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. 2023 Jul 27;15(7):e42587. doi: 10.7759/cureus.42587

Table 1. Details of topical preparations available for management of uremic pruritus and xerosis.

CKD: Chronic kidney disease; VCO: virgin coconut oil; CKD-ap: chronic kidney disease-associated pruritus

S.No Author Year Intervention Findings
1 Okada and Matsumoto [16]       2004 Aqueous gel with high water concentration Aqueous gel with high water content should be recommended for CKD patients on hemodialysis, irrespective of itching.    
2 Young et al. [17] 2009 Pramoxin-based anti-itch lotion Pramoxine 1% lotion is safe and effective in reducing pruritus in ESRD patients on hemodialysis.
3 Balaskas et al. [18] 2011 Glycerin and paraffin Twice daily application of emulsion containing glycerin and paraffin was found to be effective in improving the dryness and scaling of the skin, uremic pruritus and quality of life.
4 Castello and Milani [19] 2011 Topical 10% Urea + dexpanthenol lotion  Ureadin Rx 10 lotion formulation is effective in the management of uremic xerosis and pruritus.
5 Aramwit et al. [20] 2012 Sericin Cream  Sericin cream significantly decreased the pruritus and pigmentation of the skin and improved the overall quality of life among CKD patients.
6 Feily et al. [21] 2012 Cromolyn Sodium 4% Topical preparation containing 4% cromolyn Na was more effective at reducing pruritus in 3rd and 4th week of its use than a placebo.
7 Lin et al. [14] 2012 Baby oil Baby oil (cool and at normal temperature) effectively manages CKD-associated pruritus by the moisturizing and cooling effect.
8 Karadag et al. [22] 2014 Baby oil Baby oil temporarily improved the itching and quality of sleep and life among CKD patients.
9 Nakhaee et al. [23] 2015 Avena sativa lotion and vinegar Avena sativa lotion and Vinegar can be used as a complement to hydroxyzine therapy for managing uremic pruritus.
10 Tricaesario  et.al. [24] 2016 Almond oil cream (4%) 4% Almond oil cream is a good skin moisturizer and is found to be effective in the decrease of uremic xerosis and pruritus.  
11 Elsaie et al. [25] 2017 Clove oil Clove oil is effective and more acceptable for managing uremic pruritus, especially for patients unsuitable for systemic therapy.
12 Jeong et al. [15] 2017 Chia Seed Oil 4% Chia seed oil after eight weeks of topical application improved skin hydration, licken simplus chronicus, and prurigo nodularis. Thus chia seed oil can be used to manage pruritic skin associated with CKD and other conditions.
13 Mokhtarabadi et.al. [26] 2017 Baby oil Baby oil with temperature variation did not affect pruritus severity but is a good moisturizing agent for the skin.
14 Mehri et.al. [27] 2018 Sweet almond oil Sweet almond oil, when applied topically, it significantly reduces uremic pruritus in CKD patients on hemodialysis patients with no complications.
15 Mehri et al. [27] 2018 Almond oil (sweet) Sweet almond oil, when applied topically, has shown improvement in uremic pruritus.
16 Khorsand et al. [28] 2019 Violet oil Violet oil massage is more effective in minimizing uremic pruritus than massage alone and can be a complementary therapy.
17 Aquino et al. [29] 2020 6% topical Gabapentin   Short-term use of gabapentin topically for two weeks may significantly decrease the severity of Uremic pruritus without any complications.
18 Saodah et al. [30] 2020 VCO Virgin coconut oil improves skin hydration and is useful for managing uremic pruritus.
19 Sadeghnejad et al. [31] 2021 Ostrich oil The ostrich oil can be used as a complementary therapy in reducing pruritus in hemodialysis patients, but no improvement in quality of life was recorded.
20 Muliani et al. [32]                2021  VCO VCO is better than olive oil in managing uremic pruritus and can be used as a nurse-led intervention.
21 Widyastuti et al. [33] 2021 Calcipotriol 0.005% ointment Calcipotriol ointment is more effective in managing uremic pruritus than a placebo, can be used as adjunctive treatment, and is safe for CKD-ap.