Broadly, there are two main causes of pruritus.
The first is some type of skin condition which causes your skin to itch. For example, itching is a common symptom of many skin conditions such as eczema, psoriasis and hives.
In these cases, it’s usually accompanied by a rash and some mild inflammation, cracking or redness of the skin.2 In older people over 65, pruritus is frequently caused by having very dry skin. In cases such as these, treating the skin condition, such as with a moisturising cream, will stop the symptoms of itching.
The second cause of pruritus is an underlying health condition. This can be trickier as the skin usually won’t appear red or inflamed, unless it’s as a result of your scratching.
Thyroid or kidney problems can lead to skin itching in the absence of a skin condition, so make sure you get a thorough check-up with your GP if you’re experiencing itchy skin without any apparent skin disorder. Also, certain medications can lead to pruritus, for example opioids and anti-hypertensive drugs.3
Coming into contact with an irritant chemical can also cause an itch, especially if you have sensitive skin. There are many common irritants you might encounter on a daily basis, such as soap, shower gels, bath foam, even laundry detergent you use to wash your clothes.