Prurigo Nodularis
Natural Remedies

Natural Remedies for Prurigo Nodularis: Soothing Itchy Skin Naturally

| Modified on Mar 31, 2025
The comments below reflect the personal experiences and opinions of readers and do not represent medical advice or the views of this website. The information shared has not been evaluated by the FDA and is not intended to diagnose, treat, or prevent any disease or health condition. Always consult a qualified healthcare professional for medical concerns.
Ayurvedic Herbal Treatment
Posted by Rukhsana (Uk) on 11/04/2015
★★★★★

Editor's Choice

I was diagnosed with Prurigo Nodularis in November 2012.. Mainly on my upper back, elbows and buttocks. I've had all the steroid creams, antibiotics, doxycyline, doxipin, oxytetracycline from which I got temporary relief.. I've been to dermatologists twice ..had biopsy done, more steroid creams doxipin.. Two months ago I had a flare up, same cycle went back to drs.. This time I was given fluixillin (antibiotics) and predenisone (steroids) for a week. The sores healed up very quickly and itching went magically. After two weeks it came back with a vengeance and now it spread to my lower back and legs, scalp start peeling and all my private area .. With intensive itching day and all night. Now I got severe psoriasis and prurigo nodularis. Barely got 2 hours sleep. More steroid creams .. Its a vicious cycle...

I decided enough and rang my family who live in Pakistan.. My late grandfather was a well established herbalist (Ayurvedic). I cried and told them my situation and asked if they knew any cure .. They told me that they remember my uncle had it years ago and my grandfather treated him .

I was told to stop all chemically stuff and start on herbal treatment as this will cure it from the roots and will never return.. I was willing to try anything. I was asked to source an Ayurvedic named Gandhak (detoxified sulphur). I suggest you do your own research. It took me days to find a herbalist here in UK who sold it...and he confirmed my aunt's suggestion for treating this skin disease..apparently when I researched it further I discovered this is what homoeopaths give to their patients for skin conditions too but very low doses. So patients keep going back for ages. I've seen it in a well known British store in the homeopathic section.

I managed to get 250 grammes powder from UK. My aunt told me to take one level teaspoon in morning and one at night on an empty stomach with a cup of whole warm milk that should have a teaspoon of clarified butter mixed into it.. So I put the gandhak in my mouth it feels very dry as its powder and then I quickly drink milk over it (very important to take the milk mixture with it).. I was skeptical ..

I'm on day five and what a difference, everything is starting to dry up.. The itching is still there but I was told it would take while to go down and be patient.. I have never seen it healing so quickly in the 3 years. I'm amazed. So take it for 7 days then miss 4 days then 7 days miss 4 days keep repeating this pattern until it dies down.. Shouldn't need to take it more than 6 to 8 weeks.

I was also told to take a teaspoon of evening primrose oil in morning and teaspoon of blackseed oil at night as this moisturises your body from the inside.. So does the milk and butter mixture.

It's early stages but I can miraculously see it working.. My aunt said do not have a soak in the bath as this keeps the wounds seeping, instead have a bucket bath or shower Twice a day. Final rinse should be to put 2 caps dettol into a bucket and pour on yourself (this might not work for all its to help to reduce itching). If you've got it on your scalp then pour the dettol mixture from head to toe.

Come out of shower/bath then put evening primrose oil mixed with wheat germ oil and massage it in ... I'm so relieved and shocked at the difference its made...aunt told me to remember ayurvedic medicines take longer to work but get the disease from the roots unlike steroid creams tablets which are temporary and poison our bodies.. I've also been told to purify my blood from all the toxins I. Have taken in using medicines over these three years

.. It's called neem(from a neem tree)

I got neem powder boiled 50grammes in 300 grammes of water until it halved in consistency. Sieve this and take two tablespoon in morning and two at night with loads of water as it is the most bitterest thing I have ever tasted .. It takes some getting used to..but it purifies your blood is anti fungal, antibacterial etc ..so is the gandhak I hate taking this the neem its so bitter. But I'm going to persevere..

You are welcome to contact me through this post if I can help anyone I will and am willing to update my progress...

Please do your own research on gandhak and neem and take it at your own decision..

I felt I had to post this because of the suffering I've gone through over these three years and could see no end to it.. And hopefully it might help others.

