Pruritus Treatments, Topical Vasoconstrictors and Ectoparasites Flashcards
What are some non-pharmacologic interventions for pruritus?
Moisture, cold environment, no skin irritants and reduced stress
There are 6 topical therapies for Pruritus. Name them.
Calamine Menthol and Camphor Capsaicin Hydrocortisone Doxepin Pramoxine
MOA and effects of Calamine
MOA = unkown
- Calamine COOLs the skin
MOA for Menthol and Camphor
Activates TRPM8 sensor
What drugs for Pruritus can activate the TRPM8 sensor?
Menthol and Camphor
Effects of Menthol and Camphor?
- Activate the TRPM8 sensor
= COOLs skin
MOA for Capsaicin
Activates TRPV1 sensor
What drug for Pruritus can activate the TRPV1 sensor?
Capsaicin
Effects of Capsaicin
- Activates the TRPV1 sensor
= HEATs skin
Capsaicin is effective at treating?
Neuropathic itch
Hydrocortisone is a type of?
Corticosteroid
What does Hydrocortisone help to treat?
Inflammatory skin dermatoses
Doxepin is a type of?
Antihistamine
What does Doxepin help to treat?
Histamin-induced itching – ex. bug bites
Pramoxine is a type of?
Local anesthetic
What does Pramoxine treat?
Pruritus of the face that is associated with CKD
When treating pruritus, you should always start with what type of drugs?
HIGH potency to get the itching under control
When treating pruritus, you always start with HIGH potency UNLESS?
Treating the face, genitals or skin folds