TY - JOUR
T1 - Therapeutic Strategies for Cancer Treatment Related Peripheral Neuropathies
AU - Pachman, Deirdre R.
AU - Watson, James C.
AU - Loprinzi, Charles L.
N1 - Publisher Copyright:
© 2014, Springer Science+Business Media New York.
PY - 2014
Y1 - 2014
N2 - Chemotherapy-induced peripheral neuropathy (CIPN) is a common toxicity associated with multiple chemotherapeutic agents. CIPN may have a detrimental impact on patients’ quality of life and functional ability, as well as result in chemotherapy dose reductions. Although symptoms of CIPN can improve with treatment completion, symptoms may persist. Currently, the treatment options for CIPN are quite limited. Duloxetine, a serotonin-norepinephrine reuptake inhibitor, has the most evidence supporting its use in the treatment of CIPN. Other agents with potential benefit for the treatment of established CIPN include gabapentinoids, venlafaxine, tricyclic antidepressants, and a topical gel consisting of the combination of amitriptyline, ketamine, and baclofen; none of these, however, has been proven to be helpful and ongoing/future studies may well show that they are not beneficial. The use of these agents is often based on their efficacy in the treatment of non-CIPN neuropathic pain, but this does not necessarily mean that they will be helpful for CIPN-related symptoms. Other nonpharmacologic interventions including acupuncture and Scrambler therapy are supported by positive preliminary data; however, further larger, placebo-controlled trial data are needed to confirm or refute their effectiveness.
AB - Chemotherapy-induced peripheral neuropathy (CIPN) is a common toxicity associated with multiple chemotherapeutic agents. CIPN may have a detrimental impact on patients’ quality of life and functional ability, as well as result in chemotherapy dose reductions. Although symptoms of CIPN can improve with treatment completion, symptoms may persist. Currently, the treatment options for CIPN are quite limited. Duloxetine, a serotonin-norepinephrine reuptake inhibitor, has the most evidence supporting its use in the treatment of CIPN. Other agents with potential benefit for the treatment of established CIPN include gabapentinoids, venlafaxine, tricyclic antidepressants, and a topical gel consisting of the combination of amitriptyline, ketamine, and baclofen; none of these, however, has been proven to be helpful and ongoing/future studies may well show that they are not beneficial. The use of these agents is often based on their efficacy in the treatment of non-CIPN neuropathic pain, but this does not necessarily mean that they will be helpful for CIPN-related symptoms. Other nonpharmacologic interventions including acupuncture and Scrambler therapy are supported by positive preliminary data; however, further larger, placebo-controlled trial data are needed to confirm or refute their effectiveness.
KW - Chemotherapy-induced peripheral neuropathy
UR - http://www.scopus.com/inward/record.url?scp=84932144727&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84932144727&partnerID=8YFLogxK
U2 - 10.1007/s11864-014-0303-7
DO - 10.1007/s11864-014-0303-7
M3 - Review article
C2 - 25119581
AN - SCOPUS:84932144727
SN - 1527-2729
VL - 15
SP - 567
EP - 580
JO - Current treatment options in oncology
JF - Current treatment options in oncology
IS - 4
ER -