Also lather yourself with mixture of equal amounts of mustard oil evening primrose oil , wheat germ oil and raw organic coconut oil.all over ..massage it well into the skin to keep it moist and to help with itching

Rukhsana

Castor Oil, Essential Oils
Posted by Sharcai (Columbus, Oh) on 12/10/2013
★★★★★

Editor's Choice

Pruigo Nodularis: A dear friend of mine has been plagued with itchy nodules for about a year and a half. The patch was about 3-4 inches wide and about 10 inches long. She'd tried several prescripton creams (steroids) and nothing helped for long. I looked at botanicals that helped others on EarthClinic and other websites and asked her if I could concoct a salve for her arm. She said she had nothing to lose! I used 3 Tbl. Castor oil as my base and added 5 drops each of three essential oils: Tea Tree, Oregano, and Lavender. I painted the lower half of her arm (that was our test area) and covered it with gauze. She left this on for about 4 hours. She said there was a noticable difference in that short amount of time--less inflamation, less itch. She continued to treat that area at least every other day. It's been about a month now and her lower arm is almost completely healed. Her upper arm, which was the worse patch of the two, and which she started to treat a little later, is considerably better. She said she doesn't have the insane itching any more. I hope this helps others who have this horrible skin condition.


Colloidal Silver
Posted by Allieb (Dublin, Ireland) on 06/20/2017
★★★★★

Editor's Choice

After 8 yrs with Pruigo Nodularis (PN) I finaly came across a list of the most effective Anti-Viral natural supplements. On the list was Ionised Colloidal Silver - water that been ionised with silver particles. It can be ingested and dabbed all over. I took a capful with I opened the bottle and dabbed the solution all over every few hrs.

After 24 hrs, the difference is amazing. This solution is used for burns and all skin problems. I posted this immediately, as I don't want anyone else to suffer with this, like I have.

Good luck.

Anti-Viral Medications
Posted by Amy (Florida) on 09/05/2015
★★★★★

I suffered with Prurigo Nodularis for 5 months. I was given steroids, shots, antibiotics. I found a forum in the UK that said to try Valtrex. I had sores all over my body. The first wk on Valtrex I saw fast healing, by 2 wks my face , back, chest, arms were clear. 4th wk legs almost clear the last thing to clear were my feet and they were awful looking. I suffered for so long and I have scars everywhere if only I took Valtrex first! I just want to spread the word! I took 2 500 mg a day for 4 wks. I hope I can help someone else.

Anti-Viral Medications
Posted by Anelissa (Brisbane) on 07/01/2015

I've now seen how this virus can move around in deep skin tissue. Every so often one gets trapped inside a hair follicle, along with other debris. The follicle swells up like several times its size. And the area inflamed and starts itching. Only a bit of rubbing action is enough for the follicle to snap off at its base, and the follicle with the gunk in the follicle enclosed like sausage meat, does a neat spiraling upward trick, whereby the two ends of it are pointy like pins and can dig their way back deeper into the skin. With or without rubbing , it positions itself so that it can bring its ends together and thereby seal itself like a circular tube, with the virus nicely protected inside it. The surrounding skin now itches a lot and very quickly the tube circle becomes harder and harder, beginning to form a plaque. The tube gets rock hard like finger nails. It takes weeks to pick it out even tho its so near the surface. To make matters worse, the tube contains keratin and whatever else making it a sticky Slough inside the well or centre area of the circle that is the tube. Anyhow, what the alcohol does is kill the virus, and that lowers the inflammation immediately. But to get satisfaction you still scratch around the area to pull bits of the hardened tube out. In the absence of medication that destroys this virus and its fortifications, it's unfortunate that It requires a gauging action to get the hard tube out. ETIOLOGY.my perspective.(above) Next: how I have eliminated the virus from my scalp.


Anti-Viral Medications
Posted by Barb G (Naples, Fl) on 06/17/2014
★★★★★

My PN started with 31 squamous cell cancers over a period of 3 years. Got rid of those with surgeries, radiation and scrape and burn. It stopped for a year after I took Soriatane for 4 months...had to stop that med because my hair started falling out. But no more cancers for a year. The next 7 biopsies came back as PN. I tried a lot of remedies I found in this forum. Got depressed and went to a psychiatrist who gave me amytriptoline and klonopin for the itching and depression. The next visit he said he researched PN and prescribed Valtrex as most of the PN was on major nerve lines and thought this might be a virus related to shingles. First 1000mg then 2000mgs per day the next month. Eureka! No new PNs and all the rest of the 39 I had are shrinking, drying out and turn white and peel off. Most are gone but the larger ones are white and peeling off.

I truly think this is viral. That's probably why tea tree oil helped some people.

As background...I also had MRSA from one of the squamous surgeries...and pseudemonas Aer...something after a MOHs surgery with a skin graft. One Doc gave me doxycycline IVs and I think Vancomycin for one of the infections. I noted several people online had MRSA and had one or two of these drugs. Maybe they set you up for PN...?

Another thing that helped was a chemo liquid for skin cancer called 5 FU...it only kills abnormal skin cells and helped stop the itching of PN and dried out the sores.

