Jan 10, 2025
Episode Title: Ketamine for Cancer and Pain Management - Journal Club
Host: David Rosenblum, MD
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Join us for this insightful episode as we explore the potential of ketamine in transforming pain management practices!
Summary
In today's episode, we delve into the emerging role of ketamine in managing cancer and chronic pain. Our discussion is anchored around a comprehensive review article titled "Ketamine Use for Cancer and Chronic Pain Management," published in Frontiers in Pharmacology on February 1, 2021. This review, authored by Clayton Culp, Hee Kee Kim, and Salahadin Abdi, explores ketamine's potential as an analgesic in chronic pain conditions, particularly cancer-related neuropathic pain.
Key Points from the Review Article:
- Mechanism of Action: Ketamine functions as an
N-methyl-D-aspartate receptor antagonist, providing analgesic
effects at sub-anesthetic doses. Its ability to counteract central
nervous system sensitization makes it effective in opioid-induced
hyperalgesia.
- Clinical Efficacy: Recent studies highlight ketamine's potential
to reduce pain scores and opioid consumption, offering a promising
alternative for patients with refractory pain.
- Safety Profile: At lower doses used for analgesia, ketamine's
safety and adverse event profile are significantly improved
compared to its use as an anesthetic.
- Pharmacogenomics and Interactions: The article discusses how
genetic variations can affect ketamine metabolism and highlights
potential drug interactions that clinicians should be aware of.
Reference