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13.3 TOPICAL LOCAL ANAESTHETICS AND ANTIPRURITICS

13.3 Topical Local Anaesthetics and Antipruritics
13.3 Topical local anaesthetics and antipruritics

     The underlying cause of the pruritus should be treated. Antipruritics are of limited value. 
     GREEN       Crotamiton cream 10%, lotion 10% (Eurax®)      
     GREEN       Menthol 1% in aqueous cream 500gram (Arjun®)    
 
     Facilitation of wound care, cleaning and suturing in A&E only 
     RED            Lidocaine 4%, adrenaline 0.1%, tetracaine 0.5% w/v gel (LAT gel®) 
                       (Unlicensed product. Approved for use in A&E Department only)  
 
     NICE TA890 Difelikefalin for treating pruritis in people having haemodialysis
     Difelikefalin is recommended, within its marketing authorisation, for treating moderate to severe pruritus in adults with chronic 
     kidney disease (CKD) having in-centre haemodialysis. Difelikefalin is only recommended if the company provides it according to 
     the commercial arrangement.                                                                                    NHS England Commissioned
     RED            Difelikefalin 50mcg/1ml solution for injection vails [Kapruvia]
 
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