I recently had a painful reaction to the 5 FU on a fast growing bump. I had it biopsied and it was squamous cell cancer. This happened before I took the anti viral meds. A new dermatologist is going to try acutane next month for the prevention of any new cancers. I hope this helps someone.

Capsaicin Cream
Posted by Tothetune (Az) on 08/09/2018
★★★★★

Capsaicin Cream for Prurigo Nodulares

Complete remission going on 2 months. Did 2 rounds of capsaicin 0.05% (mixed 0.075 & 0.025) once or twice a day. First round (2 weeks of use) got 3 weeks remission then relapse. Used another 2 weeks then remission going on 2 months now. I had a severe case lasting a year and a half until I finally got a biopsy. Found capsaicin idea online (German study). Careful, don't get in eyes!!

Alcohol Treatment
Posted by Art (California ) on 10/13/2017 2451 posts

In reply to Mina (Spain),

You don't say how bad your mom's PN is, but the following abstract suggest that Capsaicin (the heat in chili peppers) can clear some cases. Having used capsaicin previously, I can tell you that you have to be very careful when using it that you wash your hands well after applying it to problem areas. I made the mistake of rubbing my eye because of a slight itch and it burned for quite awhile afterwards! In the study abstract, they used capsaicin that was .025 to .3%. Here in the states we have one commonly available strength level of capsaicin cream, .1%. Higher percentages are available by prescription.

https://www.amazon.com/Zostrix-Strength-Arthritis-Analgesic-Capsaicin/dp/B000F5IEK8?th=1

This is stronger than the lowest dose that was used in the study, but lower than the highest dose. It may be possible to dilute this product further by adding it to a basic cream if you want to get to the lowest dose used in the study. A pharmacist can help you find a basic cream as well as the capsaicin cream as well as mixing directions to dilute it down to the lowest study percentage (.025%) or you can look for this one:

https://www.amazon.com/Rugby-Capsaicin-0-025-Compare-Zostrix/dp/B0036ITNKQ

The higher the strength of the dose, the greater the chance to feel the burn of the capsaicin!

Art

J Am Acad Dermatol. 2001 Mar;44(3):471-8.

Treatment of prurigo nodularis with topical capsaicin.

Ständer S1, Luger T, Metze D.

Author information

Abstract

BACKGROUND:

Prurigo nodularis is an eruption of lichenified or excoriated nodules caused by intractable pruritus that is difficult to treat. Therefore the antipruritic efficacy of capsaicin seemed to be of particular interest because this alkaloid, extractable from red pepper, interferes with the perception of pruritus and pain by depletion of neuropeptides in small sensory cutaneous nerves.

OBJECTIVE:

The aim of this concentration- and regimen-ranging study was to evaluate the efficacy, safety, and practicability of capsaicin in the topical treatment of prurigo nodularis in a large series of patients.

METHODS:

A total of 33 patients with prurigo nodularis of various origins were selected to receive capsaicin (0.025% to 0.3%) 4 to 6 times daily for 2 weeks up to 10 months. The consecutive follow-up period was up to 6 months. In 7 patients, skin biopsy specimens were taken before, during, and after therapy and investigated histologically, immunohistochemically, and ultrastructurally.

RESULTS:

All 33 patients could be evaluated for efficacy. After cessation of the symptoms of neurogenic inflammation, such as burning sensations or erythema, all of them experienced a complete elimination of pruritus within 12 days. In addition, capsaicin largely contributed to the gradual healing of the skin lesions. After discontinuation of the therapy, pruritus returned in 16 of 33 patients within 2 months. At the ultrastructural level, no degenerative changes of cutaneous nerves could be found during or after capsaicin therapy. Depletion of substance P was demonstrated by confocal laser scanning microscopy thus confirming the specific effect of capsaicin in vivo.

CONCLUSION:

Topical treatment of prurigo nodularis with capsaicin proved to be an effective and safe regimen resulting in clearing of the skin lesions.

PMID:

11209117

DOI:

10.1067/mjd.2001.110059

[Indexed for MEDLINE]


Capsaicin Cream
Posted by Art (California ) on 07/03/2017 2451 posts
★★★★★

In reply to Linda (Texas),

Posted by Linda (Texas) on 07/02/2017

Trading ideas with other victims of prurigo... Sorry...no cure..... I have been suffering for nearly three years.. I have gone from a cheerful, busy commercial photographer to a mostly in 'my p.j.s depressed lady in her 70s.... I have worked with my primary care doctor, my dermatologist and my allergist trying to find some relief... and for me, I have accomplished a little but, want to share it... I take 2 Benadryl every morning, and more every six hours if I need them.. I find if I can just not begin to touch my skin as soon as I wake up, it is helpful... and the Benadryl does stop my itching. We tried 24 hr. anti- histamines for the itching, but,,,,,, about 7-10 hours later you begin to itch and you still have a lot of medication in your body so I take 2 Tylenol or 2 Bayer aspirins to stop the inflammation and the pain' I also have Tramadol with Tylenol if I need it for pain... so far I have not had to use it.

