If nighttime itching is a problem, then prescribing a sedating antihistamine such as Benadryl (diphenhydramine) or Atarax (hydroxizine) may be appropriate.
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Trek to Teach is a nonprofit organization that sends fluent English speakers to teach in Nepal near the Himalayas.
In addition to teaching, Trek to Teach strengthens local communities by helping schools build infrastructure, paint their classrooms, and find furniture.
This flare-up is often due to a bacterial or fungal infection in the skin, and topical and/or oral antibiotics or antifungal creams may be needed.