BPS 2007 conference highlight. Dr Paul Farquhar-Smith. Chemotherapy-induced neuropathic pain

 

  • Chemotherapy-induced neuropathic pain occurs commonly and is under-recognised and under-treated. 

 

  • It can compromise anti-cancer treatment and adversely affects quality of life and activities of daily living. 

 

  • Improvement of assessment and further research into treatment will help patients with this difficult pain.

 

References

Attal N, Cruccu G, Haanpaa M et al.  EFNS guidelines on pharmacological treatment of neuropathic pain.  Eur J Neurol. 2006; 13: 1153-69.  Link to PubMed abstract

Cata JP, Weng HR, Lee BN et al.   Clinical and experimental findings in humans and animals with chemotherapy-induced peripheral neuropathy. Minerva Anestesiol 2006; 72: 151-69 Link to PubMed abstract

Cersosimo RJ. Oxaliplatin-associated neuropathy: a review. Ann Pharmacother  2005; 39: 128-35.  Link to PubMed abstract 

Eriksson T, Bjorkman S, Hoglund P.  Clinical pharmacology of thalidomide.  Eur J Clin Pharmacol  2001;  57: 365-76. Link to PubMed abstract

Flatters SJ, Bennett GJ.  Studies of peripheral sensory nerves in paclitaxel-induced painful neuropathy: evidence for mitochondrial dysfunction.  Pain 2006; 122: 245-57. Link to PubMed abstract

Hauscheer FH, Schilsky RL, Bain S et al. Diagnosis, management and evaluation of chemotherapy-induced periperhal neuropathy. Semin Oncol 2006; 33: 15-49:  Link to PubMed   Link to PubMed abstract

Quasthoff S, Hartung HP.  Chemotherapy-induced peripheral neuropathy. J Neurol 2002; 249: 9-17.  Link to PubMed abstract 

Richardson PG, Sonneveld P, Schuster MW, Irwin D, Stadtmauer EA, Facon T, Harousseau JL, Ben-Yehuda D, Lonial S, Goldschmidt H, Reece D, San-Miguel JF, Blade J, Boccadoro M, Cavenagh J, Dalton WS, Boral AL, Esseltine DL, Porter JB, Schenkein D, Anderson KC.  Bortezomib or high-dose dexamethasone for relapsed multiple myeloma.  E Engl J Med 2005; 352: 2487-98.  Link to PubMed abstract

Richardson PG, Briemberg H, Jagannath S, Wen PY, Barlogie B, Berenson J, Singhal S, Siegel DS, Irwin D, Schuster M, Srkalovic G, Alexanian R, Rajkumar SV, Limentani S, Alsina M, Orlowski RZ, Najarian K, Esseltine D, Anderson KC, Amato AA. Frequency, characteristics and reversibility of peripheral neuropathy during treatment of advanced multiple myeloma with bortezomib.  J Clin Oncol 2006; 24: 3113-20.  Link to PubMed abstract

Xiao W, Boroujerdi A, Bennett GJ, Luo ZD.  Chemotherapy-evoked painful neuropathy: Analgesic effects of gabapentin and effects on expression of the alpha-2-delta type -1 calcium channel subunit.  Neuroscience 2007; 144: 714-20.  Link to PubMed abstract.

Wong GY, Michalak JC, Sloan LA, Loprinzi CL.  A phase III double-blinded, placebo-controlled randomised trial of gabapentin in patients with chemotherapy-induced peripheral neuropathy.  A North Central Cancer Group Study. J Clin Oncol 2005 23 [729s}, Abstract 8001.    

 

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