How Can I Stop Psoriasis From Itching?
The unrelenting itch of psoriasis can be debilitating, but effective relief is achievable through a combination of targeted topical treatments, systemic therapies, lifestyle adjustments, and careful attention to individual triggers. The key to stopping psoriasis from itching is a multi-pronged approach tailored to your specific needs.
Understanding the Psoriasis Itch: A Deeper Dive
Psoriasis is a chronic autoimmune disease that speeds up the growth cycle of skin cells. This rapid turnover results in thick, red, scaly patches known as plaques. The itch associated with psoriasis is a complex phenomenon involving inflammation, nerve sensitization, and the release of various inflammatory mediators, such as histamine and cytokines. Unlike a simple insect bite, the psoriatic itch is often deep, persistent, and can be severely aggravated by scratching, creating a vicious cycle.
Topical Treatments: Your First Line of Defense
Topical treatments are usually the first line of defense against psoriatic itch. These medications are applied directly to the affected skin and aim to reduce inflammation and slow down skin cell growth.
- Corticosteroids: These are powerful anti-inflammatory agents that can quickly relieve itching and reduce redness. They come in various strengths, and prolonged use of strong corticosteroids can lead to side effects like skin thinning.
- Calcineurin Inhibitors (Tacrolimus and Pimecrolimus): These medications suppress the immune system locally and are often used for sensitive areas like the face and skin folds, where corticosteroids may be too harsh. They have a lower risk of skin thinning compared to corticosteroids.
- Vitamin D Analogs (Calcipotriene): This medication slows down skin cell growth and reduces inflammation. It can be used alone or in combination with corticosteroids.
- Salicylic Acid: This helps to remove scales and soften the skin, making other topical treatments more effective.
- Coal Tar: Although it has a strong odor, coal tar can reduce inflammation and itching.
Systemic Therapies: When Topicals Aren’t Enough
When topical treatments fail to provide adequate relief, or when psoriasis is widespread, systemic therapies may be necessary. These medications work throughout the body to suppress the immune system and reduce inflammation.
- Methotrexate: An immunosuppressant drug that can effectively control psoriasis. It requires regular monitoring due to potential side effects.
- Cyclosporine: Another immunosuppressant drug that can provide rapid relief from psoriasis but is usually used for short-term treatment due to potential kidney toxicity.
- Biologics: These are genetically engineered drugs that target specific parts of the immune system involved in psoriasis. Examples include TNF-alpha inhibitors, IL-17 inhibitors, and IL-23 inhibitors. Biologics are often very effective but require careful screening and monitoring.
- Oral Retinoids (Acitretin): This medication slows down skin cell growth but can cause birth defects and requires strict contraception for women.
Lifestyle Modifications: Complementing Medical Treatment
Lifestyle modifications can play a significant role in managing psoriasis and reducing itch.
- Moisturize Regularly: Dry skin can exacerbate itching. Use a thick, fragrance-free moisturizer several times a day, especially after bathing.
- Avoid Triggers: Identify and avoid triggers that worsen your psoriasis, such as stress, certain foods, or specific medications.
- Take Lukewarm Baths: Hot water can dry out the skin and worsen itching. Add colloidal oatmeal or Epsom salts to the bath for added relief.
- Use Mild Soaps: Avoid harsh soaps and detergents that can strip the skin of its natural oils.
- Sunlight Exposure: Controlled exposure to sunlight can improve psoriasis, but it is important to avoid sunburn. Consult your doctor about appropriate sun exposure guidelines.
- Manage Stress: Stress can trigger psoriasis flares. Practice relaxation techniques such as yoga, meditation, or deep breathing exercises.
Common Mistakes: What to Avoid
Several common mistakes can worsen psoriatic itch and hinder treatment.
- Scratching: Scratching provides temporary relief but ultimately worsens inflammation and can lead to skin damage and infection.
- Using Harsh Products: Avoid harsh soaps, detergents, and perfumes that can irritate the skin.
- Ignoring Triggers: Failing to identify and avoid triggers can lead to frequent flares and persistent itching.
- Self-Treating Without Medical Advice: Psoriasis treatment should be supervised by a dermatologist to ensure safety and effectiveness.
Quick Relief: Immediate Strategies for Itch
While long-term management is crucial, immediate strategies can provide temporary relief from intense itching.
- Cold Compress: Applying a cold compress to the affected area can help numb the skin and reduce itching.
- Anti-Itch Creams: Over-the-counter anti-itch creams containing ingredients like menthol or calamine can provide temporary relief.
