Had some blood work done recently ALT:118, AST:127, Bilirubin:2.1, Total protein: 6.3, Anion gap16, HCV viral load 2714486, these are mainly liver functions I believe. The drugs am on are Anafranil 100 mgs day for OCD, Klonopin 1 to 2 mg a day for severe anxiety, then last but not on anymore was Ultram a pain med for my arthritis. I dropped the Ultram 4 weeks ago to give my liver a break ( I itch severe 24-7 ) have all the itch and rash remedies from a unsuccessful trial with peg, rib and telaprevir. I 1st thought the itching was from the Ultram withdrawals, but 4 weeks later? Can the hi Bilirubin be causing the itch and was being masked by the Ultram, or any suggestions. My health care providers do not have a clue.
First of all, if your doctor doesn't know that elevated bilirubin can cause intense itch, you need to find another one, and to do it soon.
Elevated bilirubin is a sign of serious liver damage. You need to see hepatologist or at the very least GI doctor.
I am very familiar with this kind of itch, because my husband had very high bilirubin a year ago. He was itching like crazy, especially at night. What helped him was Sarna lotion. You can get it in pretty much any drug store. I rubbed it all over him, and It really helped to relieve the itch.
I looked up the drugs that you take, and there is a serious problem with them. Klonopin is contraindicated at your stage of liver damage. Doses of Anafranil and Ultram should be as small as possible.
You need to consult experienced and caring physician who can help you to make changes to your drugs. There are other medications that can be used for pain/depression/anxiety, that are not so dangerous to the liver. For example, Paxil or Zoloft can take care of anxiety.
Glad that Sarna helped you a little. I am not sure about other topical analgesics. Benadryl doesn't help this itch. My husband got prescription for Wellchol-he tried it, but it didn't help at all, just made him weak and bloated. Both drug were taken by mouth, not topically.
I hope, hepatologist will suggest something for you. This itch is a serious problem.
Saw a Hepatologist finally and told me your bilirubin jumping from 0.5 to 2.6 in 1 year will cause severe itching, another thing is the cooler of my stools are greenish gray in color. Well low and behold he prescribed Ursodiol today. Two other doctors before said no way.
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