Topical Cannabinoids for Treating Chemotherapy-Induced Neuropathy: A Case Series

Integrative Cancer Therapies-
2021
Stacy D’Andre, MD Sean McAllister, PhD Jasdeepa Nagi, MD Karthik V. Giridhar, MD Eduardo Ruiz-Macias Charles Loprinzi, MD

Abstract
Background
Chemotherapy-induced peripheral neuropathy is a common and often severe side effect from many chemotherapeutic agents, with limited treatment options. There is no literature on the use of topical cannabinoids for chemotherapy-induced neuropathy.
Case Presentations
The current manuscript presents a case series of patients presenting in oncology clinics at Sutter Health, CA and Mayo Clinic, Rochester, MN from April 2019 to December 2020 with chemotherapy-induced peripheral neuropathy who used topical creams containing the cannabinoids delta-nine-tetrahydrocannabinol (THC) and/or cannabidiol (CBD).
Conclusions
This case series suggests that topical cannabinoids may be helpful for patients with chemotherapy-induced peripheral neuropathy. This paper also discusses the potential mechanisms of action by which topical cannabinoids might alleviate established CIPN symptoms. A randomized placebo-controlled trial using a standardized product is planned to study the actual efficacy of such treatment.

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