Please select the option that best describes you:
Topics:
Breast Cancer • Gynecologic Cancers • Medical Oncology • Ovarian Cancer • Supportive Care • Neurology
What is your strategy to help prevent paclitaxel-related neuropathy?
Do you prophylactically start all patients on B12, B-complex, and/or omega-3? If so, what dose? What about ice mittens and booties?
Answer from: Medical Oncologist at Academic Institution
There are no proven strategies for prevention of CIPN and the use of these supplements is not recommended. Some supplements such as acetyl carnitine can actually worsen neuropathy outcomes and some supplements such as B12, vitamin C, and others may negatively interact with chemotherapy and worsen di...
Sign in or Register to read more
Answer from: at Community Practice
None. There is not yet data to support. If patients ask about them, I would say low likelihood of harm therefore I don't specifically recommend against, but I want to be mindful that there is the potential of financial toxicity - many CAM methods add up in price.ASCO guideline for reference: Loprinz...
Comments
at ProMedica Toledo Hospital
You need to research your CAM provider carefully i...
You need to research your CAM provider carefully i...
Answer from: at Community Practice
Acupuncture and complementary medicine.