The use of methylphenidate for physical and psychological symptoms in cancer patients: a review

Background: One of the goals of cancer treatment is symptoms management especially at the end stage. The common symptoms in cancer include pain, fatigue, depression and cognitive dysfunction. The available treatment options for symptom management are limited. Methylphenidate, a psychostimulant, may...

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Main Authors: Andrew, Beatrice Ng, Guan, Ng Chong, Nik Jaafar, Nik Ruzyanei
Format: Article
Language:English
Published: Bentham Science Publishers 2018
Online Access:http://psasir.upm.edu.my/id/eprint/74280/
http://psasir.upm.edu.my/id/eprint/74280/1/The%20use%20of%20methylphenidate%20for%20physical%20and%20psychological%20symptoms%20in%20cancer%20patients.pdf
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author Andrew, Beatrice Ng
Guan, Ng Chong
Nik Jaafar, Nik Ruzyanei
author_facet Andrew, Beatrice Ng
Guan, Ng Chong
Nik Jaafar, Nik Ruzyanei
author_sort Andrew, Beatrice Ng
building UPM Institutional Repository
collection Online Access
description Background: One of the goals of cancer treatment is symptoms management especially at the end stage. The common symptoms in cancer include pain, fatigue, depression and cognitive dysfunction. The available treatment options for symptom management are limited. Methylphenidate, a psychostimulant, may be of benefit for these patients. In this report, we review the use of methylphenidate for symptoms control in cancer patients. Method: Electronic literature search on PubMed was conducted using the following keywords: methylphenidate, cancer, carcinoma, oncology, oncological and tumour. We identified forty two relevant studies and publications on the use of methylphenidate in cancer patients to be included in this review. Results: Methylphenidate was found to have some evidence in reducing opioid-induced sedation, improving cognitive symptoms and reduction of fatigue in cancer patients. Nevertheless, the results were inconsistent due to variations in the study populations, study design and outcome measures, among others. There was minimal evidence on its use in treating depression. Otherwise, methylphenidate was generally well-tolerated by patients. Conclusion: This review potentially supports the use of methylphenidate for opioid-induced sedation, cognitive decline and fatigue in cancer patients. Further placebo-controlled trials would help in strengthening the evidence for this treatment.
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spelling upm-742802020-04-02T08:21:38Z http://psasir.upm.edu.my/id/eprint/74280/ The use of methylphenidate for physical and psychological symptoms in cancer patients: a review Andrew, Beatrice Ng Guan, Ng Chong Nik Jaafar, Nik Ruzyanei Background: One of the goals of cancer treatment is symptoms management especially at the end stage. The common symptoms in cancer include pain, fatigue, depression and cognitive dysfunction. The available treatment options for symptom management are limited. Methylphenidate, a psychostimulant, may be of benefit for these patients. In this report, we review the use of methylphenidate for symptoms control in cancer patients. Method: Electronic literature search on PubMed was conducted using the following keywords: methylphenidate, cancer, carcinoma, oncology, oncological and tumour. We identified forty two relevant studies and publications on the use of methylphenidate in cancer patients to be included in this review. Results: Methylphenidate was found to have some evidence in reducing opioid-induced sedation, improving cognitive symptoms and reduction of fatigue in cancer patients. Nevertheless, the results were inconsistent due to variations in the study populations, study design and outcome measures, among others. There was minimal evidence on its use in treating depression. Otherwise, methylphenidate was generally well-tolerated by patients. Conclusion: This review potentially supports the use of methylphenidate for opioid-induced sedation, cognitive decline and fatigue in cancer patients. Further placebo-controlled trials would help in strengthening the evidence for this treatment. Bentham Science Publishers 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/74280/1/The%20use%20of%20methylphenidate%20for%20physical%20and%20psychological%20symptoms%20in%20cancer%20patients.pdf Andrew, Beatrice Ng and Guan, Ng Chong and Nik Jaafar, Nik Ruzyanei (2018) The use of methylphenidate for physical and psychological symptoms in cancer patients: a review. Current Drug Targets, 19 (8). 877 - 887. ISSN 1389-4501; EISSN: 1873-5592 https://www.ncbi.nlm.nih.gov/pubmed/28322161 10.2174/1389450118666170317162603
spellingShingle Andrew, Beatrice Ng
Guan, Ng Chong
Nik Jaafar, Nik Ruzyanei
The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title_full The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title_fullStr The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title_full_unstemmed The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title_short The use of methylphenidate for physical and psychological symptoms in cancer patients: a review
title_sort use of methylphenidate for physical and psychological symptoms in cancer patients: a review
url http://psasir.upm.edu.my/id/eprint/74280/
http://psasir.upm.edu.my/id/eprint/74280/
http://psasir.upm.edu.my/id/eprint/74280/
http://psasir.upm.edu.my/id/eprint/74280/1/The%20use%20of%20methylphenidate%20for%20physical%20and%20psychological%20symptoms%20in%20cancer%20patients.pdf