Studio sull’efficacia di Opera nel trattamento del dolore neuropatico in pazienti affette da carcinoma mammario in terapia chirurgica
di P. Maione - U.O.S.D. Senologia - Ospedale Evangelico Betania - Napoli

 

Use of an alipoic acid, Boswellia serrata, methylsulfonylmethane and bromelain dietary supplement (Opera) in the treatment of neuropathic pain  in breast cancer patients undergoing surgical therapy

  • 20 women attending our breast surgery unit  were treated with Opera , once a day, for 3 months.
  • Median age 50 years old ( 35-66)
  • Breast surgery : QUAD 2 patients , QUAD after neoadjuvant therapy 6 , QUAD with sentinel lymph node dissection (LNS) 4, NSM after neoadjuvant therapy 1 , SSM after neoadjuvant therapy 3, MRM after neoadjuvant therapy 1 , MRM 2 and NSM 1.
  • All patients have been already treated with anti-inflammatory drugs ( FANS and in 2 patients opioids ) with poor benefits ( < 50%).
  • At baseline patient’s pain was evaluated with  DN4 questionnaire was administered to all patients ; at the end of treatment DN4 has been reanalyzed and data relative to compliance, safety and tolerability were collected.
  • At baseline:  DN4 median score was 6,4 (4-9)

 

 

                                                                                                                  RESULTS:

 

  • All patients completed consumption of Opera® in the twelve weeks
  • Treatment was well tolerated and no acute toxicity or side effect directly related to the intake of Opera® were reported during the study period
  • Regarding efficacy , at the end of treatment median DN4 was 2,2 (range 1-4 )
  • Improvements were observed in all patients regardless of type of surgery.