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Information Journal Paper

Title

LOW-DOSE DOXEPIN FOR TREATMENT OF PRURITUS IN PATIENTS ON HEMODIALYSIS

Pages

  34-37

Abstract

 Introduction: PRURITUS is one of the frequent discomforting complications in patients with END-STAGE RENAL DISEASE. We prospectively evaluated the effectiveness of DOXEPIN, an H1-receptor antagonist of histamine, in patients with PRURITUS resistant to conventional treatment. Materials and Methods: A randomized controlled trial with a crossover design was performed on 24 patients in whom other etiologic factors of PRURITUS had been ruled out. They were assigned into 2 groups and received either placebo or oral DOXEPIN, 10 mg, twice a day for 1 week. After a 1-week washout period, the 2 groups were treated conversely. Subjective outcome was determined by asking the patients described their PRURITUS as completely improved, relatively improved, or remained unchanged/worsened. Results: Complete resolution of PRURITUS was reported in 14 patients (58.3%) with DOXEPIN and 2 (8.3%) with placebo (P<.001). Relative improvement was observed in 7 (29.2%) and 4 (16.7%), respectively. Overall, the improving effect of DOXEPIN on PRURITUS was seen in 87.5% of the patients. Twelve patients (50.0%) complained of drowsiness that alleviated in all cases after 2 days in average. One patient refused to continue the treatment due to its sedative effect. Conclusions: We suggest that DOXEPIN, a tricyclic antidepressant with anti-H1 receptor effect, can help improve PRURITUS resistant to antihistamines in END-STAGE RENAL DISEASE patients who undergo hemodialysis. A low dose of DOXEPIN is safe while effective and its main adverse effect, drowsiness, is temporary and can be easily tolerated by the patients.

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    APA: Copy

    POURREZA GHOLI, F., NASR ELAHI, A.R., FIROUZAN, A., NASLI ESFAHANI, E., & FAROKHI, FARHAT. (2007). LOW-DOSE DOXEPIN FOR TREATMENT OF PRURITUS IN PATIENTS ON HEMODIALYSIS. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 1(1), 34-37. SID. https://sid.ir/paper/308699/en

    Vancouver: Copy

    POURREZA GHOLI F., NASR ELAHI A.R., FIROUZAN A., NASLI ESFAHANI E., FAROKHI FARHAT. LOW-DOSE DOXEPIN FOR TREATMENT OF PRURITUS IN PATIENTS ON HEMODIALYSIS. IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2007;1(1):34-37. Available from: https://sid.ir/paper/308699/en

    IEEE: Copy

    F. POURREZA GHOLI, A.R. NASR ELAHI, A. FIROUZAN, E. NASLI ESFAHANI, and FARHAT FAROKHI, “LOW-DOSE DOXEPIN FOR TREATMENT OF PRURITUS IN PATIENTS ON HEMODIALYSIS,” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 1, no. 1, pp. 34–37, 2007, [Online]. Available: https://sid.ir/paper/308699/en

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