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This is Dr. David
I am sorry about your rash.
the itching could be due to your hot flashes. medications like effexor could help
you can also try Allegra or Claritin or benadryl at night time and see if that helps.
you should get blood tests to check your thyroid hormone levels which can cause itching.
some medications can cause itching. what medications are you taking?
are you using moisturizers on your skin to help moisturize your skin?