- Distraction: Engaging in activities that distract you from the itch, such as reading or watching TV, can help reduce scratching.
| Strategy | Description | Benefits |
|---|---|---|
| Cold Compress | Applying a cold pack wrapped in a cloth to the itchy area. | Numbing effect, reduces inflammation. |
| Anti-Itch Creams | Over-the-counter creams with menthol, calamine, or pramoxine. | Temporary relief from itching. |
| Oatmeal Bath | Soaking in a lukewarm bath with colloidal oatmeal. | Soothes and moisturizes the skin, reduces inflammation. |
| Moisturizing | Applying a thick, fragrance-free moisturizer regularly throughout the day. | Hydrates the skin, prevents dryness, and reduces itching. |
| Gentle Cleansing | Using a mild, fragrance-free cleanser when bathing or showering. | Avoids irritating the skin and exacerbating itching. |
Frequently Asked Questions (FAQs)
What are the best moisturizers for psoriasis to stop the itching?
The best moisturizers for psoriasis are thick, fragrance-free, and hypoallergenic. Look for ingredients like petrolatum, mineral oil, lanolin, and ceramides, which help to lock in moisture and protect the skin barrier. Avoid products containing alcohol or fragrances, as these can irritate the skin. Examples include CeraVe Moisturizing Cream, Eucerin Advanced Repair Cream, and Vanicream Moisturizing Skin Cream.
Can diet affect psoriasis and its associated itch?
While there’s no one-size-fits-all diet for psoriasis, some people find that certain foods can trigger flares and worsen itching. Common triggers include processed foods, red meat, dairy products, gluten, and alcohol. An anti-inflammatory diet rich in fruits, vegetables, whole grains, and healthy fats may help to reduce inflammation and improve psoriasis symptoms. It’s best to keep a food diary to help identify any personal triggers.
Are there any natural remedies to relieve psoriatic itch?
Several natural remedies may help to relieve psoriatic itch. These include aloe vera, apple cider vinegar (diluted), tea tree oil (diluted), and turmeric. However, it’s important to use these remedies with caution and to test them on a small area of skin first to check for any allergic reactions. Always consult your doctor before using natural remedies, especially if you are already using other medications.
How often should I moisturize my skin if I have psoriasis?
You should moisturize your skin at least twice a day, and more often if needed. Apply moisturizer immediately after bathing or showering, while the skin is still damp, to help lock in moisture. Reapply moisturizer throughout the day, especially to areas that are prone to dryness and itching.
What type of clothing should I wear to minimize itching?
Wear loose-fitting, soft, and breathable clothing made from natural fibers like cotton or silk. Avoid tight-fitting clothing or synthetic fabrics like wool or polyester, which can irritate the skin and worsen itching. Wash new clothes before wearing them to remove any potential irritants.
Can stress make psoriasis itch worse?
Yes, stress is a common trigger for psoriasis flares and can exacerbate itching. Managing stress through relaxation techniques, such as yoga, meditation, or deep breathing exercises, can help to reduce inflammation and improve psoriasis symptoms.
Are there any medications I should avoid that could worsen psoriasis?
Some medications can worsen psoriasis. These include beta-blockers, lithium, NSAIDs (nonsteroidal anti-inflammatory drugs), and antimalarial drugs. It’s important to inform your doctor about all medications you are taking, including over-the-counter drugs and supplements, so they can determine if any of them could be contributing to your psoriasis.
How can I protect my skin from the sun if I have psoriasis?
Controlled exposure to sunlight can be beneficial for psoriasis, but sunburn can trigger flares and worsen itching. Use a broad-spectrum sunscreen with an SPF of 30 or higher, and apply it liberally 15-30 minutes before sun exposure. Wear protective clothing, such as a hat and long sleeves, and avoid prolonged sun exposure during peak hours.
Is psoriasis contagious?
No, psoriasis is not contagious. It is an autoimmune disease that is not caused by an infection. You cannot catch psoriasis from someone else or spread it to others through skin contact.
How can I stop myself from scratching my psoriasis?
Breaking the itch-scratch cycle is essential. Try using cold compresses, applying anti-itch creams, or distracting yourself with other activities. Keep your nails short and smooth to minimize damage if you do scratch. Wearing gloves at night can also help prevent scratching while you sleep.
When should I see a doctor about my psoriasis itch?
You should see a doctor if your psoriasis itch is severe, persistent, or interfering with your daily life. You should also see a doctor if your psoriasis is not responding to over-the-counter treatments, or if you develop signs of infection, such as redness, swelling, or pus. A dermatologist can provide a diagnosis, recommend appropriate treatments, and help you manage your psoriasis. Seeking professional help is vital for effectively managing your condition and improving your quality of life.
Can psoriasis spread to other parts of the body?
Yes, psoriasis can spread to other parts of the body if left untreated or not managed effectively. It can appear on the scalp, nails, genitals, and other areas beyond the initial affected regions. Consistent treatment and management can help prevent its spread. How Can I Stop Psoriasis From Itching? By actively engaging in a comprehensive treatment plan, and actively managing your condition, you can dramatically reduce the spread.