Usually, in late pregnancy, we encounter cases of intractable itching of the whole body. After excluding skin diseases, LFT (Liver function test) may be done to exclude cholestasis of pregnancy. If LFT is normal, tab Amitriptyline 10 mg, 1tab t.d.s. may be tried.

More studies in this area are required. Amitriptyline is a category C drug. It should be used after weighing the pros and cons of the particular case. What are the pros and cons of the use of Amitriptyline  for the management of intractable itching in pregnancy?