for treating systemic itch include topical
4710: 4528: 1720:. Advances in Experimental Medicine and Biology. Vol. 709. Boston, MA: Springer US. pp. 73–80. 1197:
mixed in honey for topical application to the scalp for itching caused by scabby conditions of the head.
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Sharma D, Kwatra SG (February 2016). "Thalidomide for the treatment of chronic refractory pruritus".
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Abirritants have an extensive history in treating itch. The history of abirritants dates back to the
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Appel, L.M. Ohmart; Sterner, R.F. (1956). "Zinc oxide: A new, pink, refractive microform crystal".
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Local side effects can occur regularly from prolonged use, which include skin atrophy (thinning),
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Khawam EA, Laurencic G, Malone DA (April 2006). "Side effects of antidepressants: an overview".
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Millington GW, Collins A, Lovell CR, Leslie TA, Yong AS, Morgan JD, et al. (January 2018).
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Blocks the μ-opioid receptor, the stimulation of which causes itch in clinical settings such as
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Prevents the propagation of nerve signals that would otherwise cause an itching sensation
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Kantor GR, Lookingbill DP (September 1983). "Generalized pruritus and systemic disease".
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physician, described a list of drugs for treatment of itch including plants such as the
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acting on histamine receptors can useful in itching that occurs at night. An example is
4673: 4538: 4397: 3851: 3643: 3618: 3522: 3398:"Suicidality in Children and Adolescents Being Treated With Antidepressant Medications" 3333: 3254: 3242: 3125: 3098: 2900: 2852: 2825: 2801: 2789: 2753: 2728: 2660: 2635: 2616: 2565: 2538: 2419: 2380: 2368: 2355:
Guin, J. D.; Reynolds, R. (June 1980). "Jewelweed treatment of poison ivy dermatitis".
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Simonsen E, Komenda P, Lerner B, Askin N, Bohm C, Shaw J, et al. (November 2017).
972: 783: 760: 754: 167: 144: 96: 3619:"Frontiers in pruritus research: scratching the brain for more effective itch therapy" 3285: 1864: 695: 4679: 4634: 4417: 4407: 4310: 4140: 4096: 4080: 3884: 3874: 3817: 3807: 3648: 3596: 3561: 3526: 3514: 3479: 3469: 3438: 3375: 3325: 3289: 3246: 3211: 3171: 3130: 3076: 3036: 2996: 2941: 2904: 2892: 2857: 2793: 2758: 2709: 2665: 2620: 2608: 2570: 2537:
Baswan SM, Klosner AE, Glynn K, Rajgopal A, Malik K, Yim S, Stern N (December 2020).
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Systemic corticosteroid treatment can cause redistribution of fat tissue, leading to
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is suppressed as a response to the increased level of corticosteroids in the blood.
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has been shown to be devoid of any anti-itch activity in several controlled studies.
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Mechanism of action is unclear, but is thought to prevent itching by desensitizing
233: 4111: 2443: 553:(SSRIs) are often used in psychiatric patients with itching. Common SSRIs include 4897: 4777: 4684: 4629: 4498: 4493: 4332: 4265: 4260: 4146: 4092: 3933: 3824: 3777: 3510: 3465: 3433: 3416: 2509: 2054: 1095: 1067: 878: 730: 722: 674: 588: 476: 307: 216: 211: 194: 112: 2142: 1919:
Yosipovitch G, Bernhard JD (April 2013). "Clinical practice. Chronic pruritus".
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drugs, and may include a combination of one or more drugs, described as below.
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In the 20th century, many new abirritants for external use emerged, including
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is one of the many herbs used to treat itch in Traditional Chinese Medicine.
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Antihistamines are commonly used to treat itching associated with allergies.
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Central nervous system disturbances such as anxiety, insomnia and sedation.
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Puza CJ, Suresh V (May 2018). "Scabies and Pruritus-A Historical Review".
3371: 3329: 3250: 2539:"Therapeutic Potential of Cannabidiol (CBD) for Skin Health and Disorders" 2376: 2306: 1932: 1872: 570:
Suppresses the immune system to reduce inflammation and hence reduce itch
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Du BX, Song ZM, Wang K, Zhang H, Xu FY, Zou Z, Shi XY (September 2013).
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Wahlgren CF (November 1999). "Itch and atopic dermatitis: an overview".
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Each class of abirritants has its own set of potential adverse effects.
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Corticosteroid creams can be applied directly on the skin to treat itch.
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was used to treat itch and is commonly listed in ancient pharmacopeia.
