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Are we still scratching the surface? A case of intractable pruritus following systemic opioid analgesia.

AbstractThis article describes a case of severe opioid-induced pruritus following systemic morphine administration. Symptoms did not resolve after administration of antihistamines or rotation to fentanyl or hydromorphone, but oral oxycodone and small-dose intravenous naloxone did alleviate the patient's itching. The pathogenesis of opioid-induced pruritus and the rationale for opioid rotation are briefly discussed. Current and possible future therapeutic options are mentioned.
AuthorsDana Tarcatu, Cristina Tamasdan, Natalie Moryl, Eugenie Obbens (Affiliation: Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.)
JournalJournal of opioid management (J Opioid Manag) 2007 May-Jun Vol. 3 Issue 3 Pg. 167-70 ISSN: 1551-7489 United States
PMID18027543 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Analgesics, Opioid
  • Morphine
Topics
  • Adolescent
  • Analgesics, Opioid (administration & dosage, adverse effects)
  • Humans
  • Male
  • Morphine (administration & dosage, adverse effects)
  • Pain (drug therapy)
  • Pruritus (chemically induced)