Sweet itch is an intensely itchy allergic skin condition in horses caused by insect bites, causing significant chronic suffering without appropriate management.
Sweet itch causes intense pruritus that severely impacts quality of life. Horses rub against any available surface, causing self-inflicted wounds. The itch-scratch cycle is self-perpetuating and distressing. Without management, affected horses lose condition, become reactive and unpredictable from discomfort, and develop chronic skin changes. Management requires a combination of fly rug use throughout the midge season, insect repellents, housing during peak midge activity and antihistamines or corticosteroids for acute flares. Owners of affected horses need clear, evidence-based guidance on the full range of management options.