933: 4851: 4846: 4523: 4503: 4477: 4452: 4387: 4365: 4193: 4106: 3980: 3634: 2397: 1005: 996: 956: 937: 827: 716: 711: 532: 528: 515: 370: 241: 237: 100: 68: 3541: 1587:"Assessment of itch: more to be learned and improvements to be made" 4752: 4624: 4488: 4484: 4457: 3896: 3829: 3748: 3557: 1338: 1249: 952: 892: 877:
Gabapentin was found to be effective in decreasing the severity of
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Substances proposed to act antipruritically, but not used medically
505: 395: 84: 51: 1310:"Antipruritic definition and meaning | Collins English Dictionary" 538:
Two main classes of antidepressants are utilized to relieve itch:
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Suppresses itch originating from immune response and inflammation
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Suppresses itch originating from immune response and inflammation
4920: 4909: 4905: 4743: 4600: 4518: 4183: 3950: 3772: 3722: 3417:"Long-term management of patients taking immunosuppressive drugs" 3148:
Wood Heickman LK, Davallow Ghajar L, Conaway M, Rogol AD (2018).
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Journal of the European Academy of Dermatology and Venereology
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Antihistamines target the molecule histamine by blocking the
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Simons FE (November 2004). "Advances in H1-antihistamines".
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Continuous intravenous butorphanol reduced the incidence of
4286: 2987:(2). Chichester, UK: John Wiley & Sons, Ltd: CD002291. 2633: 2444:"American Topics. An Outdated Notion, That Calamine Lotion" 2398:
Zink, B. J.; Otten, E.J.; Rosenthal, M.; Singal, B (1991).
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are able to move from the blood into the brain across the
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A number of herbs have been used to treat itching such as
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Thalidomide suppresses itching through a number of ways:
3455: 3306: 2823: 1994: 1268:, which were mostly available in the form of ointments. 833: 2824:
Coondoo A, Phiske M, Verma S, Lahiri K (October 2014).
2204:"Nalfurafine hydrochloride to treat pruritus: a review" 1016:, where the body's natural production of hormones like 3396:
Center for Drug Evaluation and Research (2018-11-03).
2636:"Interventions for chronic pruritus of unknown origin" 2589:"New Histamine H2-Receptor Antagonists Are on the Way" 3692:
Anatomical Therapeutic Chemical Classification System
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Evidence-Based Complementary and Alternative Medicine
3228: 2519: 2517: 2085: 1762:"The Itch-Scratch Cycle: A Review of the Mechanisms" 2284: 1918: 1354:"Treatment of Uremic Pruritus: A Systematic Review" 3099:"Systemic side-effects of topical corticosteroids" 2543:Clinical, Cosmetic and Investigational Dermatology 2208:Clinical, Cosmetic and Investigational Dermatology 2514: 1850: 1811: 4938: 2960:"Chinese Herbal Selections for Itchy Conditions" 2036: 1885: 1085: 2917: 1449: 975:supplements may show benefit in reducing itch. 928: 3274:Journal of the American Academy of Dermatology 3096: 3061:Journal of the American Academy of Dermatology 2169:Journal of the American Academy of Dermatology 2131:Journal of the American Academy of Dermatology 1997:Journal of the American Academy of Dermatology 1888:Current dermatologic diagnosis & treatment 1853:Journal of the American Academy of Dermatology 1680:Journal of the American Academy of Dermatology 1396:Shi ZF, Song TB, Xie J, Yan YQ, Du YP (2017). 