Usefulness of duloxetine for Paclitaxel-induced peripheral neuropathy treatment in gynecological cancer patients

Anticancer Res. 2015 Jan;35(1):359-63.

Abstract

Aim: The present study aimed at evaluating the usefulness and adverse effects of duloxetine treatment for paclitaxel-induced peripheral neuropathy in gynecological cancer patients.

Patients and methods: Medical records of gynecological cancer patients treated with duloxetine were retrospectively studied to evaluate the drug's efficacy for paclitaxel-induced peripheral neuropathy.

Results: RESULTS from 25 patients showed that an improved response was observed in 14 (56%). By univariate and multivariate analysis, the patient's age, tumor origin, regimen of chemotherapy, accumulated doses of paclitaxel or carboplatin, previous medication, maintenance dosage and timing of treatment with duloxetine were found not to be associated with the effectiveness of duloxetine treatment. Adverse effects with duloxetine were mild and well-tolerated.

Conclusion: As an option, duloxetine can be effectively used for paclitaxel-induced peripheral neuropathy in patients with gynecological cancers, irrespective of patients' age, origin of the tumor, regimen of chemotherapy, or previous medication.

Keywords: CIPN; duloxetine; gynecologic cancer; neuropathy; paclitaxel.

MeSH terms

  • Adult
  • Aged
  • Analgesics / therapeutic use*
  • Antineoplastic Agents, Phytogenic / adverse effects*
  • Antineoplastic Agents, Phytogenic / therapeutic use
  • Duloxetine Hydrochloride
  • Female
  • Humans
  • Middle Aged
  • Ovarian Neoplasms / drug therapy*
  • Paclitaxel / adverse effects*
  • Paclitaxel / therapeutic use
  • Peripheral Nervous System Diseases / chemically induced
  • Peripheral Nervous System Diseases / drug therapy*
  • Retrospective Studies
  • Thiophenes / therapeutic use*
  • Treatment Outcome

Substances

  • Analgesics
  • Antineoplastic Agents, Phytogenic
  • Thiophenes
  • Duloxetine Hydrochloride
  • Paclitaxel