I live in S. Texas and I am exposed to the sun all the time.. I find it very irritating to my skin... not as a' feel better' idea. I also had my allergist with blood work, not skin patches, test for some allergies I may have in food and environment that could be irritating my prurigo infected skin and she found, citrus, ( which I was eating all the time), and tomatoes, as well as well as outside mold came up positive.. I am seeing her tomorrow because I have kept a journal of what I had eaten before a new outbreak... This is the best thing I have done... I have lowered the debilitating itching and pain somewhat.

I told my dermatologist that I knew this was not as interesting as treating and curing cancer or some other dread disease, but, that I did think it was treated just as skin sores...... I went on to explain to him, the depression, the shame ( yes, seeing yourself covered in sores has some sort of shame connected to it,,, at least by me... like a leper! ) it, the inability, especially for women to get dressed in regular clothes, bras, spanx, slacks, sweaters, etc is just short of torture... I did read that when one scratches their sores, it stimulates the nerves, as if they are being exererized and actually cause more pain in that area as time goes on.. I do have a great tube of medicine to put on the lesions.. it must have a wax base because it stays on and also cuts off air and prevents itching,,, it is fluocinide .05..... You may have some luck with it.. and lastly if I have an open lesions, I put an otc antibiotic ointment on them and they seem to heal more quickly.

I don't think any of you will disagree with me that your friends and family, just don't '''get ''' how a few sores can be so bad..... They have not lain in bed all night trying to find a distraction to keep from just crying out from pain. Do any of you ever feel like you have ants biting your sun broiled skin? I do.. I have never written about anything like this,,, and I don't pretend to know if any of these ideas help you.... and oh,,, be very careful with your soaps, gel, and shower supplies,,,,,,, use a s little as possible...and try to skip a shower once in awhile....and for goodness sake don't dry,,, just wrap a Egyptian cotton towel around you and '' air dry as you slather Cerave on your damaged skin.

Would love to have suggestions.. never heard of this stuff til I got it...."

Below is a link to an old and obscure abstract suggesting that capsiacin cream may have profound effects on people living with prurigo nodularis (PN). In the study it was found that all patients with PN who used topical capsaicin cream were able to eliminate pruritus within 12 days! From that point, gradual healing started. In the study, they used capsaicin cream that was 0.025% to 0.3%. By comparison, this cream is .01%:

This one is .1% :

https://www.walmart.com/ip/Zostrix-Hp-High-Potency-Topical-Analgesic-Cream-Arthritis-Pain-Relief-2-oz/10794756

Not to minimalize the effects of this cream, but I have tried it before and it felt like it was burning. You must be very careful when handling it also as you never want to have any on your hands and then rub an itchy eye!!! It's hot stuff to be sure, but if it can do what the abstract suggests, it may be worth the effort if you can handle the heat of it. Capsaicin is known to help ameliorate pruritis (itching), but sometimes I wonder if it is able to do that simply because it is so hot itself that the burning sensation just over powers the itchy sensation??

Here is the abstract:

J Am Acad Dermatol. 2001 Mar;44(3):471-8.

Treatment of prurigo nodularis with topical capsaicin.

Ständer S1, Luger T, Metze D.

Author information

Abstract

BACKGROUND:

Prurigo nodularis is an eruption of lichenified or excoriated nodules caused by intractable pruritus that is difficult to treat. Therefore the antipruritic efficacy of capsaicin seemed to be of particular interest because this alkaloid, extractable from red pepper, interferes with the perception of pruritus and pain by depletion of neuropeptides in small sensory cutaneous nerves.

OBJECTIVE:

The aim of this concentration- and regimen-ranging study was to evaluate the efficacy, safety, and practicability of capsaicin in the topical treatment of prurigo nodularis in a large series of patients.

METHODS:

A total of 33 patients with prurigo nodularis of various origins were selected to receive capsaicin (0.025% to 0.3%) 4 to 6 times daily for 2 weeks up to 10 months. The consecutive follow-up period was up to 6 months. In 7 patients, skin biopsy specimens were taken before, during, and after therapy and investigated histologically, immunohistochemically, and ultrastructurally.

RESULTS:

All 33 patients could be evaluated for efficacy. After cessation of the symptoms of neurogenic inflammation, such as burning sensations or erythema, all of them experienced a complete elimination of pruritus within 12 days. In addition, capsaicin largely contributed to the gradual healing of the skin lesions. After discontinuation of the therapy, pruritus returned in 16 of 33 patients within 2 months. At the ultrastructural level, no degenerative changes of cutaneous nerves could be found during or after capsaicin therapy. Depletion of substance P was demonstrated by confocal laser scanning microscopy thus confirming the specific effect of capsaicin in vivo.