4711: 3675: 1395: 3690:Major chemical drug groups – based upon the 3414: 2467: 2354: 2262:"CFR - Code of Federal Regulations Title 21" 2166: 1812:Reamy BV, Bunt CW, Fletcher S (2011-07-15). 1158:Being the main chemical that causes heat in 708:, is shown to soothe and to relieve itching. 3097:Dhar S, Seth J, Parikh D (September 2014). 2985:The Cochrane Database of Systematic Reviews 2733:The Cochrane Database of Systematic Reviews 2640:The Cochrane Database of Systematic Reviews 2319: 1625: 1584: 1548: 986: 4718: 4704: 3682: 3668: 3578: 3018: 1189:, a famous physician, recommended crushed 1135:United States Food and Drug Administration 1030: 757:(baking soda) and water, applied topically 3642: 3432: 3165: 3124: 3114: 2935: 2851: 2841: 2752: 2703: 2659: 2564: 2554: 2237: 2219: 2062: 1785: 1643: 1602: 1477: 1467: 1423: 1413: 1369: 1094:symptoms are rare and may include severe 1012:, infections, delayed wound healing, and 850: 773: 659:. Those more recently described include: 3496: 3021:Otolaryngologic Clinics of North America 2775: 2195: 1619: 1591:The Journal of Investigative Dermatology 1551:Dermatological Signs of Internal Disease 1169: 990: 932: 412: 385: 351:Suppresses inflammation to relieve itch 158: 4725: 3539: 3322:10.7326/0003-4819-123-3-199508010-00001 1759: 1066:. First-generation antihistamines like 1044:sudden decrease in efficacy of the drug 967:, but their efficacy is still unclear. 551:Selective serotinin reuptake inhibitors 14: 4939: 4669:Pharmacological classification systems 4036:Selective estrogen receptor modulators 3391: 3389: 3193: 3189: 3187: 3185: 3092: 3090: 2162: 2160: 2032: 2030: 2028: 2026: 1807: 1805: 1766:Dermatology Practical & Conceptual 1755: 1753: 1711: 1709: 1677: 1673: 1671: 1450:Tabassum N, Hamdani M (January 2014). 1332: 1042:, infections, lighter skin color, and 763:(household ammonia), applied topically 4699: 4316:Non-steroidal anti-inflammatory drugs 3663: 3353: 3351: 3349: 3347: 3054: 3052: 3050: 3014: 3012: 3010: 2819: 2817: 2815: 2681: 2679: 1990: 1988: 1986: 1984: 1445: 1443: 1391: 1389: 1141: 834:Treating itch associated with disease 704:, an astringent aqueous solution of 421:which can also be used to treat itch. 3616: 3360:Cleveland Clinic Journal of Medicine 2877:International Journal of Dermatology 2482:10.1001/archderm.1956.01550040012003 2201: 2037:Patel T, Yosipovitch G (July 2010). 1961: 1580: 1578: 1508:International Journal of Dermatology 1501: 1499: 1497: 1452:"Plants used to treat skin diseases" 375:Desensitizes nerves that cause itch 3929:Angiotensin II receptor antagonists 3449: 3415:Hsu DC, Katelaris CH (2009-06-01). 3408: 3386: 3196:The New England Journal of Medicine 3182: 3141: 3087: 2911: 2157: 2023: 1921:The New England Journal of Medicine 1814:"A Diagnostic Approach to Pruritus" 1802: 1750: 1706: 1668: 1358:American Journal of Kidney Diseases 826:safety of using abirritants during 631:Modulates nerve signal transmission 109:urushiol-induced contact dermatitis 24: 3344: 3243:10.1002/j.1552-4604.1987.tb02191.x 3047: 3007: 2812: 2790:10.1111/j.1346-8138.1999.tb02090.x 2692:The British Journal of Dermatology 2676: 2369:10.1111/j.1600-0536.1980.tb04935.x 1981: 1559:10.1016/b978-1-4160-6111-3.00015-x 1549:Yosipovitch G (2009). "Pruritus". 