Table 2. Drugs that can cause pruritus.
Group of Drugs | Examples | Possible Mechanism |
---|---|---|
Antihypertensive Drugs | Calcium channel blockers | Xerosis, secondary to skin lesions |
Angiotensin receptor blockers | Cholestasis | |
Angiotensin-converting enzyme inhibitors |
Increase of bradykinin level | |
Beta blockers | Secondary to skin lesions | |
Hypolipidemic Drugs | Statins | Xerosis |
Plasma volume expanders | Hydroxyethyl starch (HES) | Deposition of HES in small peripheral nerves |
Neurologic | Opioids | Central blockade of μ-opioid receptor |
Antibiotics | Penicillins | Cholestasis or secondary to skin lesions |
Cephalosporins | Secondary to skin lesions | |
Sulfonamides | Unknown or secondary to skin lesions |
|
Antimalarials | Chloroquine | Unknown |
Anti-cancer | Ipilimumab | Secondary to skin lesions, unknown |
EGFR inhibitors | Xerosis, secondary to skin lesions | |
Bleomycin | Xerosis, secondary to skin lesions | |
Tamoxifen | Sebostasis, xerosis | |
Interferons | ||
Hormone modulators | Oral contraceptives | |
Androgens | Cholestasis | |
Anti-androgens | ||
Psychotropic | Lithium | |
Tricyclic antidepressants | Cholestasis | |
Antiepileptic | Fosphenytoin | Secondary to skin lesions, allergic reaction, unknown |
Lamotrigine | Secondary to skin lesions, allergic reaction, unknown |
|
Diuretics | Furosemide | Unknown or secondary to skin lesions |
Hydrochlorothiazide | Unknown or secondary to skin lesions |
|
Other | Non-steroidal anti-inflammatory | Increased synthesis of leukotrienes, cholestasis |
Penicillamine | ||
Aspirin | Mast cell degranulation | |
lodinated contrast medium | Allergic reaction, mast cell degranulation |