CONCLUSION:

Topical treatment of prurigo nodularis with capsaicin proved to be an effective and safe regimen resulting in clearing of the skin lesions.

PMID:

11209117

[Indexed for MEDLINE]

Please keep us posted on your progress!

Art


Ayurvedic Herbal Treatment
Posted by Allison (Atlanta, Ga) on 03/22/2017
★★★★★

I ordered the Gandak from India. I started taking it only once a day for two weeks, but I did not take the milk and ghee... I thought it was too "complicated, " but when the disease goes on and on with no hope in sight, that is worse, so I advise those readers with prurigo to follow his advice exactly to a T.

My prurigo advanced and now is attacking my gums! It is sooo painful that I have made my own elaborate remedy, but I have to say that after putting everything together the Aruvedic way is much, much simpler!

My prurigo has improved, so here is my remedy:

1) drink a prebiotic every day to help the lactobacilus and bifidus bacteria outgrow the bad bacteria competing in your body. I immediately saw results when my coated tongue cleared up.
2) eat a slice of fresh aloe three times a day. This kills off candida which weakens your immune system and heals your intestines. It makes you regular, but it does not give you diarrhea. If you cannot get fresh aloe, you can order pills online.
3) Rub aloe on skin at least once a day, wherever there are nodules. If you don't have aloe, rinse with warm chamomile.
4) Then, drink at least one to three cups of chamomile tea, because it is a powerful cleanser.
5) And last, but not least, take homeopathy: Nitric acid 200x every other day or Lachesis 200x. It resolves that irritating stuff sitting under the skin. Washing it out with warm chamomile kills any bacteria.

So, I hope you can see why I should have stuck with the Aruvedic medicine. It has been around a lot longer than you and I! If you cannot get gandhak, you can try my method. I was going crazy, but I think I have healed 2/3rds of my nodules and I am looking forward to being node free! Whichever method you pick, stick to it religiously. It takes a long time to heal since your skin is your largest organ!

God promises that there is a cure for every illness. We just have to sleuth it out. The mistake I made over the years (11) was thinking that there was just one medicine for an answer. It isn't that simple. Good luck and never give up!


Capsaicin Cream
Posted by Art (California ) on 08/09/2018 2451 posts

It is also worth mentioning that you should thoroughly wash your hands after using as it lingers on the skin for quite awhile after you think it may have all rubbed off and if you were to touch your eyes hours later, you will wish you had washed your hands well because it will be like you got chilli pepper in your eyes because that is what it is derived from!

Art


Salt Baths, Sunlight
Posted by Mama To Many (Tennessee) on 08/27/2016

Dear Sophia,

Yes, valtrex is an antiviral drug.

If you are dealing with a chronic virus, you might consider extra virgin coconut oil. We have had amazing results using it for viruses. It sounds so simple but it sure does help.

I use 1 tablespoon three times a day for viruses. I once took it for a year for my low thyroid and it actually appeared to heal a different autoimmune disease I had. But if you are petite or prone to digestive problems, you could try 1 or 1 1/2 teaspoons three time a day.

I put it in my oatmeal for breakfast. I mix it into cooked vegetables. I mix it with blackstrap molasses and peanut butter to make a fudge.

You could try epsom salt baths or a magnesium supplement to help with stress.

There is a lot of information on this site. I encourage you to keep reading and be encouraged. I think that you can be helped with your condition!

~Mama to Many~


Capsaicin Cream
Posted by Marilynn (St Louis Mo) on 01/18/2018
★★★★★

I took advice found on this website after suffering w Prurigo nodularis for a year and half. Caipasin cream has worked wonders for my skin. This skin issue is like chicken pox but lesions are much larger.

Hydrogen Peroxide, Coconut Oil
Posted by Catherine M. (Greenock, Scotland) on 01/05/2018
★★★★☆

Since been diagnosed with Prurigo Nodularis I have tried the usual medication, I decided to try natural, so here is what I have been doing.

1 )clearing spots using Hydrogen peroxide 9% 30 vol. I use a earbud dipped in peroxide and dab each spot, this usually foams up and cleans out the spot ( the spot foams less as the spot heals ) . This can also help stop the itch. When doing this please cover your fingers with latex gloves etc as the bleach whitens the fingers, but this is painless and not long lasting

2) after cleaning out spots take coconut oil, take about a teaspoonful onto your hands, rub together to melt and proceed to massage onto where spots are. You can also use grape seed oil with camomile or lavender oil.

3) I found that I can use Apple Cider Vinegar on my scalp or skin if the itch is really bad.