1440: 1386: 1109: 978: 25: 4958: 3623:Journal of Clinical Investigation 3610: 2830:Indian Dermatology Online Journal 2527:(Falcon Distribution, 2008), 212. 2450:from the original on 19 June 2007 2043:Expert Opinion on Pharmacotherapy 1886:Freedberg IM, Sanchez MR (2001). 1575: 1542: 1494: 1345: 1057: 895:-induced pruritus significantly. 735:U.S. Food and Drug Administration 691:used to control pruritus in dogs. 381: 186:usually belong to these classes: 4678: 4658: 4657: 3231:Journal of Clinical Pharmacology 2299:10.1097/01206501-199709000-00005 2100:10.1111/j.1468-3083.2006.02023.x 1645:10.1111/j.1529-8019.2005.00033.x 1604:10.1111/j.1523-1747.2003.12650.x 1520:10.1111/j.1365-4632.2009.04117.x 820: 27:Medications that inhibit itching 4066:Hypothalamic–pituitary hormones 3572: 3533: 3490: 3300: 3265: 3222: 3154:Hormone Research in Paediatrics 2976: 2952: 2924:Canadian Journal of Anaesthesia 2868: 2769: 2720: 2627: 2581: 2530: 2496: 2461: 2436: 2391: 2348: 2313: 2278: 2254: 2122: 2079: 1955: 1912: 1879: 1844: 1585:Yosipovitch G (December 2003). 1333:Butler, David F. (2020-12-11). 1276:were also commonly prescribed. 1018:corticotropin-releasing hormone 918:pruritus, or itch arising from 655:Oral antipruritics are usually 3593:10.1001/jamadermatol.2018.0147 2993:10.1002/14651858.cd002291.pub3 2745:10.1002/14651858.CD011351.pub2 2652:10.1002/14651858.CD013128.pub2 2503:September 2, 2008 FDA Document 2404:Journal of Wilderness Medicine 1326: 1302: 911:μ-opioid receptor antagonists 628:Modulates immune response; and 347:Phosphodiesterase-4 inhibitors 13: 1: 3818:Thrombolytics / fibrinolytics 3286:10.1016/S0190-9622(99)80048-6 3103:Indian Journal of Dermatology 2525:Wilderness Camping and Hiking 1865:10.1016/S0190-9622(83)70144-1 1296: 1146:Immunosuppressants may cause 1086:μ-Opioid receptor antagonists 4529:Wakefulness-promoting agents 3511:10.1097/brs.0b013e3182760fa0 3466:10.1007/978-3-662-44605-8_18 3434:10.18773/austprescr.2009.035 2055:10.1517/14656566.2010.484420 1964:"Itch (Itching or Pruritus)" 1553:. Elsevier. pp. 75–79. 1153: 945:Traditional Chinese medicine 929:Traditional Chinese medicine 248:in topical creams or lotions 7: 3310:Annals of Internal Medicine 2143:10.1016/j.jaad.2016.02.1237 1726:10.1007/978-1-4419-8056-4_8 1628:"Topical anti-itch therapy" 1279: 1121:inability to achieve orgasm 1022:adrenocorticotropic hormone 115:. It can also be caused by 10: 4963: 4179:Intravenous immunoglobulin 3073:10.1016/j.jaad.2005.01.010 2778:The Journal of Dermatology 2181:10.1016/j.jaad.2015.09.039 2009:10.1016/j.jaad.2009.08.052 1962:Stöppler, Melissa Conrad. 1692:10.1016/j.jaad.2005.04.027 1371:10.1053/j.ajkd.2017.05.018 1165: 643:Butorphanol activates the 527:Reduces itch by mediating 499:itch due to liver diseases 154: 4880: 4826: 4738: 4653: 4609: 4581: 4537: 4346: 4281: 4244: 4192: 4105: 4049: 4009: 3966: 3850: 3786: 3698: 3033:10.1016/j.otc.2010.04.003 2937:10.1007/s12630-013-9989-4 2416:10.1580/0953-9859-2.3.178 1818:American Family Physician 1718:Histamine in Inflammation 1314:www.collinsdictionary.com 642: 614: 374: 103:caused by plants such as 4234:Topoisomerase inhibitors 3918:renin–angiotensin system 3912:Calcium channel blockers 3540:Brevart FB (June 1994). 3116:10.4103/0019-5154.139874 2843:10.4103/2229-5178.142483 1760:Rinaldi G (April 2019). 1469:10.4103/0973-7847.125531 1200:During the 7th century, 987:Systemic corticosteroids 542:Atypical antidepressants 137: 119:and related conditions. 55:) often associated with 2599:(1): 3–4. August 1980. 