A controlled trial of ondansetron in the pruritus of cholestasis.

Abstract:

BACKGROUND:In patients with pruritus of cholestasis, response to conventional drug treatment may be unsatisfactory. Activation of 5-hydroxytryptamine receptors on dermal sensory nerve-endings plays a role in the perception of pruritus. The 5-hydroxytryptamine(3) receptor antagonist, ondansetron, has been used in the treatment of pruritus of cholestasis, but there are few controlled data. AIM:To determine whether ondansetron is effective in treating the pruritus of cholestasis. METHODS:A total of 19 patients with resistant pruritus were randomized, double blind, to receive either ondansetron 8 mg or placebo as a single intravenous bolus, followed by oral ondansetron 8 mg or placebo twice daily for 5 days. Patients' perception of pruritus was recorded hourly using a visual analogue scale, and scratching activity measured by means of a piezo-electric crystal attached to the fingernail. RESULTS:Mean pruritus score using visual analogue scale and scratching activity were reduced on the first treatment day compared with baseline in both the ondansetron and placebo groups (P < 0.05), but there were no significant differences in mean pruritus perception or scratching activity between the two groups. CONCLUSION:Ondansetron was of no benefit in this group of pruritic patients during short-term treatment.

journal_name

Aliment Pharmacol Ther

authors

O'Donohue JW,Pereira SP,Ashdown AC,Haigh CG,Wilkinson JR,Williams R

doi

10.1111/j.1365-2036.2005.02430.x

subject

Has Abstract

pub_date

2005-04-15 00:00:00

pages

1041-5

issue

8

eissn

0269-2813

issn

1365-2036

pii

APT2430

journal_volume

21

pub_type

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