Mexiletine reverses oxaliplatin-induced neuropathic pain in rats

J Pharmacol Sci. 2010;112(4):473-6. doi: 10.1254/jphs.10012sc. Epub 2010 Mar 20.

Abstract

Oxaliplatin is a platinum-based chemotherapy drug characterized by the development of acute and chronic peripheral neuropathies. Mexiletine, an orally available Na(+)-channel blocker, has widely been used in patients with chronic painful diabetic neuropathy. In the present study, we examined the effect of mexiletine on oxaliplatin-induced neuropathic pain in rats. Mexiletine (100, but not 10 and 30, mg/kg, p.o.) completely reversed both mechanical allodynia and cold hyperalgesia induced by oxaliplatin (4 mg/kg, i.p., twice a week). Lidocaine (30, but not 3 and 10, mg/kg, i.p.) also significantly relieved both pain behaviors. These results suggest that mexiletine may be effective in relieving the oxaliplatin-induced neuropathic pain clinically.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / pharmacology*
  • Mexiletine / pharmacology*
  • Organoplatinum Compounds / pharmacology*
  • Oxaliplatin
  • Pain / prevention & control*
  • Peripheral Nervous System Diseases / prevention & control*
  • Rats

Substances

  • Anti-Arrhythmia Agents
  • Organoplatinum Compounds
  • Oxaliplatin
  • Mexiletine