1031:Topical corticosteroids 922:and atopic dermatitis. 128:evidence-based medicine 81:insect bites and stings 4026:Hormonal contraception 3956:Bile acid sequestrants 3737:Proton-pump inhibitors 3700:gastrointestinal tract 3067:(1): 1–15, quiz 16–8. 2508:July 16, 2010, at the 2334:10.1002/jps.3030390516 2287:Am. J. Contact. Dermat 2266:www.accessdata.fda.gov 2202:Inui, Shigeki (2015). 1178: 1000: 941: 851:Treating itch directly 774:Alternative treatments 769:-based topical creams. 689:janus kinase inhibitor 422: 391: 164: 117:chronic kidney disease 3421:Australian Prescriber 3372:10.3949/ccjm.73.4.351 2039:"Therapy of pruritus" 1933:10.1056/NEJMcp1208814 1686:(1 Suppl 1): S17-25. 1456:Pharmacognosy Reviews 1187:Alexander of Tralleis 1173: 1123:and decreased libido. 1064:histamine H1 receptor 994: 936: 881:compared to placebo. 666:, a centrally-acting 625:Reduces inflammation; 416: 389: 162: 4635:Radiopharmaceuticals 4423:Antiparkinson agents 3458:Pharmacology of Itch 3366:(4): 351–3, 356–61. 3208:10.1056/NEJMra033121 2556:10.2147/CCID.S286411 1890:. Current Medicine. 1632:Dermatologic Therapy 1626:Hercogová J (2005). 1415:10.1155/2017/6026434 1052:HPA axis suppression 1014:HPA axis suppression 706:aluminium triacetate 535:levels in the body. 433:Mechanism of Action 338:Lidocaine/prilocaine 260:Mechanism of Action 178:are often available 4418:Antimigraine agents 4408:Antidementia agents 4311:Anti-inflammatories 4001:Medicated dressings 3941:Antihyperlipidemics 3768:Diabetes medication 2322:J. Am. Pharm. Assoc 2221:10.2147/CCID.S55942 1778:10.5826/dpc.0902a03 1225:monastery of Lorsch 1076:blood–brain barrier 860: 788:Portulaca oleracaea 681:of other prurituses 567:Immunosuppressants 481:Second generation: 426: 312:Second generation: 253: 210:topical cream, see 4271:Immunosuppressants 4141:Antimycobacterials 4097:Antithyroid agents 4081:Mineralocorticoids 3885:Cardiac stimulants 3875:Cardiac glycosides 3867:cardiac therapy / 3763:Anti-obesity drugs 2605:10.1007/bf03317207 2357:Contact Dermatitis 1221:Lorscher Azneibuch 1179: 1142:Immunosuppressants 1001: 973:omega-3 fatty acid 942: 859: 761:Ammonium hydroxide 755:sodium bicarbonate 657:prescription drugs 620:central depressant 471:First generation: 425: 423: 392: 302:First generation: 252: 184:active ingredients 165: 97:contact dermatitis 61:allergic reactions 4934: 4933: 4693: 4692: 4596:Ophthalmologicals 4306:Anabolic steroids 4209:Anticancer agents 4172:Ectoparasiticides 3892:Antihypertensives 3840:Antifibrinolytics 3617:Paus, R. (2006). 3475:978-3-662-44604-1 3167:10.1159/000489125 2964:www.shen-nong.com 2889:10.1111/ijd.14708 2705:10.1111/bjd.16117 2470:AMA Arch Dermatol 2137:(3): 619–625.e6. 1735:978-1-4419-8055-7 1568:978-1-4160-6111-3 1291:Atopic dermatitis 1100:depersonalization 1092:Opioid withdrawal 926: 925: 677:and effective in 668:κ-opioid receptor 653: 652: 646:κ-opioid receptor 492:μ-opioid receptor 417:Gabapentin is an 379: 378: 234:Local anesthetics 77:fungal infections 45:that inhibit the 16:(Redirected from 4954: 4898:Counterirritants 4763:Chlorphenoxamine 4720: 4713: 4706: 4697: 4696: 4682: 4661: 4660: 4645:Senotherapeutics 4499:Neuroprotectives 4494:Mood stabilizers 4393:Anti-ADHD agents 4333:Muscle relaxants 4266:Immunostimulants 4261:Immunomodulators 4093:Thyroid hormones 4031:Fertility agents 3934:Renin inhibitors 3825:Antihemorrhagics 3792:forming organs ( 3778:Dietary minerals 3684: 3677: 3670: 3661: 3660: 3656: 3646: 3635:10.1172/JCI28553 3629:(5): 1174–1185. 