I know that a lot of people are against medications but honestly after years of trying everything to no avail (apart from the temporary relief of ice packs), I asked my gp for amytriptiline. She gave me Nortryptiline and I take it every night. It was ordered as 10 mg but could be increased within a wk to 30mg. Finally I have Total Relief, It's awesome as I'm flying overnight to Australia to spend Christmas with my family and I was really dreading that flight and the holiday in general. Last year I was there and got what was like freezer burn from the ice pack and had a huge area of skin on my upper arm actually peel off and it was very sore and nasty. I wish everyone a very Merry Christmas and a Happy and hopefully itch free new year. (and Happy Hanukkah as well!)