Published on September 5, 2019
How can myeloproliferative neoplasm (MPN) patients find relief for intolerable itching? During this Partners program highlight, expert Dr. Robyn Scherber and patient advocate Sue Waite discuss some medications used to manage pruritus. Dr. Scherber also explains how a person’s blood counts can influence this symptom. Watch now to learn more about management of this aspect of myeloproliferative disorder symptoms.
The Partners series is sponsored by Incyte Corporation. We thank them for their continued support. This organization has no editorial control and Patient Power is solely responsible for program content.
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Transcript | Managing MPN Symptoms: What Do Experts Recommend for Itching?
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What about what we call the pruritus, I think is what you call it, but what Sue is talking about, this intolerable itching? A lot of people have that, whether they wanted to take a shower and they have itching, or it just happens at other times.
Yeah, so, itching’s also kind of a complicated symptom. Sometimes, diphenhydramine (Benadryl), antihistamines, can help with itching. Also, there are things like hydroxyzine (Atarax) that can sometimes help with itching. Even some topical medications can sometimes help. The other thing to think about is how—especially if you have ET or PV and have itching—are how are the blood counts doing? Because often when the blood counts go too high, that can actually be a symptom of that.
And I have a fair amount of my PV patients that have horrible itching after showers. But once we get their blood counts under control—it’s usually when they first see me—they actually start to feel better. It gets more complicated in myelofibrosis. It seems to be that that itching doesn’t always respond as well and sometimes can be in the setting of low blood counts.
Sue, how’s it worked out for you? So, are you still having that problem?
Actually, in the last several years, it’s gotten better. And I don’t know if perhaps I started with PV and didn’t catch it before it turned into the myelofibrosis. And I take loratadine (Claritin) every day. That has helped some, the antihistamine.