Many have experienced frustration with lotions and concerns about side effects from steroid creams. My dermatologist prescribed a steroid for breakthroughs and recommended Sarna (2% menthol) for daily management. They didn't help. I've found that lotions with a high percentage of menthol can be very helpful. I started using Biofreeze (4%). Currently I'm using a generic "Ben Gay" knock off. It has 10% menthol and 30% salicylic acid. Smells horrible and stings a bit but it stops the itch quickly for 6 to 10 hours. Some may be concerned about the icy hot sensation, worrying that heat might make things worse. But menthol does not lower or raise the temperature of the body. It only sends messages to the brain of cold and hot sensations, fooling it and distracting it from the itch sensation. Works for me.