Neurodermatitis, also known as scratch dermatitis, is a skin condition characterized by chronic itching. Although neurodermatitis is not considered a serious condition, patients with the condition are plagued by cycles of itching and scratching. According to the Mayo Clinic, it's necessary to identify and remove factors that aggravate the skin in order to ensure successful treatment. Although neurodermatitis is usually triggered by insect bites or tight clothing rubbing against the skin, it can also be caused by anxiety and stress.
Antihistamines
Topical antihistamines known as low-sedative H1-antihistamines may be effective in treating neurodermatitis because they can suppress itch. Examples include mepyramine and diphenhydramine. In a 2003 article published in the Quarterly Journal of Medicine, lead author R. Tywcross warned that mepyramine can cause contact dermatitis and that its use "is best limited to a period of a few days." The author added that low-sedative H1-antihistamines are only available to relieve itch that's histamine-mediated. Oral anthistamines may also be helpful in relieving histamine-mediated itch.
Skin Lubricants
According to Family Practice Notebook, avoid creams containing dye or fragrance. In addition, when selecting a cream, consider moisturizer-trapping effectiveness. Family Practice Notebook says bland emollients such as mineral oil and petroleum jelly are most effective in trapping moisture into the skin.
Topical Corticosteroids
According to EczemaNet, topical corticosteroids are a mainstay in the treatment of neurodermatitis. Corticosteroids work by reducing inflammation and itch. Topical corticosteroids can vary widely in strength, from mild creams such as hydrocortisone and desonide to highly potent treatments including clobetasol propionate and betamethasone dipropionate. Seek advice from your doctor as to the most appropriate corticosteroid treatment.
Lifestyle Changes
Behavior modification and lifestyle changes can also help to break the itch scratch cycle associated with neurodermatitis. Keep fingernails short to avoid damaging the skin, and when possible, minimize contact with the cause of known irritants such as itchy clothing and allergens. In addition, EczemaNet says that soothing itchy and irritated skin with ice cubes is preferable to scratching. Wrap the affected area in light gauze to help discourage scratching.
