Pharm

Chemotherapy-Induced Peripheral Neuropathy

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Chemotherapy-Induced Peripheral Neuropathy

  • Presentations
  1. Acute
    1. Onset with drug infusion
  2. Chronic
    1. Onset within days to weeks, or even months, after Chemotherapy
  • Diagnostics
  1. History and exam is typically sufficient for diagnosis (EEG is not typically needed)
  • Management
  1. Exercise
  2. Acupuncture
  3. Medications
    1. Duloxetine
    2. Gabapentin and Pregabalin have been used (evidence lacking)
  • Prevention
  1. Exercise
  2. Compression therapy
  3. Cryotherapy
  4. Ganglioside-monosialic acid