Treatment and diagnosis of chemotherapy-induced peripheral neuropathy: An update

Biomed Pharmacother. 2022 Mar:147:112671. doi: 10.1016/j.biopha.2022.112671. Epub 2022 Jan 29.

Abstract

When peripheral neuropathy occurs due to chemotherapy treatment, it is referred to as chemotherapy-induced peripheral neuropathy (CIPN). Typically, symptoms are sensory rather than motor and include reduced feeling and heightened sensitivity to pressure, pain, temperature, and touch. The pathophysiology of CIPN is very complex, and it involves multiple mechanisms leading to its development which will be described specifically for each chemotherapeutic class. There are currently no approved or effective agents for CIPN prevention, and Duloxetine is the only medication that is an effective treatment against CIPN. There is an unavoidable necessity to develop preventative and treatment approaches for CIPN due to its detrimental impact on patients' lives. The purpose of this review is to examine CIPN, innovative pharmacological and nonpharmacological therapy and preventive strategies for this illness, and future perspectives for this condition and its therapies.

Keywords: Chemotherapy-induced peripheral neuropathy; Ion channel-targeted therapies; Neuropathy; Pain; Pain management.

Publication types

  • Review

MeSH terms

  • Analgesics / therapeutic use
  • Antineoplastic Agents / adverse effects*
  • Antioxidants / therapeutic use
  • Complementary Therapies
  • Humans
  • Neuroprotective Agents / therapeutic use
  • Patient Acuity
  • Peripheral Nervous System Diseases / chemically induced*
  • Peripheral Nervous System Diseases / diagnosis
  • Peripheral Nervous System Diseases / drug therapy
  • Peripheral Nervous System Diseases / therapy*
  • Risk Factors
  • Serotonin and Noradrenaline Reuptake Inhibitors / therapeutic use
  • Voltage-Gated Sodium Channel Blockers / therapeutic use

Substances

  • Analgesics
  • Antineoplastic Agents
  • Antioxidants
  • Neuroprotective Agents
  • Serotonin and Noradrenaline Reuptake Inhibitors
  • Voltage-Gated Sodium Channel Blockers