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@beebe when I first started with the awful itching and associated pain, I messaged my dermatologist NP. She suggested dry skin. I messaged her a couple of days later and told her I felt like I was going crazy- couldn’t sleep, no relief, all the things that you experienced! She referred me to a dermatologist that is more specialized. She has been fantastic. In the meantime, I contacted my PCP. They communicated and put me on a regimen of Gabapentin 3x a day, Zyrtec 1-4x a day, Eucerine cream for damaged cream. My derm also suggested I try Biofreeze if there were areas that needed a little extra push. As crazy as that is, it helps!
When I couldn’t shake the extreme head fog and dizziness, I asked to be put on Lyrica, which my PCP did. A derm can’t do that because it’s controlled. I took it 2x a day. Last week I spoke with my derm and PCP and asked to cut it back. So now I take it only at night. I will occasionally take Zyrtec. It dries me out significantly, so I only take it when I really think I need it.
One thing I’ve learned through this and other issues is to ask to be referred to a specialist in the area of concern. My oncologist is fantastic, but his knowledge of some things is limited.
I’m sorry that was so long!! I hope it helped!

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Replies to "@beebe when I first started with the awful itching and associated pain, I messaged my dermatologist..."

@sherlie It sounds like you were fortunate in the referrals you got from your Dermatologist NP and that your PCP was willing to initially prescribe Gabapentin and then switch you to Lyrica. My PCP is more into referring than actual helping with an issue, I guess I can call her my referral hub!
My original rx for Gaba came from my oncologist, I was the first "itch" case he had in over 30 yrs of practice! Guess I am lucky he knew what to prescribe without referring me out of his practice.
Reduced my Gaba dose by 50mg this week and should know in another 4 days if the itch comes back. Crossing my fingers it does not. Then will wait 2 weeks and try another reduction. Thanks for the biofreeze tip, will keep that in mind if I get the itch again and have to wait for the Gaba dose to kick in.
Thanks for all of your help, it is reassuring to hear from you!