Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9087410 | Journal of Pain and Symptom Management | 2005 | 4 Pages |
Abstract
Severe pruritus is a frequent complication of cholestasis. Both serotonin and opioids play an important role in the development of this symptom. Guidelines to provide rational management of pruritus of cholestasis do not exist. We describe a patient with complex and malignant course of pruritus. She responded to several measures proposed (among other naltrexone), but rapily became tolerant to them. Buprenorphine with an ultra low dose of naloxone was able to control her symptoms without development of tolerance until her death.
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Authors
Zbigniew MD, PhD, Neeltje MD, MaÅgorzata MD,