An Overview of Drug-Induced Peripheral Neuropathy: Mechanisms and Management
Abstract
Drug-induced peripheral neuropathy (DIPN) is a prevalent and often debilitating condition resulting from the neurotoxic effects of various medications, particularly chemotherapeutic agents, antiretroviral drugs, and certain antibiotics. This overview aims to elucidate the mechanisms, clinical manifestations, and management strategies of DIPN. The underlying mechanisms of DIPN include mitochondrial toxicity, disruption of axonal transport, oxidative stress, direct neurotoxic effects, and immune-mediated pathways. These mechanisms contribute to the diverse clinical presentations of DIPN, which can manifest as sensory, motor, autonomic, or mixed neuropathies, each with distinct symptoms
and functional impairments. Early recognition and comprehensive assessment of DIPN are crucial for effective management. This involves regular monitoring for neuropathic symptoms, thorough neurological examinations, and appropriate diagnostic testing. Management strategies focus on modifying causative medications through dose adjustments or substitutions, providing symptomatic treatment with analgesics, anticonvulsants, and topical agents, and employing neuroprotective interventions such as antioxidants and neurotrophic factors. Physical therapy and patient
education play vital roles in maintaining functionality and enhancing quality of life.
How to cite this article:
Gosh A, Diwakar P. An Overview of Drug-Induced
Peripheral Neuropathy: Mechanisms and
Management. J Durg Dis Dev 2024; 8(1): 6-10.
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