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The management of neuropathic pain in cancer

In Progress in palliative care
By: Searle RD.
Contributor(s): Bennett M | rdsearle@hotmail.com.
Material type: materialTypeLabelArticleSeries: Vol 16 Issues 1.Publisher: 2008Description: 7-13.Subject(s): Review | Management | Cancer | Neuropathic Pain | DDC classification: In: Progress in palliative careSummary: Neuropathic pain is a common problem amongst cancer patients, yet it can be challenging to diagnose and treat successfully. The diagnosis of neuropathic pain has been helped by the identification of common descriptors and symptoms often used by patients and several screening tools now exist to identify neuropathic features. The management of neuropathic pain in cancer is a balance of pharmacological, physical and psychological interventions used skilfully in patients that are often frail and with cognitive, hepatic or renal impairment. Commonly used drugs for the treatment of neuropathic pain include opioids, antidepressants and anti-epileptics, although the evidence for their use in the cancer population is often poor. Other drugs that have shown to be of benefit include NMDA receptor antagonists and local anaesthetic agents, although side effects often limit their use. Physical interventions include intrathecal drug delivery, neurolytic sympathetic plexus blockade and spinal cord stimulation. These therap
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Articles Articles Tata Memorial Hospital
(Browse shelf) Available AR7982

Neuropathic pain is a common problem amongst cancer patients, yet it can be challenging to diagnose and treat successfully. The diagnosis of neuropathic pain has been helped by the identification of common descriptors and symptoms often used by patients and several screening tools now exist to identify neuropathic features. The management of neuropathic pain in cancer is a balance of pharmacological, physical and psychological interventions used skilfully in patients that are often frail and with cognitive, hepatic or renal impairment. Commonly used drugs for the treatment of neuropathic pain include opioids, antidepressants and anti-epileptics, although the evidence for their use in the cancer population is often poor. Other drugs that have shown to be of benefit include NMDA receptor antagonists and local anaesthetic agents, although side effects often limit their use. Physical interventions include intrathecal drug delivery, neurolytic sympathetic plexus blockade and spinal cord stimulation. These therap

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