3605: 3604: 3581:JAMA 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3881: 3878: 3876: 3873: 3872: 3871: 3870: 3865: 3864: 3862: 3859: 3855: 3849: 3841: 3838: 3836: 3833: 3831: 3828: 3827: 3826: 3823: 3819: 3816: 3814: 3811: 3809: 3808:Antiplatelets 3806: 3805: 3804: 3801: 3800: 3798: 3795: 3789: 3785: 3779: 3776: 3774: 3771: 3769: 3766: 3764: 3761: 3759: 3755: 3752: 3750: 3747: 3745: 3742: 3738: 3735: 3733: 3726: 3724: 3721: 3720: 3719: 3716: 3715: 3713: 3710: 3706: 3701: 3697: 3693: 3685: 3680: 3678: 3673: 3671: 3666: 3665: 3662: 3654: 3650: 3645: 3640: 3636: 3632: 3628: 3624: 3620: 3615: 3614: 3602: 3598: 3594: 3590: 3586: 3582: 3575: 3567: 3563: 3559: 3555: 3551: 3547: 3543: 3536: 3528: 3524: 3520: 3516: 3512: 3508: 3504: 3500: 3493: 3485: 3481: 3477: 3471: 3467: 3463: 3459: 3452: 3444: 3440: 3435: 3430: 3426: 3422: 3418: 3411: 3403: 3399: 3392: 3390: 3381: 3377: 3373: 3369: 3365: 3361: 3354: 3352: 3350: 3348: 3339: 3335: 3331: 3327: 3323: 3319: 3315: 3311: 3303: 3295: 3291: 3287: 3283: 3279: 3275: 3268: 3260: 3256: 3252: 3248: 3244: 3240: 3236: 3232: 3225: 3217: 3213: 3209: 3205: 3201: 3197: 3190: 3188: 3186: 3177: 3173: 3168: 3163: 3159: 3155: 3151: 3144: 3136: 3132: 3127: 3122: 3117: 3112: 3108: 3104: 3100: 3093: 3091: 3082: 3078: 3074: 3070: 3066: 3062: 3055: 3053: 3051: 3042: 3038: 3034: 3030: 3027:(4): 753–68. 3026: 3022: 3015: 3013: 3011: 3002: 2998: 2994: 2990: 2986: 2979: 2965: 2961: 2955: 2947: 2943: 2938: 2933: 2930:(9): 907–17. 2929: 2925: 2921: 2914: 2906: 2902: 2898: 2894: 2890: 2886: 2882: 2878: 2871: 2863: 2859: 2854: 2849: 2844: 2839: 2836:(4): 416–25. 2835: 2831: 2827: 2820: 2818: 2816: 2807: 2803: 2799: 2795: 2791: 2787: 2784:(11): 770–9. 2783: 2779: 2772: 2764: 2760: 2755: 2750: 2746: 2742: 2738: 2734: 2730: 2723: 2715: 2711: 2706: 2701: 2697: 2693: 2689: 2682: 2680: 2671: 2667: 2662: 2657: 2653: 2649: 2645: 2641: 2637: 2630: 2622: 2618: 2614: 2610: 2606: 2602: 2598: 2594: 2590: 2584: 2576: 2572: 2567: 2562: 2557: 2552: 2548: 2544: 2540: 2533: 2526: 2520: 2518: 2511: 2507: 2504: 2499: 2491: 2487: 2483: 2479: 2475: 2471: 2464: 2449: 2445: 2439: 2425: 2421: 2417: 2413: 2409: 2405: 2401: 2394: 2386: 2382: 2378: 2374: 2370: 2366: 2362: 2358: 2351: 2343: 2339: 2335: 2331: 2327: 2323: 2316: 2308: 2304: 2300: 2296: 2292: 2288: 2281: 2267: 2263: 2257: 2249: 2245: 2240: 2235: 2231: 2227: 2222: 2217: 2213: 2209: 2205: 2198: 2190: 2186: 2182: 2178: 2174: 2170: 2163: 2161: 2152: 2148: 2144: 2140: 2136: 2132: 2125: 2117: 2113: 2109: 2105: 2101: 2097: 2094:(5): 606–19. 2093: 2089: 2082: 2074: 2070: 2065: 2060: 2056: 2052: 2048: 2044: 2040: 2033: 2031: 2029: 2027: 2018: 2014: 2010: 2006: 2002: 1998: 1991: 1989: 1987: 1985: 1969: 1965: 1958: 1950: 1946: 1942: 1938: 1934: 1930: 1926: 1922: 1915: 1907: 1903: 1899: 1897:1-57340-172-2 1893: 1889: 1882: 1874: 1870: 1866: 1862: 1859:(3): 375–82. 1858: 1854: 1847: 1839: 1835: 1831: 1827: 1823: 1819: 1815: 1808: 1806: 1797: 1793: 1788: 1783: 1779: 1775: 1771: 1767: 1763: 1756: 1754: 1745: 1741: 1737: 1731: 1727: 1723: 1719: 1712: 1710: 1701: 1697: 1693: 1689: 1685: 1681: 1674: 1672: 1663: 1659: 1655: 1651: 1646: 1641: 1637: 1633: 1629: 1622: 1614: 1610: 1605: 1600: 1597:(6): xiv–xv. 1596: 1592: 1588: 1581: 1579: 1570: 1564: 1560: 1556: 1552: 1545: 1537: 1533: 1529: 1525: 1521: 1517: 1513: 1509: 1502: 1500: 1498: 1489: 1485: 1480: 1475: 1470: 1465: 1462:(15): 52–60. 