H. Schworer et G. Ramadori, CHOLESTATIC PRURITUS - PATHOPHYSIOLOGY AN D THERAPY WITH SPECIAL CONCERN ON ITS TREATMENT WITH 5-HYDROXYTRYPTAMINE SUBTYPE-3 RECEPTOR ANTAGONISTS, Zeitschrift fur Gastroenterologie, 33(5), 1995, pp. 265-274
Our current knowledge about the pathophysiology of pruritus (itch) is
summarized. Special concern is given to the hypotheses to explain itch
due to cholestatic liver diseases (bile acids, generation of hepatic
and intestinal pruritogens, endogenous opioids). Drugs used for the tr
eatment of cholestatic itch are discussed in detail. On the basis of s
uccessful treatment of cholestatic itch with 5-hydroxytryptamine (sero
tonin) subtype-3 receptor antagonists the role of serotonin in nocicep
tion is discussed.