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What Is Formication? Causes, Symptoms, and Treatment

Formication is a type of paresthesia, a sensation that feels like insects crawling on or under the skin. It can also be described as a sensation of pins and needles or prickling. The term “formication” is derived from the Latin word “formica,” which means ant.

Causes:

Formication can have various causes, including:

  1. Drug Use: Certain drugs, particularly stimulants like cocaine or amphetamines, can cause formication as a side effect.
  2. Withdrawal: During withdrawal from drugs or alcohol, individuals may experience formication as a symptom.
  3. Neurological Conditions: Some neurological conditions such as peripheral neuropathy, multiple sclerosis, and diabetic neuropathy can lead to abnormal sensations like formication.
  4. Psychological Factors: Psychological conditions like anxiety disorders or psychosis can sometimes manifest as formication.
  5. Menopause: Hormonal changes during menopause can also lead to sensations of formication in some women.

Symptoms:

The primary symptom of formication is the sensation of insects crawling on or under the skin. Other associated symptoms may include:

  • Itching
  • Burning sensation
  • Tingling or numbness
  • Anxiety or distress

Treatment:

Treatment for formication depends on its underlying cause. Some common approaches include:

  1. Addressing Underlying Conditions: Treating any underlying medical or psychological conditions that may be causing the sensation.
  2. Medications: Depending on the cause, medications such as antihistamines, antidepressants, or anticonvulsants may be prescribed to alleviate symptoms.
  3. Therapy: Cognitive-behavioral therapy (CBT) or other forms of psychotherapy may be helpful, especially if psychological factors are contributing to the sensation.
  4. Avoiding Triggers: If certain substances or activities trigger formication (such as drugs or alcohol), avoiding them can help manage symptoms.
  5. Topical Treatments: Applying soothing creams or lotions to the affected area may provide temporary relief from itching or discomfort.

It’s essential for individuals experiencing formication to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.