1461: 1457: 1453: 1446: 1444: 1435: 1431: 1426: 1421: 1416: 1411: 1407: 1403: 1399: 1392: 1390: 1381: 1377: 1372: 1367: 1363: 1359: 1355: 1348: 1340: 1336: 1329: 1315: 1311: 1305: 1301: 1292: 1289: 1287: 1284: 1283: 1277: 1275: 1271: 1267: 1263: 1259: 1258:carbolic acid 1255: 1251: 1247: 1242: 1240: 1236: 1232: 1230: 1226: 1222: 1217: 1215: 1211: 1207: 1203: 1198: 1196: 1192: 1188: 1185:period, when 1184: 1176: 1172: 1163: 1161: 1151: 1149: 1136: 1131: 1128: 1125: 1122: 1118: 1117: 1116: 1107: 1105: 1101: 1097: 1093: 1083: 1081: 1077: 1073: 1069: 1065: 1055: 1053: 1047: 1045: 1041: 1040:stretch marks 1036: 1028: 1025: 1023: 1019: 1015: 1011: 1007: 998: 993: 984: 976: 974: 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353: 350: 348: 345: 344: 339: 336: 334: 331: 330: 329: 326: 324: 321: 320: 315: 311: 309: 305: 301: 300: 299: 296: 294: 291: 290: 285: 282: 280: 279:Betamethasone 277: 276: 275: 272: 270: 267: 266: 262: 259: 256: 255: 247: 243: 239: 235: 232: 230: 226: 222: 218: 215: 213: 209: 205: 202: 200: 196: 192: 189: 188: 187: 185: 181: 177: 173: 169: 161: 152: 150: 146: 135: 133: 129: 125: 120: 118: 114: 110: 106: 102: 98: 94: 90: 86: 82: 78: 74: 70: 66: 62: 58: 54: 53: 48: 44: 40: 36: 32: 31:Antipruritics 19: 18:Antipruritics 4867:Quinisocaine 4813:Tolpropamine 4808:Thonzylamine 4798:Promethazine 4783:Isothipendyl 4726: 4468:Psychedelics 4438:Aphrodisiacs 4112:infestations 4088:Sex hormones 4041:Sex hormones 3990: 3986:Cicatrizants 3916: 3902:Vasodilators 3869:antianginals 3866: 3718:stomach acid 3717: 3626: 3622: 3584: 3580: 3574: 3549: 3545: 3535: 3505:(8): 692–5. 3502: 3498: 3492: 3457: 3451: 3427:(3): 68–71. 3424: 3420: 3410: 3401: 3363: 3359: 3316:(3): 161–7. 3313: 3309: 3302: 3280:(4): 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Retrieved 1313: 1304: 1243: 1233: 1229:nettle seeds 1220: 1218: 1214:pharmacopeia 1199: 1180: 1160:chili pepper 1157: 1145: 1113: 1089: 1061: 1048: 1037: 1034: 1026: 1002: 982: 943: 854: 837: 824: 811:cannabinoids 808: 804:Ficus carica 803: 796:Saraca asoca 795: 787: 777: 748:poison sumac 654: 644: 494:antagonists 483:Fexofenadine 393: 314:Fexofenadine 166: 141: 121: 50: 38: 34: 30: 29: 4926:Nalfurafine 4842:Cinchocaine 4828:Anesthetics 4803:Thenalidine 4793:Pheniramine 4773:Dimetindene 4601:Otologicals 4573:antagonists 4539:respiratory 4514:Orexigenics 4509:Neurotoxins 4458:Euphoriants 4448:Entactogens 4443:Depressants 4433:Anxiolytics 4371:Anesthetics 4147:Antifungals 3744:Antiemetics 3732:antagonists 2549:: 927–942. 1968:MedicineNet 1408:: 6026434. 1204:, a famous 965:moxibustion 961:acupuncture 916:cholestatic 901:Thalidomide 887:Butorphanol 864:Medication 685:Oclacitinib 664:Nalfurafine 639:Butorphanol 611:Thalidomide 576:Cyclosporin 546:mirtazapine 430:Medication 362:Crisaborole 357:Roflumilast 323:Anesthetics 257:Medication 199:hydroxyzine 43:medications 35:abirritants 4872:Tetracaine 4862:Pramocaine 4837:Benzocaine 4788:Mepyramine 4768:Clemastine 4524:Stimulants 4504:Nootropics 4478:Deliriants 4453:Entheogens 4388:Anorectics 4366:Analgesics 4219:Alkylating 4152:Antivirals 4107:infections 3981:Emollients 3835:Coagulants 3705:metabolism 3587:(5): 536. 2969:2021-03-25 2454:2007-07-19 2429:2008-01-16 2271:2022-07-28 2214:: 249–55. 