Hello, You have been taking Atarax for your skin problem, every night (you have not mentioned the dose). You should always take medicines strictly according to the doses that are prescribed by your treating physician / dermatologist. Any medicine taken for a along period in doses not safe for the system will cause side effects. Long term use may cause dry mouth, tremor, convulsions, cardiac problems, etc. Take Atarax only when required. Avoid getting dependent on it. To control your symptoms you are suggested to avoid taking high carbohydrate diet, sugars, refined flour. If diabetic control your blood glucose levels at all cost. Maintain your hygiene, clean your skin daily with antibacterial soap and water. Avoid the use of chemical based body lotions, soaps and detergents. Take unprocessed food, avoid packaged food. Take more of plant based food rich in vitamin A, vitamin C, zinc, etc. You can also take supplements though. Restoration of deficiency helps reduce skin conditions and gives relief. You should avoid alcohol, dairy products, certain sea food that trigger allergy, acidic food, red meat, etc. Do regular exercises, lose weight if overweight. To get relieve from itching you can apply a thin layer of hydrocortisone ointment in the area affected. Applying cream pimecrolimus (Elidel) or the ointment tacrolimus (Protopic) may be useful. Applying witch hazel also works well. You can also apply aloe vera gel to reduce itching and inflammation. If it is resistant you should consult a Dermatologist. You may be recommended treatment with oral steroids, immuno suppressant medicines or phototherapy. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician