13.3. Topical local anaesthetics and antipruretics

ChoiceDrugDosage
1st choiceCrotamiton 10% (Eurax®) creamDose:
Apply 2-3 times daily

Prescribing Notes

  • Pruritus may be caused by systemic disease, skin disease or as a side-effect of medication. Where possible, the underlying cause should be identified and treated.
  • Crotamiton is useful for pruritus persisting after treatment of scabies.
  • Emollient preparations may be useful for pruritus due to dry skin; sedating oral antihistamines may also be helpful for itch (see section 3.4.1).
  • Topical antihistamines and local anaesthetics are not recommended as they are only marginally effective and can cause sensitisation.