For patients itching is often the biggest problem and degrades the quality of life enormously. You should avoid scratching, and this is easier said than done. “How can I stop scratching when it itches so?” asked a patient.

  • Keep your fingernails cut very short, and stroke the itching area with the dorsal (top) side of the hand.
  • Cooling relieves the itching. You can use cool packs that you store in the refrigerator, but taking a cool to cold shower can also be very helpful. If you suffer from cold urticaria, you should of course avoid these measures.
  • Stirring half a cup of bicarbonate (e.g. baking powder) into cool bath water and bathing for 10 minutes can relieve the itching.
  • Rubbing the skin with vinegar water (one tablespoon of vinegar to one quart of water) can bring temporary relief.
  • Creams and gels containing antihistamines combine the local antihistaminic effect with a cooling effect.
  • A cream/lotion containing 5% to (maximum) 10% polidocanol, possibly with the addition of urea, can mitigate the itching quite effectively.
  • The use of onion or drops (curds)will hardly help.
  • Cortisone oinments have no effect on the itching.