Q: Which antibiotic can be used to counter cholestatic
pruritus?
Answer: Rifampicin
Rifampicin can be used in the treatment of cholestatic pruritus.
Actual mechanism of action is not very clear though. First line therapy is
generally cholestyramine, a bile acid sequestrant. But if needed
Rifampicin can be used for patient's comfort.
Reference:
Hofmann, AF (2002). "Rifampicin and treatment of cholestatic
pruritus". Gut 2002;50:436–9 51 (5): 756–757.
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