What to treat itchy bedbug bites with? - briefly
Use a low‑potency topical corticosteroid (e.g., 1 % hydrocortisone) together with an oral antihistamine such as diphenhydramine to reduce itching and inflammation.
What to treat itchy bedbug bites with? - in detail
Bedbug bite irritation can be alleviated with a step‑wise approach that begins with topical agents and progresses to systemic medication if needed.
First‑line topical treatments include:
- Hydrocortisone cream (1 %); apply to the affected area two to three times daily for up to seven days.
- Calamine lotion; spread thinly after washing the skin, reapply every four hours.
- Antihistamine ointments containing diphenhydramine; use sparingly to avoid skin sensitization.
If topical therapy does not control pruritus, oral antihistamines are appropriate:
- Cetirizine 10 mg once daily.
- Loratadine 10 mg once daily.
- Diphenhydramine 25–50 mg every six hours, limited to short courses because of sedation.
Prescription‑strength corticosteroids may be required for severe inflammation:
- Prednisone 10–20 mg daily for three to five days, tapering as symptoms improve.
- Topical clobetasol propionate 0.05 % applied twice daily for up to two weeks.
Adjunctive measures that support symptom relief:
- Cool compresses for 10–15 minutes, repeated several times a day, reduce swelling and itch.
- Gentle cleansing with mild soap and lukewarm water prevents secondary infection.
- Moisturizing ointments (e.g., petroleum jelly) maintain skin barrier integrity after inflammation subsides.
When to seek professional care:
- Persistent redness, warmth, or pus indicating bacterial infection.
- Worsening swelling, fever, or systemic allergic reaction.
- Inadequate response to over‑the‑counter and short‑term prescription regimens.
Effective management combines topical corticosteroids or antihistamines, oral antihistamines for systemic control, and vigilant skin care. Prompt escalation to a healthcare provider is essential if symptoms intensify or complications arise.