Nerve damage from chemotherapy can lead to lingering effects after treatment. There are several natural agents that can help. But, some can actually make it worse too! Listen in while Tina & Leah discuss how to prevent chemotherapy-induced peripheral neuropathy (CIPN) and what to (safely) do if you already have it.
Chemotherapy drugs are designed to be toxic to cancer cells but sometimes they are also toxic to your nervous system. This can have long-term consequences. Take heart, there are ways to lessen the risk during treatment. There are also ways to improve peripheral neuropathy symptoms after treatment. Did you know that there is clinical trial data that shows this? (We may be creative, but not when it comes to recommending treatments.)
Links we mention in this episode and other cool stuff:
What drugs are most likely to cause chemotherapy-induced peripheral neuropathy American Cancer Society
High-dose L-glutamine for taxane-induced peripheral neuropathy. Clinical Cancer Research
Omega-3 fatty acids and taxane-induced peripheral neuropathy BMC Cancer
High dose L-glutamine in oxaliplatin-induced peripheral neuropathy The Oncologist
Review of natural agents & chemotherapy-induced peripheral neuropathy (CIPN) Nutrients (2022)
Review of vitamin E studies - it only works for cis/carboplatin-induced CIPN (Frontiers in Cryotherapy)
The ASCO guidelines for CIPN (We don’t agree with doing nothing.) ASCO
Frozen gloves (cryotherapy) for prevention of CIPN Annals of Oncology
Scrambler therapy for pain management Support Care Cancer
Cytokines as targets in CIPN Cytokine
Alpha-lipoic acid alongside a taxane drug and doxorubicin Support Care Cancer (2022)
Exercise counteracts CIPN symptoms Support Cancer Care
Review of data on exercise and CIPN Cancer Nursing
Worse CIPN with the concurrent use of Acetyl-L-Carnitine J National Cancer Institute
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01:04 - Here we go...again!
02:20 - Leah's experience with CIPN
05:13 - What went awry to increase risk of CIPN?
06:38 - What is Chemotherapy Induced Peripheral Neuropathy(CIPN)?
09:32 - A variety of symptoms
11:05 - Some chemo drugs that can cause CIPN
12:12 - The concern with any agent that lessens a side effect
12:54 - Some conditions that raise the risk of CIPN
15:11 - What can reduce your risk of CIPN?
17:24 - Platinum chemo and vitamin E
19:44 - How ASCO falls short in their recommendations
21:34 - Cryotherapy = Fancy word for ice
22:08 - No ice with oxaliplatin!
24:15 - Exercise?
26:43 - Neurostimulation
27:40 - Topical agents for neuroapthy
30:11 - Why are symptoms often worse at night?
30:30 - Inflammation and neuropathy
31:28 - Delayed CIPN?
33:00 - Natural agents for CIPN
35:00 - L-Glutamine
40:00 - B Vitamins
44:57 - Acetyl-L-Carnitine
48:28 - Alpha-lipoic acid
53:52 - Vitamin E
56:26 - Acupuncture
59:28 - Cannabinoids (CBD)
01:01:06 - Yoga Toes/ Happy Feet Socks
01:03:25 - The unofficial theme song