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International guidelines are partly outdated and may not fully reflect country\u2010specific considerations. Our aim was to develop practice recommendations for the diagnosis and treatment of CPG. Twelve hospital\u2010 and practice\u2010based experts formulated recommendations following a standardized literature review and structured expert consensus process, with recommendations voted on until \u2265\u200975% agreement was reached. Recommendation levels were guided by the GRADE methodology but adapted to allow practical, differentiated guidance, including the additional \u201cCan be considered\u201d category. Recommendations address history taking, laboratory testing, biopsy, questionnaires, general measures, pharmacological and non\u2010pharmacological therapies. \u201cWe recommend\u201d applies to topical corticosteroids, narrow\u2010band ultraviolet B (NB\u2010UVB), dupilumab, and nemolizumab; \u201cWe suggest\u201d to topical calcineurin inhibitors, zinc oxide dressings, cryotherapy, intralesional corticosteroids, gabapentinoids, antidepressants, methotrexate, ciclosporin, \u03bc\u2010opioid receptor antagonists, Janus kinase inhibitors, and cognitive behavioral techniques; and \u201cCan be considered\u201d to capsaicin, ultraviolet A1 (UVA1), psoralen plus ultraviolet A (PUVA), and sedating antihistamines for sleep. No recommendation could be made for azathioprine, non\u2010sedating antihistamines, \u03ba\u2010opioid receptor agonists, retinoids, neurokinin\u20101 receptor antagonists, thalidomide, or lenalidomide. These recommendations provide comprehensive, up\u2010to\u2010date guidance for CPG, supporting clinicians in Switzerland and internationally.<\/jats:p>\n                  <jats:p>\n                    <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                      <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/ijd70533-gra-0001-m.png\">\n                        <jats:alt-text>image<\/jats:alt-text>\n                      <\/jats:graphic>\n                    <\/jats:boxed-text>\n                  <\/jats:p>","DOI":"10.1111\/ijd.70533","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:52:41Z","timestamp":1781841161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swiss Practice Recommendations for Chronic Prurigo Including Prurigo Nodularis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0200-4254","authenticated-orcid":false,"given":"Simon M.","family":"Mueller","sequence":"first","affiliation":[{"name":"Department of Dermatology University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8179-1793","authenticated-orcid":false,"given":"Helmut","family":"Beltraminelli","sequence":"additional","affiliation":[{"name":"Department of Dermatology Ente Ospedaliero Cantonale (EOC)  Bellinzona Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1225-7124","authenticated-orcid":false,"given":"Wolf\u2010Henning","family":"Boehncke","sequence":"additional","affiliation":[{"name":"Division of Dermatology and Venereology Geneva University Hospitals  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"B\u00f6hm","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8299-1746","authenticated-orcid":false,"given":"Antonio","family":"Cozzio","sequence":"additional","affiliation":[{"name":"Division of Dermatology and Allergology HOCH Health Ostschweiz  St Gallen Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"H\u00e4usermann","sequence":"additional","affiliation":[{"name":"Private Practice Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Jalili","sequence":"additional","affiliation":[{"name":"Dermatology &amp; Skin Care Clinic  Buochs Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3897-4578","authenticated-orcid":false,"given":"Antonios G. 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