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Alcoholic neuropathy involves coasting caused by damage to nerves that results from long term excessive drinking of alcohol and is characterized by spontaneous burning pain, hyperalgesia and allodynia. The mechanism behind alcoholic neuropathy is not well understood, but several explanations have been proposed. These include activation of spinal cord microglia after chronic alcohol consumption, oxidative stress leading to free radical damage to nerves, activation of mGlu5 receptors in the spinal cord and activation of the sympathoadrenal and hypothalamo\u2010pituitary\u2010adrenal (HPA) axis. Nutritional deficiency (especially thiamine deficiency) and\/or the direct toxic effect of alcohol or both have also been implicated in alcohol\u2010induced neuropathic pain. Treatment is directed towards halting further damage to the peripheral nerves and restoring their normal functioning. This can be achieved by alcohol abstinence and a nutritionally balanced diet supplemented by all B vitamins. However, in the setting of ongoing alcohol use, vitamin supplementation alone has not been convincingly shown to be sufficient for improvement in most patients. The present review is focused around the multiple pathways involved in the development of peripheral neuropathy associated with chronic alcohol intake and the different therapeutic agents which may find a place in the therapeutic armamentarium for both prevention and management of alcoholic neuropathy.<\/jats:p>","DOI":"10.1111\/j.1365-2125.2011.04111.x","type":"journal-article","created":{"date-parts":[[2011,10,11]],"date-time":"2011-10-11T15:45:16Z","timestamp":1318347916000},"page":"348-362","source":"Crossref","is-referenced-by-count":218,"title":["Alcoholic neuropathy: possible mechanisms and future treatment possibilities"],"prefix":"10.1111","volume":"73","author":[{"given":"Kanwaljit","family":"Chopra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Tiwari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,13]]},"reference":[{"key":"e_1_2_11_2_2","first-page":"171","article-title":"Alcoholic neuropathies","volume":"8","author":"Ratcliff EV","year":"1979","journal-title":"Aust Fam Physician"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.12.1727"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.10550"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.wco.0000245371.89941.eb"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880020208"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1995.00540250049012"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1993.54.684"},{"key":"e_1_2_11_9_2","first-page":"817","volume-title":"Brain's Diseases of the Nervous System","author":"Brain L","year":"1969"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/35.4.368"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2006.11.053"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1982.tb03146.x"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.2174\/1566524013363870"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/36.3.271"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2006.10.062"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejphar.2007.01.091"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.20-22-08614.2000"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ALC.0000056614.96137.B8"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpsycho.2005.10.013"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-1600.2006.00018.x"},{"key":"e_1_2_11_21_2","first-page":"250","volume-title":"Polyneuropathien","author":"Ludin HP","year":"1984"},{"key":"e_1_2_11_22_2","first-page":"26","article-title":"Pathogenesis of alcoholic neuropathy","volume":"103","author":"Kucera P","year":"2002","journal-title":"Bratisl Lek Listy"},{"key":"e_1_2_11_23_2","first-page":"16","article-title":"Alcohol and the liver","volume":"2","author":"Achord JL","year":"1995","journal-title":"Sci Amer Sci Med"},{"key":"e_1_2_11_24_2","volume-title":"Lehrbuch der Neurologie. 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