Pharmacological management of cancer pain: Novel therapeutics

Biomed Pharmacother. 2022 Dec:156:113871. doi: 10.1016/j.biopha.2022.113871. Epub 2022 Oct 19.

Abstract

Patients diagnosed with cancer often experience pain during their treatment course, making it difficult to care for themselves and continue with their activities of daily living. When cancer is found at later stages, the pain can become severe and constant; reducing their quality of life and significantly affecting mental and physical well-being. Despite opioids being known to provide adequate analgesia for higher pain levels, they are often the reason for under-dosing because of their adverse effects and concern for addiction. There are also patients who do not respond well to opioids because of genetic anomalies or personal preference. Therefore, there is a need for novel non-opioid cancer pain treatments. There are many new cancer pain treatments that are emerging. This manuscript discusses cancer pain, risk factors, epidemiology, guidelines for the treatment of cancer pain, personalization of cancer pain therapy, breakthrough pain, cancer-induced peripheral neuropathy, established cancer pain treatment options, and novel emerging cancer pain treatment options.

Keywords: Acetaminophen; Antidepressant; Cancer pain; NSAID; Opioids; Pharmacology; Sarcoma.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Analgesics, Opioid / adverse effects
  • Cancer Pain* / drug therapy
  • Humans
  • Neoplasms* / chemically induced
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Pain / chemically induced
  • Pain / drug therapy
  • Quality of Life

Substances

  • Analgesics, Opioid