Itching after mastectomy. Any suggestions?

Question

I had a mastectomy in August 2014. Last night for more than an hour and off and on today, I've had horrific itching sensations where I'm forever numb. I was brought to tears last night unable to 'scratch' the itch. Any advice for addressing this? I've had itching in the past but nothing like what I'm going through now. Thanks!

Vincent N. Zubowicz, MD · Answer

Most of the time itching can be controlled by topical or oral steroids, cool compresses, or antihistamines after surgery. In more significant cases neurologically active drugs like Neurontin may be used.

Richard J. Brown, MD · Answer

So for as far out as
you are from surgery it should not be wound healing itching. Rather it
sounds like the nerves are regaining function and you are having this
electrical sensations as the nerve is able to conduct signals again. There
are some medications that may help you that you will need a prescription for. I
would revisit your breast surgeon and discuss this
issue. Congratulations surviving you battle with breast cancer!

George Commons, MD (retired) · Answer

The standard preparations for contact dermatitis will not help you.  Your itching is neurogenic.   I would try Medrol Dose pack and see if it helps.   It may well not but its worth a try.   A drug that almost certainly will work is Neurontin or Gabapentin.  You will need to work with your doctor and see what is the correct dose.   Gabapentin is easily accepted by most people and after the first few days you function fine.  The dose is a little tricky.  I would start with 400 mg 3 x a day and go up or down from there.   Very high % chance this will help you.    It is not a cure but is a great help.    This drug I use frequently on my liposuction patients.

Itching after mastectomy. Any suggestions?

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Everything you need to know about Mastectomy

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Itching after mastectomy. Any suggestions?

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Everything you need to know about Mastectomy

Our mission is to create a world where every investment in modern beauty is Worth It.