Hello doctor, is lidocaine shaped cream safe to use for scalp? Can you wear it everyday? I am a trichotillomania sufferer, but I pull my hair out due to extreme severity, not because of stress or psychological factors … if my skin is not itchy I don’t pull hair … I’ve been to Dr. Skin before, and there really isn’t dandruff or any skin disease. , I have been given special medicine and shampoo but it still feels itchy …
Trichotillomania is an impulse control disorder characterized by an abnormally excessive desire to pull hair (head, eyebrows, pubic hair, armpits), to cause areas of bald hair (alopecia). Trichotillomania mental disorders are more often found in women than men.
Symptoms and signs of trichotillomania are:
An irresistible desire to pull out hair Anxiety that arises when not pulling hair Feeling relieved after pulling hair The bald area on the head, eyebrows This hair pulling activity interferes with the patient's daily life and the patient's social interactions with other people. stop this habit and find a solution The cause of trichotillomania is unclear but is thought to be an abnormal response of the patient to emotional stress (anxiety, fear) and the presence of hormonal and chemical imbalances in the brain, similar to other mental disorders namely obsessive compulsive disorder. The diagnosis of trichotillomania is based on the symptoms you convey, the history of the disease and treatment, as well as from a physical examination. Investigations such as skin scrapings may be done if a skin disease on the head is suspected, for example due to a fungal infection. Before making a diagnosis of trichotillomania, doctors first ensure there are no organic abnormalities on the scalp that cause these complaints.
Treatment of trichotillomania includes psychotherapy (behavioral cognitive therapy) to divert the mind to pluck hair with other activities. You can relieve stress by squeezing a ball or a hand muscle trainer; use a head covering so it is difficult to pull out hair; cut your hair short so it is difficult to pull out; wear gloves or tape on the fingers; exercise regularly. Treatment with antidepressant drugs can be effective when combined with psychotherapy.
For trichotillomania accompanied by itching (pruritus) therapy in the form of topical corticosteroids, topical calcineurin inhibitors, oral antihistamines, and topical anesthesia including lidocaine cream can provide benefits. Topical lidocaine in the form of a cream is a drug used as a local anesthetic. Generally topical lidocaine is used before minor surgery or for example hair removal to increase the sense of numbness / numbness / numbness in certain areas. Lidocaine cream can work 30-60 minutes, but it should not be applied to the area that has a wound. If you scratch the area that has been smeared with cream, the effect of the cream will not be good for reducing pain. The use of lidocaine cream can cause side effects such as tingling. The use of lidocaine cream should be avoided if there is a history of lidocaine allergy, there are sores on the skin area that will smeared with lidocaine, suffering from porphyria or G6 deficiency.
You can do further consultation about trichotillomania with a psychiatrist. Thus the explanation from me, hopefully useful.