Article and Video CATEGORIES
I reviewed a few general principles of acupuncture in my last post on its use for pain control. In addition, acupuncture has also been studied as a potential treatment modality for other nausea/vomiting, with some evidence to support its use in addition to anti-nausea (also called antiemetic) medications. Current ACCP guidelines (abstract here, again) strongly recommended acupuncture as a treatment for nausea and vomiting associated with chemo if these symptoms are not well controlled or when side effects from other treatments are problematic. The data aren't overwhelming, but the recommendation is largely based on acupuncture having very minimal potential adverse effects, so even modest/inconsistent benefits would be felt to outweigh the very slight risk.
A study in the setting of breast cancer (abstract here) randomized patients to receive electroacupuncture to a couple of relevant points, minimal needling at non-acupuncture sites ("sham" acupuncture, a form of placebo control), or anti-nausea medications with no attempted acupuncture, real or otherwise. Electroacupuncture reduced total vomiting episodes from 15 to 5 (median), compared to medications alone, while minimal needling produced results between the full treatment and medications alone (median 10 vomiting episodes).
Studies combining acupuncture with newer generation anti-nausea medications like serotonin receptor blockers (current staples like zofran, kytril, and anzamet, all very similar to each other) have been inconclusive. In a study of patients without cancer but with a form of rheumatic disease that required the chemo medication methotrexate), the combination of acupuncture at the PC6 acupuncture point above the wrist and zofran worked better than zofran alone (full text here). On the other hand, another study that compared zofran and acupuncture at the PC6 point to zofran with sham acupuncture (without penetrating skin) showed no real contribution from acupuncture (abstract here). Other studies demonstrate that acupuncture can reduce nausea/vomiting associated with recent surgery (abstract here) motion sickness (abstract here), and pregnancy (abstract here).
There was a recent meta-analysis of over 1200 patients from 11 trials of various modalities that included acupuncture, acupressure, electroacupuncture, and non-invasive electrostimulation of overlying skin (abstract here). Although not especially dramatic, all of these modalities except non-invasive electrostimulation was associated with some improvement in acute, but not delayed, vomiting.
Overall, the benefits of acupuncture have been rather subtle, but it appears to be an approach that may provide some modest added benefit over medications alone. One interpretation of the negative results in the setting of a bone marrow transplant is that acupuncture may be helpful for more moderate nausea/vomiting challenges, but it may not be effective enough in the setting of very severe anticipated nausea/vomiting. Regardless, these results were enough to have the ACCP say that acupuncture merits consideration as a treatment strategy for nausea/vomiting.
Please feel free to offer comments and raise questions in our
discussion forums.
Forum Discussions
Hi Bluebird, Welcome to GRACE. I'm sorry you're going through this scare and hope it's just inflammation or from an infection you didn't know you had.
A CT would be...
Radiation + Brain Operation has just been discarded due to high risk. They will double Tagrisso dosis and then wait to see if it works, then try traditional Chemo. I would...
Hi and welcome to GRACE. I'm sorry to know you are entering a new stage. I'm not about to comment just now but wanted to let you know I see your...
Edit to say, we can't give advice but we can comment with views and facts. :)
My first thought is to ask if she has been seen at a large...
Hi Barbro, Welcome to GRACE. I'm sorry you're worrying about this. We aren't able to give feedback on scan reports. Interpreting scan reports in this setting is not only unethical but...
Hello Linda, my name is Alexandra Beneke, I'm the Outreach Manager for GRACE. Your willingness to share your experiences and knowledge with the cancer community is truly inspiring. Your dedication to...