neuto- oxaliplatin-induced els, seems to protect against in the prevention of CIPN P was toxicity. in one nonrandomized pilot study consisting of 10 previously treated patients with advanced colorectal canoer receiving Carbamazepine oxaliplatin, folinic acid, and 5-1uorouracil. 200-600 mg was administered orally, with doses adapted to serum levels of 3-6 mg/L. vibration sensation of the pal mar surfaces of the hands and feet and subjective reports of cold-induced symptoms were assessed weekly World Health organization (wHo) grade 2-4 neuropathy was absent in the patients treated with carbamazepine, as compared to 30% who experienced grade 2-4 neuropathy in a historical controlgroup trials are necessary to determine whether ca placebo-controlled can (Eckel et al., 2002). Further randomized, be used to prevent or treat CIPN. Acety-Lcarmitinez Only two small studies examined the use of acety-L carnitine for CIPN. The studies tested the effec- tiveness of acety-Lcarnitine in the treatment of preexisting paclitaxel or cisplatin-nduced neuropathy. AcetyH. ne was administered as I g via IV daily for lo consecu- tive days or 1 g by mouth three times daily for eight weeks to individualswho had established paclitaxel or cisplatin-induced peripheral neuropathy Bianchi et al.,2005; Maestri et al,2005). Assessment of neuropathy symptoms, toxicity grading scales for neuropathy, and neurologic and electrophysiologic assess- ments were performed before and after treatment with acetyt carnitine. The studies were limited by small sample sizes and non randomized one group designs. Randomized clinical trials are necessary before acetyl-Lcarnitine can be recommended as a potential treatment for CIPN.