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Gut 2003;52:1233-1235; doi:10.1136/gut.52.9.1233
Copyright © 2003 BMJ Publishing Group Ltd & British Society of Gastroenterology.

LEADING ARTICLE

Capsaicin and menthol in the treatment of itch and pain: recently cloned receptors provide the key

P Anand

Correspondence to:
Correspondence to:
P Anand, Peripheral Neuropathy Unit, Imperial College London, Hammersmith Hospital, Du Cane Road, London W12 ONN, UK;
p.anand{at}imperial.ac.uk

Topical capsaicin is reported to be an effective treatment for idiopathic intractable pruritis ani. While both capsaicin and menthol application produce a transient perianal burning sensation, only capsaicin relieves itching. Classical observations on functional desensitisation of nociceptors by capsaicin may explain the beneficial effects but the recent discovery of a range of receptors which respond to capsaicin, menthol, and temperature, and their expression in subsets of sensory nerve fibres, provides an exciting prospect towards advancing our understanding and treatment of sensory dysfunction.

Keywords: itch; pain; capsaicin; menthol; sensory receptors

Abbreviations: NGF, nerve growth factor; VR1, vanilloid receptor 1


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Relevant Article

Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study
J Lysy, M Sistiery-Ittah, Y Israelit, A Shmueli, N Strauss-Liviatan, V Mindrul, D Keret, and E Goldin
Gut 2003 52: 1323-1326. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Yesudian, P. D., Wilson, N. J. E. (2005). Efficacy of Gabapentin in the Management of Pruritus of Unknown Origin. Arch Dermatol 141: 1507-1509 [Full Text]  

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