4 ) it is really important to keep the skin supple and besides if you have plenty of oil or emollient so that if you do scratch it does less damage.

If by any chance I find something else I will get in touch.

There is one other thing I have done to keep myself calm and less anxious is I take some Kalms which is also natural.


Dakin's Solution
Posted by Chad (Georgia) on 08/08/2016

I'm very anti pharmaceuticals but this ongoing battle with NP would change even the hardest critic like myself if it worked. I've tried everything and was losing hope until I came across Dakin's Solution.

You can make it with 4 cups of water, 2 teaspoons of Baking soda and 1/4 cup of "regular" original bleach.

I use a water bottle to spray my legs and itching ceases immediately, the dark hype-rpigemented skin halo is returning to normal skin each week of use and the lesions are shrinking and drying up. Its incredible and highly suggest this as I literally tried everything from iodine, turmeric, 35%h202, glycolic acid, coconut oil, vicks, licorice extract, baking soda, apple cider vinegar, and much more.


Alcohol Treatment
Posted by Richard Murby (France) on 10/14/2015

Hello, I'd like to try this treatment, but I'm not sure what "Vodka brandy" is. Is it just a mixture of the two? or perhaps a type of clear brandy similar to the French "Eau de Vie" or the italian "grappa" ie, a spirit made from grape pulp after wine fermentation? I've tried to find it on the net, but all I come up with is a cocktail using a mixture of Vodka and Brandy.


Alcohol Treatment
Posted by Allison (Ga) on 11/25/2017

Mina, I have had it for 11 years too. None of the above treatments worked for me. Alcohol made it worse. Order homeopathic medicine Argentum Nitricum 30 online for your mother. Get her to take it three times a day. Eat it when you haven't just eaten or before or after coffee/tea to get the maximum effect. Argentum Nitricum is made from silver nitrate. It soothes the nerves that have been excited. Take the 30 dose for 3 months and then switch to Arg Nit 200 to take every other day or until you don't need it. You can order Emuaid to put on her skin to speed things up. I believe it has Arg Nit in it too. Eat whole foods. I do not eat gluten, bread, crackers, chips, pastries. That helped 60%.Then I gave up all milk products. I am healing! Once you heal, you can probably eat them. Goat's milk is a good replacement.


Anti-Viral Medications
Posted by Anelissa (Brisbane, AU) on 08/10/2014

The home remedies you list for Nodular Prurigo are pretty useless. In fact, sunlight made my rash worse. Doxycycline dispelled the erythema, but didn't overcome the NP.

I am glad for your webpage, because I was running out of ideas and one of your posters has led me to try Valtrex anti-viral medication, so I'm feeling very excited about this. My condition was misdiagnosed by at least 5 doctors and two specialist since January 2012, only 1 GP was adamant about NP. Finally a third biopsy in March 2014 came back with NP as per Pathology Lab result. Consider if this is a virus, how it may be transmitted via blood transfusion - I'm no expert in immunology, so it's more of a query than a caution. Number of cases of NP are springing up all around me. Just saying, if a virus, then we should be so lucky as to know of one anti viral med that was a success in the cure for NP. Regards Anelissa (pseudonym)


Anti-Viral Medications
Posted by Marguerite Tideman (Australia) on 11/01/2016

Anelissa from Brisbane - Thank you. This is the first time I have heard someone describe the same symptoms of this skin disease which first presented for me 3 years ago. I have never been able to explain to my GP exactly what this keratin type 'gunk' is inside the nodule, and you have described it perfectly. Even the way you say it needs removal before the lesion stops itching. Wish I could find a definitive explanation of this terrible skin disease.


Anti-Viral Medications
Posted by Art (California ) on 02/18/2018 2451 posts

Lisa,

I posted an abstract of a study on the subject of PN last year that showed very good results in the patients involved with that study. Hear is a copy of that post. Also below that post is a reply post from someone who read that post and also got good results this year! If you try it, I hope you have just as good results! I can see how you may have missed my original post, because some how my post has been somewhat displaced and the reply post actually appears well before my post. Hopefully EC can move those two posts around so that they actually make sense in relation to each other and for people such as yourself who are trying to find a remedy that works!

Art

:::::::::::::::::::::::::::::::::::::::::::::::::::::::

In reply to Linda (Texas),

Below is a link to an old and obscure abstract suggesting that capsiacin cream may have profound effects on people living with prurigo nodularis (PN). In the study it was found that all patients with PN who used topical capsaicin cream were able to eliminate pruritus within 12 days! From that point, gradual healing started. In the study, they used capsaicin cream that was 0.025% to 0.3%. By comparison, this cream is .01%:

This one is .1% :

https://www.walmart.com/ip/Zostrix-Hp-High-Potency-Topical-Analgesic-Cream-Arthritis-Pain-Relief-2-oz/10794756

Not to minimalize the effects of this cream, but I have tried it before and it felt like it was burning. You must be very careful when handling it also as you never want to have any on your hands and then rub an itchy eye!!! It's hot stuff to be sure, but if it can do what the abstract suggests, it may be worth the effort if you can handle the heat of it. Capsaicin is known to help ameliorate pruritis (itching), but sometimes I wonder if it is able to do that simply because it is so hot itself that the burning sensation just over powers the itchy sensation??

