Pruritus

#

1. Look for underlying cause

2. Lab test:

    1. CBC, diff

    2. BUN, Cr

    3. AST, ALT, ALKP, BILL (T, D)

    4. TSH

3. Treatment

    1. Cap doxepin 25mg qhs #10

        1. or tab hydroxyzine 10 mg tds #20

        2. or lotion calamine topical tds

        3. or oint hydrocortisone 1%

    2. if due to cholestasis

        1. Sachet cholestyramine 4gr bid #30

        2. Cap ursobil 300mg 2tab bid #60