What should be applied for itching from bedbug bites? - briefly
Apply a topical antihistamine or low‑strength hydrocortisone cream to the affected area, and consider an oral antihistamine (e.g., diphenhydramine) for additional relief. Use cool compresses to further soothe the skin.
What should be applied for itching from bedbug bites? - in detail
Bed‑bug bite irritation can be alleviated with a combination of pharmacologic and non‑pharmacologic measures.
Topical corticosteroids such as 1 % hydrocortisone cream or a higher‑strength prescription steroid reduce inflammation and suppress the itch response. Apply a thin layer to the affected area two to three times daily; avoid occlusion unless directed by a clinician.
Antihistamine creams containing diphenhydramine or doxepin provide localized relief by blocking histamine receptors. Use sparingly to prevent skin irritation.
Oral antihistamines—cetirizine, loratadine, or diphenhydramine—control systemic itching, especially when multiple lesions are present. Standard adult doses apply; adjust for pediatric patients according to weight.
Cold compresses (5–10 °C) for 5–10 minutes diminish swelling and numb the nerve endings, offering immediate but temporary comfort.
Calamine lotion or zinc oxide paste creates a protective barrier and dries exudate, decreasing scratching frequency. Apply after cleaning the skin with mild soap and water.
If the skin shows signs of infection—purulent discharge, increasing redness, warmth, or fever—seek medical evaluation. A physician may prescribe topical antibiotics (e.g., mupirocin) or systemic therapy (e.g., oral cephalexin) based on severity.
For individuals with severe hypersensitivity, a short course of systemic corticosteroids (prednisone 0.5 mg/kg/day) can be considered under medical supervision.
Non‑medicinal strategies include keeping nails trimmed, using gloves when applying creams, and employing distraction techniques (e.g., cold water immersion) to reduce compulsive scratching.
In summary, combine a low‑potency steroid or antihistamine cream with oral antihistamines, adjunctive cooling, and barrier ointments; monitor for infection and pursue professional care if symptoms worsen.