Topical Dosage for Treatment of ChemotherapyInduced Peripheral Neuropathy

Authors

  • Vaishali Sengar Chandigarh College of Pharmacy, Chandigarh Group of Colleges, Chandigarh, India Author
  • Upendra Kumar Jain Chandigarh College of Pharmacy, Chandigarh Group of Colleges, Chandigarh, India Author

DOI:

https://doi.org/10.61841/85v4jb75

Keywords:

Peripheral neuropathy, chemotherapy, CIPN, pharmacological agents, allodynia, hyperalgesia, topical

Abstract

 Peripheral neuropathy caused by chemotherapy is a general therapeutic limiting factor that greatly affects patients ' daily lives, mostly due to lack of appropriate palliative options. CIPN is a severe, often chronic condition with pain and reduced function. In addition, CIPN is its most common dose-limiting side effect, which is decreasing and could affect treatment outcomes. Interestingly, the incidence of paclitaxel (taxane) induced peripheral neuropathy is very high ranging from 53-83% with severity in 2-33% patients. The clinical symptoms of CIPN affect sensory, motor and sometimes autonomic functions. A sensory disturbance includes allodynia, hyperalgesia and spontaneous sensations such as tingling, burning, electric, stabbing, numbness, and prickling. Hence, considering the drawbacks of existing treatments, this study provides a topical gel comprising of pharmacological agents with multiple mechanisms of action and regeneration of damaged nerve fibres. The formulated gel successfully qualified the tests for semi-solid dosage form such as color, appearance, and homogeneity, measurement of pH, viscosity, spreadability, drug content and stability. 

Downloads

Download data is not yet available.

References

[1] D. Balayssac et al., “Chemotherapy-induced peripheral neuropathies: From clinical relevance to preclinical

evidence,” Expert Opinion on Drug Safety, vol. 10, no. 3. Informa Healthcare, pp. 407–417, 2011.

[2] S. Quasthoff and H. P. Hartung, “Chemotherapy-induced peripheral neuropathy,” Journal of Neurology,

vol. 249, no. 1. D. Steinkopff-Verlag, pp. 9–17, 2002.

[3] J. Piccolo and J. M. Kolesar, “Prevention and treatment of chemotherapy-induced peripheral neuropathy,”

Am. J. Heal. Pharm., 2014.

[4] A. J. Windebank and W. Grisold, “Chemotherapy-induced neuropathy,” Journal of the Peripheral Nervous

System, vol. 13, no. 1. pp. 27–46, Mar-2008.

[5] S. Hou, B. Huh, H. K. Kim, K. H. Kim, and S. Abdi, “Treatment of chemotherapy-induced peripheral

neuropathy: Systematic review and recommendations,” Pain Physician. 2018.

[6] D. R. Pachman, D. L. Barton, J. C. Watson, and C. L. Loprinzi, “Chemotherapy-induced peripheral

neuropathy: Prevention and treatment,” Clin. Pharmacol. Ther., 2011.

[7] D. L. Hershman et al., “Prevention and management of chemotherapy-induced peripheral neuropathy in

survivors of adult cancers: American society of clinical oncology clinical practice guideline,” Journal of

Clinical Oncology. 2014.

[8] H. J. Park, “Chemotherapy induced peripheral neuropathic pain,” Korean Journal of Anesthesiology. 2014

Downloads

Published

31.10.2019

How to Cite

Sengar, V., & Kumar Jain, U. (2019). Topical Dosage for Treatment of ChemotherapyInduced Peripheral Neuropathy. International Journal of Psychosocial Rehabilitation, 23(4), 1766-1778. https://doi.org/10.61841/85v4jb75