1319:2021-03-25 1297:References 1080:cetirizine 873:Gabapentin 744:poison oak 740:poison ivy 727:zinc oxide 618:Acts as a 602:Pregabalin 597:Gabapentin 591:in nerves 559:sertraline 555:fluoxetine 511:Naltrexone 246:benzocaine 219:, such as 105:poison ivy 85:mosquitoes 73:chickenpox 4852:Lidocaine 4847:Dibucaine 4674:ATC codes 4640:Dressings 4625:Antidotes 4489:Sedatives 4485:Hypnotics 4194:malignant 4051:endocrine 3897:Diuretics 3830:Platelets 3790:and blood 3749:Laxatives 3566:0021-1753 3527:205518726 3443:0312-8008 2905:208335862 2621:198228678 2613:0156-2703 2230:1178-7015 1830:0002-838X 1183:Byzantine 1154:Capsaicin 1006:moon face 997:moon face 957:mung bean 938:Dictamnus 920:urticaria 828:pregnancy 753:Paste of 717:Jewelweed 712:Olive oil 533:histamine 529:serotonin 516:Nalmefene 436:Examples 371:Capsaicin 333:Pramoxine 263:Examples 242:pramoxine 238:lidocaine 101:urticaria 69:psoriasis 4941:Category 4902:mint oil 4753:Bamipine 4519:Serenics 4184:Vaccines 3951:Fibrates 3773:Vitamins 3723:Antacids 3653:16670758 3601:29801071 3519:23026871 3484:25861788 3380:16610395 3338:36396897 3294:10495371 3259:25620439 3216:15548781 3176:29898449 3135:25284850 3081:16384751 3041:20599080 3001:15846635 2946:23813290 2897:31777066 2862:25396122 2806:20259978 2798:10635621 2763:26891962 2714:29357600 2670:31981369 2593:InPharma 2575:33335413 2506:Archived 2490:13301048 2448:Archived 2424:57162394 2385:46551170 2342:15421925 2248:26005355 2189:26577510 2151:27206757 2116:34610971 2108:17447974 2073:20426711 2017:20462660 1941:23614588 1906:45129566 1838:21766769 1796:31106010 1744:21618889 1700:15968260 1662:31573591 1654:16297007 1613:14675224 1536:28909284 1528:20415680 1488:24600196 1434:28713436 1380:28720208 1339:Medscape 1280:See also 1250:naphthol 893:morphine 780:cannabis 506:Naloxone 396:diabetes 236:such as 221:mint oil 206:such as 193:such as 149:systemic 57:sunburns 52:pruritus 49:(Latin: 4921:Doxepin 4910:camphor 4906:menthol 4900:(e.g., 4890:(e.g., 4744:topical 4376:General 4283:muscles 4252:L03–L04 4248:disease 4200:L01–L02 4196:disease 3946:Statins 3644:1451220 3330:7598296 3251:3680580 3126:4171913 2853:4228634 2754:8665832 2661:6984650 2566:7736837 2377:6447037 2307:9249283 2239:4433050 2064:2885583 1949:1912215 1873:6630598 1787:6502296 1479:3931201 1425:5497608 1286:Itching 1270:Alcohol 1266:menthol 1239:scabies 1235:Mercury 1166:History 1104:anxiety 969:Sericin 813:and H4 798:), and 784:pigweed 671:agonist 229:camphor 225:menthol 168:Topical 155:Topical 145:topical 132:culture 47:itching 4881:Others 4683:  4662:  4610:other 4541:system 4293:joints 4246:immune 4053:system 4013:system 3854:system 3651:  3641:  3599:  3564:  3525:  3517:  3482:  3472:  3441:  3378:  3336:  3328:  3292:  3257:  3249:  3214:  3174:  3133:  3123:  3079:  3039:  2999:  2944:  2903:  2895:  2860:  2850:  2804:  2796:  2761:  2751:  2712:  2668:  2658:  2619:  2611:  2573:  2563:  2488:  2422:  2383:  2375:  2340:  2305:  2246:  2236:  2228:  2187:  2149:  2114:  2106:  2071:  2061:  2015:  1973:3 June 1947:  1939:  1904:  1894:  1871:  1836:  1828:  1794:  1784:  1742:  1732:  1698:  1660:  1652:  1611:  1565:  1534:  1526:  1486:  1476:  1432:  1422:  1378:  1264:, and 1262:thymol 1210:squill 1175:Squill 792:ashoka 767:Papain 746:, and 182:. 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Index

Antipruritics
medications
itching
pruritus
sunburns
allergic reactions
eczema
psoriasis
chickenpox
fungal infections
insect bites and stings
mosquitoes
fleas
mites
contact dermatitis
urticaria
poison ivy
urushiol-induced contact dermatitis
stinging nettle
chronic kidney disease
itch
evidence-based medicine
culture
topical
systemic

Topical
creams
sprays
over the counter

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