Opioids · Pharmacology

What is the mechanism of the 'itching' or pruritus often felt by patients after an injection of Morphine?

  1. IgE-mediated allergic reaction
  2. Direct stimulation of pain fibers in the skin
  3. Activation of dopamine receptors in the hypothalamus
  4. Non-immunologic histamine release from mast cells
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Correct answer: Non-immunologic histamine release from mast cells

Morphine can cause direct, non-immunologic degranulation of mast cells, releasing histamine. This results in vasodilation (hypotension), bronchodilation (rarely), and significant itching, which can often be managed with antihistamines.

Difficulty: Medium Question 13 of 20

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