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Japanese Journal of Clinical Oncology Advance Access originally published online on October 24, 2008
Japanese Journal of Clinical Oncology 2008 38(12):857-860; doi:10.1093/jjco/hyn110
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© The Author (2008). Published by Oxford University Press. All rights reserved

Potential Utility of Peripherally Applied Loperamide in Oral Chronic Graft-versus-host Disease Related Pain

Natsuko Nozaki-Taguchi1, Mariko Shutoh2 and Naohito Shimoyama2

1 Department of Anesthesiology and Palliative medicine, Chiba University Graduate School of Medicine, Chiba
2 Department of Anesthesiology and Palliative medicine, National Cancer Center Hospital, Tokyo, Japan

For reprints and all correspondence: Natsuko Nozaki-Taguchi, Department of Anesthesiology and Palliative medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo, Chiba 260-8677, Japan. E-mail: nnoztag{at}faculty.chiba-u.jp

Received June 18, 2008; accepted September 16, 2008

Four patients with oral chronic graft-versus-host disease pain were treated with loperamide oral-rinse solution. Two-week continued use of the drug solution improved not only the pain scores but also the pain-causing disabilities associated with eating, drinking and sleeping, with no noticeable side effects. Current results suggest that the mu-opioid agonist, loperamide, has a potential analgesic effect that could be clinically used as a peripheral analgesic agent for stomatits pain. However, these observations will need to be further confirmed in a randomized-controlled trial.

Key Words: loperamide • chronic graft-versus-host disease • stomatitis


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