Comparison of Pregabalin and Ketotifen in treatment of uremic pruritus in hemodialysis patients.

Najmeh Shamspour, Mahin Aflatoonian, Maryam Khalili, Mohsen Seifi, Maryam Mousavi, Jalal Azmandian, Saman Mohammadi, Batoul Khoundabi, Elahenaz Parsimood, Azadeh Mohebbi

Dermatologic therapy 2022 Jul

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This study aims to compare the efficiency of Pregabalin and Ketotifen in treatment of uremic pruritus in hemodialysis (HD) patients. Thirty HD patients were randomly divided into two groups: A (Pregabalin 50 mg three times a day) and B (Ketotifen 1 mg twice a day). Efficacy of treatment and quality of life were weekly evaluated by visual analogue scale (VAS) and Itchy Quality of life, respectively. There was no significant difference between the two groups regarding demographic features, laboratory data, quality of life, and VAS before treatment. In the second week of treatment, the pruritus intensity was significantly lower in the Pregabalin group than the Ketotifen group (p = 0.026). The mean of life quality was significantly lower in Ketotifen than Pregabalin group in weeks 1, 2, and 4 (p = 0.001, p = 0.001, and p = 0.036, respectively). There was no significant difference between the two groups regarding the side effects of drugs. This study showed that a higher dose of Pregabalin could be a more effective treatment than Ketotifen without additive side effects in improving the quality of life in dialysis patients. © 2022 Wiley Periodicals LLC.

Citation

Najmeh Shamspour, Mahin Aflatoonian, Maryam Khalili, Mohsen Seifi, Maryam Mousavi, Jalal Azmandian, Saman Mohammadi, Batoul Khoundabi, Elahenaz Parsimood, Azadeh Mohebbi. Comparison of Pregabalin and Ketotifen in treatment of uremic pruritus in hemodialysis patients. Dermatologic therapy. 2022 Jul;35(7):e15579