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Pharmacology of Itch (Hardcover, 2015 ed.)
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Pharmacology of Itch (Hardcover, 2015 ed.)
Series: Handbook of Experimental Pharmacology, 226
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Basic research on the pharmacology of itch has exploded in the wake
of two very influential papers that were published in Nature (2007)
and Science (2009). Long overlooked as a milder form of pain,
itching has rapidly gained a new appreciation in both research and
clinical communities because of its complexity and its negative
effects on the quality of life of the distressed patients. Like
pain, not all itches are the same. Unlike pain, there are no
standard drugs equivalent to aspirin and morphine. Epidemiological
studies emphasize the high incidence and economic costs of itch
(pruritus). It is the most prevalent symptom of a wide variety of
allergic and inflammatory skin conditions (e.g., psoriasis, atopic
dermatitis), is associated with several systemic diseases (e.g.,
chronic kidney and liver disease), and occurs in patients
undergoing hemodialysis, spinal administration of opioids, and in
those suffering from AIDS. The reader will learn about the multiple
pathways for itch and their interactions with pain. The
relationship between these closely related, yet distinct sensory
phenomena, will be emphasized. Both itch and pain use several
common molecules to send signals to the brain. Thus, drugs that
have been, and are being, developed as analgesics may also
attenuate intractable itch. This has been an exciting and very
necessary turn of events since traditional H-1 receptor antagonists
are ineffective in blocking the pruritus associated with kidney
failure and cholestasis. The clinical chapters will provide
insights into contemporary treatment regimens for pruritus in
different human scenarios.
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