Here is the abstract:

J Am Acad Dermatol. 2001 Mar;44(3):471-8.

Treatment of prurigo nodularis with topical capsaicin.

Ständer S1, Luger T, Metze D.

Author information

Abstract

BACKGROUND:

Prurigo nodularis is an eruption of lichenified or excoriated nodules caused by intractable pruritus that is difficult to treat. Therefore the antipruritic efficacy of capsaicin seemed to be of particular interest because this alkaloid, extractable from red pepper, interferes with the perception of pruritus and pain by depletion of neuropeptides in small sensory cutaneous nerves.

OBJECTIVE:

The aim of this concentration- and regimen-ranging study was to evaluate the efficacy, safety, and practicability of capsaicin in the topical treatment of prurigo nodularis in a large series of patients.

METHODS:

A total of 33 patients with prurigo nodularis of various origins were selected to receive capsaicin (0.025% to 0.3%) 4 to 6 times daily for 2 weeks up to 10 months. The consecutive follow-up period was up to 6 months. In 7 patients, skin biopsy specimens were taken before, during, and after therapy and investigated histologically, immunohistochemically, and ultrastructurally.

RESULTS:

All 33 patients could be evaluated for efficacy. After cessation of the symptoms of neurogenic inflammation, such as burning sensations or erythema, all of them experienced a complete elimination of pruritus within 12 days. In addition, capsaicin largely contributed to the gradual healing of the skin lesions. After discontinuation of the therapy, pruritus returned in 16 of 33 patients within 2 months. At the ultrastructural level, no degenerative changes of cutaneous nerves could be found during or after capsaicin therapy. Depletion of substance P was demonstrated by confocal laser scanning microscopy thus confirming the specific effect of capsaicin in vivo.

CONCLUSION:

Topical treatment of prurigo nodularis with capsaicin proved to be an effective and safe regimen resulting in clearing of the skin lesions.

PMID:

11209117

[Indexed for MEDLINE]

Please keep us posted on your progress!

Art

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Capsaicin Cream

Posted by Marilynn (St Louis Mo) on 01/18/2018

I took advice found on this website after suffering w Prurigo nodularis for a year and half. Caipasin cream has worked wonders for my skin. This skin issue is like chicken pox but lesions are much larger.


Salt Baths, Sunlight
Posted by Louise (New York) on 03/21/2013
★★★★☆

Remedy for Prurigo Nodularis:

I have had this skin disease for years. The only thing that has worked for me is a combination of salt baths and sunlight. During the winter months, when I can't get to the beach, I put sea salt in my bath and soak in it. It clears up infected sores and dries them out and they form a crust which can be pumiced off with an emery board of callus pumice. It also helps to decrease the itching and therefore the scratching as well. When the weather gets warmer, I lie in the sun. Sun exposure is the best treatment. I have gone from approximately 200 sores on my arms and legs to about a dozen.

Colloidal Silver
Posted by Julie (Sc) on 10/12/2017
★★★★★

Silver has helped me too, I also use tea tree oil and cold pressed coconut oil along with it!


Alcohol Treatment
Posted by Anelissa (Brisbane) on 07/01/2015
★★★★★

A home remedy that inhibits nodular prurigo virus inside skin.

I am careful to write "inhibits" rather than kills, because my current experiment is just four to five days old, and can be considered as an effective treatment, not an actual cure until such time as when I might report that all of my lesions have gone and no further lesions form in the next three months. A friend gave me a bottle of vodka brandy after I told him I might try drinking a few Brandy Alexanders to see if any change occurs with my skin lesions. I barely drank any cos I am not really a drinker. So the bottle sat around for past four months. until four days ago when I decided to dab some on to my scalp where I had been plagued with recurring plaques for the third time inside two years. This last phase beginning last christmas til now.

To cut a long story short, I am overjoyed to be able to tell you that my scalp feels totally rejuvenated. there is still one tender spot to touch, but in the space of less than four days, all plaques are gone from my scalp and now I am dabbing the alcohol on the several spots on face plus a couple on left shoulder. After two days these areas already look so much better. also I bathe mob once a day. Use aveeno. One does still need to pick clean the area, but it works easier after annihilating the virus.

