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

Dermatol Ther. 2022 Jul;35(7):e15579. doi: 10.1111/dth.15579. Epub 2022 May 30.

Abstract

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.

Keywords: Ketotifen; Pregabalin; uremic pruritus.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Humans
  • Ketotifen* / adverse effects
  • Pregabalin / adverse effects
  • Pruritus / diagnosis
  • Pruritus / drug therapy
  • Pruritus / etiology
  • Quality of Life
  • Renal Dialysis / adverse effects
  • Uremia* / complications
  • Uremia* / diagnosis
  • Uremia* / therapy

Substances

  • Pregabalin
  • Ketotifen