Tropisetron plus haloperidol to ameliorate nausea and vomiting associated with high-dose alkylating agent cancer chemotherapy

1991 ◽  
Vol 27 (5) ◽  
pp. 561-565 ◽  
Author(s):  
Marco Bregni ◽  
Salvatore Siena ◽  
Massimo Di Nicola ◽  
Gianni Bonadonna ◽  
Alessandro M. Gianni
1984 ◽  
Vol 22 (3) ◽  
pp. 9-11

Nausea and vomiting caused by cytotoxic drugs often resist anti-emetics in conventional doses.1,2 Nabilone and high-dose metoclopramide are two new preparations specifically for the treatment of vomiting induced by cancer chemotherapy. We have recently discussed domperidone which is also used for this purpose.3


1986 ◽  
Vol 24 (12) ◽  
pp. 46-48

In patients receiving cancer chemotherapy nausea and vomiting are the unwanted effects that often prove most troublesome.1 The incidence and severity of such symptoms depend on the type and dose of cytotoxic drug(s) used and on patient susceptibility, some drugs, particularly cisplatin, doxorubicin, dacarbazine and mustine, are particularly emetic but the incidence is compounded by anticipatory vomiting which develops in about a quarter of patients if symptoms have been poorly controlled during earlier courses.2 Treatment is hampered because it is difficult to predict who will develop symptoms and which therapy might be effective.3 We recently reviewed the antiemetics nabilone, high-dose metoclopramide4 and domperidone.5 Unfortunately, these are not always effective and may be associated with unacceptable unwanted effects (for instance intravenous domperidone can cause cardiac arrhythmias). Studies now suggest that corticosteroids and lorazepam may be useful additions.


2007 ◽  
Vol 42 (9) ◽  
pp. 801-811 ◽  
Author(s):  
John E. Mbue ◽  
Dominic A. Solimando ◽  
J. Aubrey Waddell

The increasing complexity of cancer chemotherapy now requires that pharmacists be familiar with these highly toxic agents. This column will review various issues related to preparation, dispensing, and administration of cancer chemotherapy, and review various agents, both commercially available and investigational, used to treat malignant diseases.


1984 ◽  
Vol 1 (3) ◽  
pp. 227-238 ◽  
Author(s):  
M.A. CORNBLEET ◽  
R.C.F. LEONARD ◽  
J.F. SMYTH

Oncology ◽  
1985 ◽  
Vol 42 (4) ◽  
pp. 224-228 ◽  
Author(s):  
Giorgio V. Scagliotti ◽  
Donatella Lodico ◽  
Felice Gozzelino ◽  
Franco Bardessono ◽  
Carlo Albera ◽  
...  

1985 ◽  
Vol 3 (2) ◽  
pp. 245-251 ◽  
Author(s):  
S B Strum ◽  
J E McDermed ◽  
D F Liponi

We tested the safety and antiemetic effectiveness of intravenous (IV) dexamethasone (DXM) as an adjunct to high-dose IV metoclopramide (MCP) to prevent nausea and vomiting induced by high-dose cisplatin chemotherapy. Response was determined by using objective and subjective criteria. Thirty patients were randomly assigned to receive MCP alone at a dose of 2 mg/kg IV for three doses or the same dose of MCP plus 20 mg of DXM IV for three doses. Twenty evaluable patients received a second course of cisplatin and were crossed over to the opposite arm. Study results did not show a statistically significant advantage of combination MCP plus DXM over MCP alone using strict objective criteria for antiemetic response. However, patients subjectively preferred MCP plus DXM over MCP alone by nearly a 6:1 ratio, regardless of the randomization sequence. Although the addition of DXM does not appear to objectively improve emetic protection with high-dose MCP, we recommend MCP plus DXM to prevent nausea and vomiting induced by high-dose cisplatin chemotherapy when the use of steroids is not contraindicated, in view of patient preference for the combination.


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