Ice packs are your friend...

One thing I started with the first round of PUPPPs was keeping a small cooler of ice packs by my bed at night. It was the only thing that would calm the itch when it woke me up. This way I'd be able to go back to sleep faster and get longer chunks of sleep at night. I slept with it there long after the itch was bearable at night, like a security blanket. I recommend at least 5 ice packs to make it through the night. 

Here are a few that I really liked. 

This one is made of clay and had a nice elastic strap to keep it in place after you fall asleep with it on. It stays cold reasonably well.

(Click here for the Amazon link.)

This guy isn't the longest lasting, but I liked that you didn't need to wrap it in a towel. It is also very flexible. 

(Click here for the Amazon link.)

Now, this sucker lasts a LONG time. Rock hard after hours. But it isn't flexible like the others, and you will need to have something between it and your skin, so keep that in mind. Even if you don't use in on your rash, it will keep your cooler super chilly so that your other ice packs are plenty cold in the wee hours of the morning. 

(Click here for the Amazon page.)

I can't over-emphasize what a difference this method made for my sleep! No getting out of bed to take cold showers. No getting out of bed at all! I'd only wake up long enough to crack the cooler lid and slap on an ice pack. Having nursed 3 babies through the night til 10 months old, I can say it's a rather similar amount of sleep. (Not that you need practice at sleep deprivation!!) But sleep equals sanity, and sanity is something all PUPPPs sufferers need in giant helpings! Wishing you all better sleep!