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Pruritus vulvae - Management
What symptomatic treatment can I offer?
- For all women with pruritus vulvae, consider prescribing:
- An emollient — advise the woman to apply the emollient directly to the vulval area throughout the day (as well as using it as a soap substitute).
- When used every day (even when there are no symptoms), an emollient protects the skin and may help to prevent flare-ups.
- For more information on prescribing emollients, see the section on Emollients in the CKS topic on Eczema - atopic.
- A sedating antihistamine at night, such as hydroxyzine (which is licensed for pruritus) or chlorphenamine (off-label indication) to reduce nocturnal itch and scratching.
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