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Palliative cancer care - malignant ulcer of the skin - Management
How should I manage itch?

  • Seek advice from a palliative care specialist if itch is a problem, as it is difficult to treat. Treatments which may be considered in a specialist setting include:
    • TENS (transcutaneous electrical nerve stimulation).
    • Paroxetine.
    • Topical corticosteroids — if the skin around the ulcer is red and scaly, and irritation caused by other preparations being applied to the wound and fungal infections have been excluded.
  • Antihistamines are not recommended.

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