Anticonvulsants for cancer pain

Provided by: Healthwise
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Examples

Brand Name Chemical Name
Tegretol carbamazepine
Neurontin gabapentin
Keppra levetiracetam
Trileptal oxcarbazepine
Dilantin phenytoin
Lyrica pregabalin
Topamax topiramate
Zonegran zonisamide

How It Works

Anticonvulsants control cancer pain by changing the way sodium and calcium travel across the surface of nerve cells in the brain. The nerve cells send fewer signals, and the brain senses less pain.

Why It Is Used

Anticonvulsants help reduce pain related to the nervous system (neuropathic pain). Some have fewer side effects than tricyclic antidepressants.

How Well It Works

Anticonvulsants help control cancer pain related to the nervous system (neuropathic pain).1

Side Effects

When anticonvulsants are used to control cancer pain, they may be given in small amounts to limit side effects. Tell your doctor if you experience any side effects, especially:

  • Drowsiness.
  • Restlessness and irritability.
  • Confusion and dizziness.
  • Nausea, vomiting, loss of appetite, and belly pain.
  • Blurred vision or uncontrollable eye movements (nystagmus).
  • Itching, fever, or a rash (sensitivity reaction).

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Drowsiness is the most common side effect of anticonvulsant drugs.

These drugs are started at low doses and gradually increased to achieve pain relief.

Carbamazepine can cause a decrease in the white blood cell count, or leukopenia. So it is not generally used to treat cancer pain.1

Complete the new medication information form (PDF)Click here to view a form.(What is a PDF document?) to help you understand this medication.

References

Citations

  1. Foley KM (2005). Management of cancer pain. In VT DeVita Jr et al., eds., Cancer: Principles and Practice of Oncology, 7th ed., pp. 2615–2649. Philadelphia: Lippincott Williams and Wilkins.

Credits

Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman
Primary Medical Reviewer Anne C. Poinier, MD
- Internal Medicine
Specialist Medical Reviewer Michael Seth Rabin, MD
- Medical Oncology
Last Updated October 30, 2007
Last Updated: 10/30/2007

© 1995-2007, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL RIGHTS RESERVED.

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. For more information, click here. Privacy Policy. How this information was developed.

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