NCCN Guidelines for Patients® | Caring for Adolescents and Young Adults - page 73

NCCN Guidelines for Patients
: Caring for Adolescents and Young Adults
Version 2013
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Part 6: Coping with side effects
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What you can do
If your treatment plan includes a drug that is known to cause neuropathy, your
treatment team may try to limit your risk by reducing or skipping one or more
doses. Other treatments that may reduce your risk of neuropathy include the
nutritional supplements glutamine and alpha lipoic acid. Supplementation
with calcium and magnesium may prevent the neuropathy associated with
If you do develop neuropathy, there are several medications and complementary
therapies that can help:
Gabapentin (Neurontin)—a drug to prevent convulsions—can ease the
symptoms of peripheral neuropathy,
Antidepressants such as amitriptyline (Elavil) and venlafaxine (Effexor) can
alter the level of brain chemicals that control pain signals,
Over-the-counter pain relievers such as acetaminophen (Tylenol) and
ibuprofen (Motrin, Advil) are often effective at relieving the pain of
neuropathy, and in severe cases, prescription pain killers may also be
Massage, and
Physical therapy.
Bone marrow:
Soft tissue
found in the center of most
bones where blood cells
are formed
that kill all cells that grow
rapidly, including cancer
cells and normal cells
A type of
white blood cell that fights
infections in the body
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