=== ===

Itching Skin (Pruritus)

Itching is a feeling of the skin which induces scratching. By scratching, we replace the sensation of itch with the sensation of pain. It is an important symptom of many diseases of the skin and also of internal disorders. Because it induces scratching which can cause damage to the skin, it is important to give relief, but without damaging the irritable skin. The itching may be due to contact with wool, soaps, strong detergents, cosmetics, nettles or plants.

Insect bites, drug reactions, or skin disorders such as dermatitis, eczema, dry skin, tinea, prickly heat, hives, urticaria, winter itch or herpes zoster may also be a cause. Mental anxiety or stress may also be present. Internal disorders are occasionally present, such as blood, kidney, liver and thyroid disorders, diabetes, pregnancy or iron deficiency and these conditions should all be under medical supervision.

Both the cause and the symptom of itching need to be treated. For specific skin conditions see the details in each section.

Advice for the Patient

1. As with all skin conditions that involve pruritus, it is important to advise the patient not to scratch. Scratching can damage the skin
and introduce secondary infection to the area leading to a more complicated condition to treat.

2. The patient should be advised to avoid using soap as normal alkaline soaps will remove the skin’s natural acid protection against infection.

3. Remove any obvious cause if possible and avoid hot showers, electric blankets, overly warm clothing and wool.

4. Avoid hot drinks and spicy foods as these induce sweating and may worsen the itching.

Products to Help (Anti-pruritics, Soap Alternatives)

PINETARSOL SOLUTION
An anti-itch, anti-inflammatory and cleansing solution with a pH of 6.5, Pinetarsol Solution relieves itching and reduces inflammation. Bathing also helps to keep the skin and fingernails clean to reduce the risk of secondary infection caused by scratching. Add 15 - 30 mL to a warm to tepid bath (5 mL to a baby’s bath). Bathe for 5 - 10 minutes, once daily or more often in severe cases.

PINETARSOL BAR, PINETARSOL GEL
Pinetarsol Bar and Pinetarsol Gel are soap alternatives which can be used to cleanse the skin when ordinary soaps are contraindicated. Both Pinetarsol Bar and Pinetarsol Gel contain pine tar to relieve itching and reduce inflammation.

PINETARSOL BATH OIL
Pinetarsol Bath Oil is a non-greasy, water dispensable bath oil for the treatment of dry, itching, inflamed skin conditions. Containing pine tar, Pinetarsol Bath Oil reduces the inflammation and relieves pruritus. Pinetarsol Bath Oil also contains emollient oils to hydrate the skin. Due to the cleansing properties of Pinetarsol Bath Oil it may be used as a soap alternative. Add 15-30mL to a warm to tepid bath (5mL to a baby’s bath or hand basin) and bathe for 10 minutes once daily, more often in severe cases. Pat skin dry.

Products to Help (Topical Anti-inflammatories - Nonsteroidal)

EGODERM CREAM, EGODERM OINTMENT
Egoderm Cream and Ointment are mild anti-inflammatory products containing ichthammol. Egoderm Cream has an emollient base and is recommended for the treatment of dry, inflamed skin, particularly on the face and hands. Egoderm Ointment contains zinc oxide for added soothing and dimethicone for protection. Egoderm Ointment is recommended for use when the skin requires protection such as dribble rash or ano-genital pruritus. Egoderm products are suitable for all age groups. Apply to affected skin 3 times daily.

EGOPSORYL TA
EgoPsoryl TA is a non-staining tar gel for use as an aid in the control of intense itching when the skin is not inflamed. Apply 2 - 4 times daily after bathing with Pinetarsol Solution. For sensitive skin use Egoderm Cream for the first 7 days. Then apply EgoPsoryl TA over Egoderm Cream for 3 days. Then use EgoPsoryl TA alone.

Caution: Do not use on inflamed skin as alcohol base may sting.

Products to Help (Topical Anti-inflammatories - Hydrocortisone)

DERMAID™ 0.5% CREAM*
DermAid™ 0.5% Cream is a topical corticosteroid with anti-inflammatory and vaso-constrictive properties that’s suitable for the majority of skin types. It contains dissolved hydrocortisone in an occlusive base which provides increased skin penetration and enhanced effectiveness for treatment of red, itchy skin. DermAid™ also contains a moisturising element which helps prevent dry skin, and it’s lanolin and paraben-free to help avoid secondary allergic reactions. DermAid™ 0.5 Cream contains 0.5% hydrocortisone.

DERMAID™ 1.0% CREAM*
DermAid™ 1.0% Cream is a topical corticosteroid with anti-inflammatory and vaso-constrictive properties that’s suitable for the majority of skin types. It contains dissolved hydrocortisone in an occlusive base which provides increased skin penetration and enhanced effectiveness for treatment of red, itchy skin. DermAid™ also contains a moisturising element which helps prevent dry skin, and it’s lanolin and paraben-free to help avoid secondary allergic reactions. DermAid™ 1.0% Cream contains 1.0% hydrocortisone.

DERMAID SOFT™ 0.5% CREAM*
DermAid Soft™ 0.5% Cream has been formulated especially for people with sensitive skin. The essential difference with DermAid Soft™ is that the hydrocortisone is dispersed throughout it so that it gently penetrates the irritated skin. DermAid Soft™ is smooth and non-greasy. It’s easy to apply which also helps prevent further trauma, especially if skin is already tender and inflamed. The emollients in DermAid Soft™ moisturise and soften dry, inflamed skin, helping to restore its hydration and suppleness, as well as reducing skin roughness and encouraging the healing process. DermAid Soft™ 0.5% Cream contains 0.5% hydrocortisone.

DERMAID SOFT™ 1.0% CREAM*
DermAid Soft™ 1.0% Cream has been formulated especially for people with sensitive skin. The essential difference with DermAid Soft™ is that the hydrocortisone is dispersed throughout it so that it gently penetrates the irritated skin. DermAid Soft™ is smooth and non-greasy. It’s easy to apply which also helps prevent further trauma, especially if skin is already tender and inflamed. The emollients in DermAid Soft™ moisturise and soften dry, inflamed skin, helping to restore its hydration and suppleness, as well as reducing skin roughness and encouraging the healing process. DermAid Soft™ 1.0% Cream contains 1.0% hydrocortisone.

*DermAid Cream 1.0%, DermAid Soft Cream 1.0% and EgoCort 1.0%

Contraindications:
Known sensitivity to any of the ingredients. Chickenpox, herpes, other viral infections and other skin infections, otherwise concurrent antimicrobial therapy is required. Acne.

Dosage:
(DermAid Cream 1.0%) Apply a small amount to affected skin 1-2 times daily as required.
(DermAid Soft Cream 1.0%) Apply a small amount to affected skin 2-4 times daily as required
(EgoCort 1.0%) Apply a thin layer 1-2 times daily to the affected skin.