Treatment Options for Pruritus in Seniors
It should be remembered that without the advice of a specialist to use any means to treat senile itching of the skin is unacceptable. A set of the following methods of treatment is given in order to familiarize with the overall picture of the disease and its elimination processes.
For more than thirty years, narrow-band or broadband ultraviolet therapy has been carried out to treat various dermatoses. This method allows you to avoid many of the side effects that occur when using pharmacological drugs and is preferable for the elderly. This therapy also solves the problems of physical and cognitive limitations, which can interfere with the treatment plan. This increases the risk of phototoxicity.
This group of drugs should be used with caution. In the treatment of pruritus, pregabalin and gabapentin are used. Although the mechanism of their action is not fully understood, in some cases positive results of this therapy are observed. It is possible that such a reaction arises due to the suppression by neuroleptics of the central itching pathways.
Menthol contributes to the cooling of the skin, which, as already mentioned, facilitates the condition of the patient with pruritus. At the same time, menthol does not affect body temperature.
Capsaicin has a positive effect on chronic, localized pruritic diseases, especially with their neuropathic origin. These include conditions of postherpetic neuralgia and brachioradial pruritus. Capsitocin should be used with caution due to a large number of known side effects (more than 15). The most common of these is burning, which can trigger a worsening of the condition, especially of an older person.
Salicylic acid can be used as a local for lichen-free skin lesions. This is most likely due to the inhibitory nature of its effect on prostanoids. It should be noted that oral preparations do not have a pruritic effect, except in cases of true polycythemia.
Moisturizing, emollient and protective creams
Creams that have a moisturizing, softening and protective effect are the basis for treating pruritus in the elderly. They eliminate one of the major symptoms of this disorder,I.e., dryness. These are not medications, they affect the skin, restoring its protective function, helping to avoid transepidermal loss of moisture and reduce the penetration of patches of scabies and other irritating elements into the body. Creams with low pH levels are very useful for restoring the skin barrier, as they have the ability to reduce the activity of serine proteases, such as mastocytic tryptases, which stimulate the protease-activating receptor 2 (Par2) of the nerve fibers of the skin. About Medicare Advantages at https://www.medicareadvantageplans2019.org: Otherwise mentioned as Medicare advantage plans, they can go parallel with Medicare since they assist the elderly pay for coinsurance, deductible, etc.