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Clonidine is a centrally acting alpha-2 adrenergic agonist used primarily for hypertension, ADHD, and off-label for pruritus. Trimeprazine is an antihistamine with sedative properties, used mainly as an antipruritic and sedative. The combination of clonidine and trimeprazine has been reported in case studies to provide dramatic improvement in refractory pruritus associated with atopic dermatitis[1][6]. Both drugs can have additive effects on lowering blood pressure, potentially causing dizziness or fainting[6]. This combination is not a standard or widely marketed product but may be used off-label under medical supervision.
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