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精神科药物、镇痛药和抗癫痫药在慢性瘙痒中的作用

The Role of Psychiatric, Analgesic, and Antiepileptic Medications in Chronic Pruritus.

作者信息

Patel Parth, Patel Keshav, Pandher Karan, Tareen Ruqiya Shama

机构信息

Dermatology, Lake Erie College of Osteopathic Medicine, San Diego, USA.

Internal Medicine, University of Illinois Chicago, Kalamazoo, USA.

出版信息

Cureus. 2021 Aug 17;13(8):e17260. doi: 10.7759/cureus.17260. eCollection 2021 Aug.

DOI:10.7759/cureus.17260
PMID:34522555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8425105/
Abstract

Chronic pruritus is a complex yet prevalent concern without a gold standard treatment. The mainstay therapy for chronic pruritus includes topical ointments such as corticosteroids, capsaicin, local anesthetics, antihistamines, and immunomodulators. There are many different subtypes of chronic pruritus, and each unique subtype may benefit from specialized treatments. This review article sheds light on the role of psychiatric, analgesic, and antiepileptic medications in chronic pruritus. We believe that further large-scale studies are needed to determine the true effectiveness of these medications in treating chronic pruritus.

摘要

慢性瘙痒是一个复杂但普遍存在的问题,目前尚无金标准治疗方法。慢性瘙痒的主要治疗方法包括外用软膏,如皮质类固醇、辣椒素、局部麻醉剂、抗组胺药和免疫调节剂。慢性瘙痒有许多不同的亚型,每种独特的亚型可能从专门治疗中获益。这篇综述文章阐明了精神科、镇痛和抗癫痫药物在慢性瘙痒中的作用。我们认为需要进一步的大规模研究来确定这些药物治疗慢性瘙痒的真正有效性。

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The Role of Psychiatric, Analgesic, and Antiepileptic Medications in Chronic Pruritus.精神科药物、镇痛药和抗癫痫药在慢性瘙痒中的作用
Cureus. 2021 Aug 17;13(8):e17260. doi: 10.7759/cureus.17260. eCollection 2021 Aug.
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A practical review and update on the management of pruritus sine materia.无明显皮肤损害性瘙痒症管理的实用综述与更新
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Mirtazapine for the Treatment of Chronic Pruritus.米氮平治疗慢性瘙痒症
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Psychiatric medications for the treatment of pruritus.用于治疗瘙痒症的精神科药物。
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本文引用的文献

1
Treatment Refractory Brachioradial Pruritus Treated with Topical Amitriptyline and Ketamine.外用阿米替林和氯胺酮治疗难治性肱桡肌瘙痒症
Cureus. 2019 Jul 10;11(7):e5117. doi: 10.7759/cureus.5117.
2
Mirtazapine for the Treatment of Chronic Pruritus.米氮平治疗慢性瘙痒症
Medicines (Basel). 2019 Jul 6;6(3):73. doi: 10.3390/medicines6030073.
3
Prurigo successfully treated with duloxetine hydrochloride.盐酸度洛西汀成功治疗痒疹。
Australas J Dermatol. 2019 Aug;60(3):237-239. doi: 10.1111/ajd.12996. Epub 2019 Jan 24.
4
The behavioral study on the interactive aggravation between pruritus and depression.瘙痒与抑郁的相互加重的行为学研究。
Brain Behav. 2018 Jun;8(6):e00964. doi: 10.1002/brb3.964. Epub 2018 May 1.
5
Psychogenic Pruritus and Its Management.精神性瘙痒及其管理
Dermatol Clin. 2018 Jul;36(3):309-314. doi: 10.1016/j.det.2018.02.015.
6
Selective serotonin reuptake inhibitors for the treatment of chronic pruritus.用于治疗慢性瘙痒的选择性5-羟色胺再摄取抑制剂
J Dermatolog Treat. 2018 Dec;29(8):812-814. doi: 10.1080/09546634.2018.1456639. Epub 2018 Apr 12.
7
Use of oral antidepressants in patients with chronic pruritus: A systematic review.慢性瘙痒患者使用口服抗抑郁药:系统评价。
J Am Acad Dermatol. 2017 Dec;77(6):1068-1073.e7. doi: 10.1016/j.jaad.2017.08.025. Epub 2017 Oct 21.
8
Efficacy of hydralazine and valproate in cutaneous T-cell lymphoma, a phase II study.肼屈嗪与丙戊酸盐治疗皮肤T细胞淋巴瘤的疗效:一项II期研究
Expert Opin Investig Drugs. 2017 Apr;26(4):481-487. doi: 10.1080/13543784.2017.1291630. Epub 2017 Feb 15.
9
Duloxetine for treating painful neuropathy, chronic pain or fibromyalgia.度洛西汀用于治疗疼痛性神经病变、慢性疼痛或纤维肌痛。
Cochrane Database Syst Rev. 2014 Jan 3;2014(1):CD007115. doi: 10.1002/14651858.CD007115.pub3.
10
Pruritus: management algorithms and experimental therapies.瘙痒:管理算法与实验性疗法
Semin Cutan Med Surg. 2011 Jun;30(2):127-37. doi: 10.1016/j.sder.2011.05.001.