Evidence map›Paper›PMID 41272317›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

The use of antihistamine and antihistamine-like drugs for cancer-related pain: a narrative review.

Angela Nwankwo, Diego Martinez, Daniel Li, Jay Karri, Eric J Wang, Billy Huh, Saba Javed

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In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Angela NwankwoBaylor College of Medicine, Houston, TX, USA.
Diego MartinezTilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX, USA.
Daniel LiUniversity of Texas Health Science Center at Houston, Houston, TX, USA.
Jay KarriUniversity of Maryland Medical Center, Baltimore, MD, USA.
Eric J WangJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Billy HuhUniversity of Texas at Houston MD Anderson Cancer Center, Houston, TX, USA.
Saba JavedUniversity of Texas at Houston MD Anderson Cancer Center, Houston, TX, USA. sjaved@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntihistamines, commonly used for their anti-inflammatory properties, also possess analgesic effects, although their use in pain management, particularly cancer-related pain, is not widely recognized. This narrative review aimed to evaluate the efficacy of antihistamines and antihistamine-like drugs in reducing cancer-related pain intensity. Secondary objectives included assessing the impact on analgesic consumption, quality of life, and adverse event profiles among cancer patients.

methodsPubMed and Embase were searched through August 2025 to identify clinical studies on antihistamines for cancer-related pain. Search terms included "antihistamine," "cancer pain," "histamine antagonist," "H1 antagonist," "H1 blocker," and "pain." After deduplication, 310 articles were screened, 46 were assessed for eligibility, and 11 studies were included. These studies were evaluated based on effect sizes and the degree of pain relief provided by antihistamines or antihistamine-like drugs, using various pain measurement methods.

resultsThe most commonly studied conditions were oral mucositis and chemotherapy-related peripheral neuropathy, with doxepin, loratadine, and mirtazapine being the most frequently studied drugs. The 11 studies found that antihistamines helped reduce symptoms to some extent.

conclusionAnalysis of these studies demonstrated meaningful evidence that antihistamine and antihistamine-like drugs may offer some benefit for treating cancer-related pain.

Indexed as

Cancer PainHistamine AntagonistsNeoplasmsAnalgesicsHistamine H1 AntagonistsHumansPain MeasurementQuality of LifeAnalgesicsHistamine AntagonistsHistamine H1 AntagonistsAntihistaminesCancer pain managementH1 blockerH2 blockerMeta-analysisTreatment outcome

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.