Potential utility of peripherally applied loperamide in oral chronic graft-versus-host disease related pain

Jpn J Clin Oncol. 2008 Dec;38(12):857-60. doi: 10.1093/jjco/hyn110. Epub 2008 Oct 24.

Abstract

Four patients with oral chronic graft-versus-host disease pain were treated with loperamide oral-rinse solution. Two-week continued use of the drug solution improved not only the pain scores but also the pain-causing disabilities associated with eating, drinking and sleeping, with no noticeable side effects. Current results suggest that the mu-opioid agonist, loperamide, has a potential analgesic effect that could be clinically used as a peripheral analgesic agent for stomatitis pain. However, these observations will need to be further confirmed in a randomized-controlled trial.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analgesics / administration & dosage
  • Analgesics / pharmacology
  • Analgesics / therapeutic use*
  • Bone Marrow Transplantation
  • Chronic Disease
  • Female
  • Graft vs Host Disease / complications*
  • Humans
  • Loperamide / administration & dosage
  • Loperamide / pharmacology
  • Loperamide / therapeutic use*
  • Male
  • Middle Aged
  • Mouthwashes
  • Pain / drug therapy*
  • Pain / etiology*
  • Quality of Life
  • Receptors, Opioid, mu / agonists*
  • Stomatitis / complications*
  • Stomatitis / etiology

Substances

  • Analgesics
  • Mouthwashes
  • Receptors, Opioid, mu
  • Loperamide