Anti-Viral Medications
Posted by Anelissa (Australia) on 08/10/2014

I just want to kiss you Barb G of Naples.

I have made an appointment with my doctor tomorrow to receive a script for Valtrex. Let you know how it goes.


Anti-Viral Medications
Posted by Valencia (Atlanta, GA) on 10/24/2014

Thank you so much for posting. I have been using a topical steroid for my Pruigo Nodularis and have developed severe skin damage -- yet another skin issue! I will talk to my doctor about Valtrex immediately. I have been taking Prednisone on and off for the last year and that provides temporary relief. As soon as I come off , I start the burning and itching again. I am also taking 150 mg of Imuran since the middle of August. I don't see any difference.


Anti-Viral Medications
Posted by Mama To Many (Tennessee) on 02/17/2018

Dear Lisa,

Elderberry and Olive Leaf are two great herbal antivirals. If you want to try an antiviral, one of them may be useful.

You might also consider Essiac Tea which helps a lot of chronic conditions.

~Mama to Many~


Salt Baths, Sunlight
Posted by Cathydinmo (Blue Springs, Mo, USA) on 04/11/2013

I've had Prurigo Nodularis 27 years now. I had read something interesting. Have or do any of you had throat or tonsil conditions?


Salt Baths, Sunlight
Posted by Susie (Linden, Mi) on 08/09/2017 1 posts

I have had this condition for many years now. I read another article that said that you can get this if you have thyroid problems. Well, the dermatologist and then also my regular doc, gave me some lotion to use on this. It started to help, the stopped working and it bleached my clothes. I have had to use a wide variety and it is not 100%. I found that hydrogen peroxide helps dry them up. Then, I have been using something called Manuka Oil, which I purchase on Amazon. Then, I get itchy from them being dry, so I use shea butter that I purchase from Amazon also. I fight with drying them up and the dryness. I am also going to try some of your remedies. They sound pretty plausible.


Wart Remover, Oregano Oil
Posted by Echosyn (Dallas, Texas) on 02/11/2019
★★★★★

Subject: Prurigo Nodularis Semi-Cure

I am a 71 yo Caucasian naturalist and ecologist in good health and about 10 pounds overweight with past history of MCS, Multiple Chemical Sensitivity, which is now under control.

Six years ago, a nodule started on my left forearm and became aggravating to the point that I went to a dermatologist who took a biopsy.

The diagnosis was Prurigo and no effective treatment was offered.

A week later the nodule began to reappear so I read all that I could find about Prurigo in the web and began to experiment.

Considering that Prurigo resembles warts, I softened the nodule with warm soapy water then shaved off the hard scab to reveal the live tissue and coated it with liquid wart remover that has the glass applicator.

I repeated the application for 2 days then shaved the area on the third day again and repeated the applications as before and again on the tenth day.

In 10 days the nodule was gone, the skin returned to normal and the nodule did not return.

But more nodules showed up on my left cheek and on each side of the nape of my neck. I repeated the process with those nodules and they too disappeared. I

learned from a trial that applying the wart remover without shaving off the hard callus first is ineffective.

Today there is a nodule 2 inches above my navel that will get the same treatment and I will report on the results.

A relevant note is that I have used Mediterranean Oreganum vulgare since 2000 in its various forms as fresh plant, whole leaf extract capsules with oil and oregano oil in dropper bottle. I have not had any other illnesses besides Prurigo and the nodules have shown up during periods that I have not used oregano oil for a several weeks. So I will henceforth continue a weekly maintenance with the oregano.


PN Triggers
Posted by Kate (Clearwater, Fl) on 02/13/2018
★★★★★

I have had Prurigo Nodularis for 5 years. Mine started about a month after I went to dermatologist over a spot on my left arm to check it it was skin cancer. They injected something in my skin with a needle to plump it up so it would be raised so they could scrape sample to send to lab. They froze it off after diagnosed as cancer spot. One month later that arm filled with the itchy sores all over, couple weeks later all over the other arm. Then about 3 weeks later I noticed 1 on left leg, sure enough that was the beginning of both entire legs front and back up to thighs. I was completely covered. Weird it started on arm I had biopsy and freezing of one small skin cancer.

Anyone else have a biopsy or freezing of skin cancer spot before your onset of PN?

PN Triggers
Posted by Kristy (Cleveland, Ohio ) on 09/10/2022
★★★★★

The positive reason for outbreak was because the the skin was injured during the biopsy, like for mind it all started with me knicking my ankle on a metal bed frame and it broke the skin just a bit, within a month I had a bump appear on my other ankle (PN USUALLY COMES SYMMETRICAL) now 8 years into it both my legs are covered, I go and get cortisol shots which help very little in all the nodules, I am also prescribed prednisone which works good but once you stop they all outbreak again! I'm still searching for some kind of help.



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