How do you use Boswellia for radiation necrosis?

Topics: Radiation Oncology • Neuro-Oncology • Stereotactic Radiosurgery • Medical Oncology • Neurology

With the recent publication in IJROBP showing a greater than 50% response rate, have you started integrating this into your practice?

Answer from: Radiation Oncologist at Community Practice

I reached out to my colleague, naturopath Lise Alschuler, Associate Director of the University of Arizona Fellowship Program in Integrative Medicine program, for her thoughts on this question. Here is her answer:This study by Upadhyay et al. is a well-designed study which builds upon earlier studies...

Comments

Radiation Oncologist at Firelands Regional Medical Center
Thanks, @Matt and Lise - very helpful!

Answer from: Radiation Oncologist at Academic Institution

Our current practice is to begin Boswellia 4200-4800 mg per day if the first post-SRS/SRT MRI shows worsening edema. And if any patients subsequently develop grade 1 radionecrosis later in their follow-up. If a patient has mild symptoms, we also begin Boswellia and use steroids only for refractory c...

Comments

Radiation Oncologist at Firelands Regional Medical Center
Since supplements are not regulated, do you have a...

Radiation Oncologist at Peachtree Radiation Oncology PC
Nice to see you, @Norleena! I have the same quest...

Answer from: Radiation Oncologist at Academic Institution

I have started using it given the cited data, favoring it primarily in those who have radiographic edema without overt symptomology. I'm not personally at a point where I would skip steroids in the hopes that Frankincense would fix the problem. Even if it does happen to do nothing, the downsi...

Related Questions