2007
DOI: 10.1634/theoncologist.12-9-1143
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Guidelines for Antiemetic Treatment of Chemotherapy-Induced Nausea and Vomiting: Past, Present, and Future Recommendations

Abstract: After completing this course, the reader will be able to:1. Explain the optimal antiemetic prophylaxis for patients receiving chemotherapy in regard to the emetogenic potential of the therapy.2. Describe the difference between acute and delayed emesis.3. Discuss the properties and optimal use of the different antiemetic drugs.Access and take the CME test online and receive 1 AMA PRA Category 1 Credit ™ at CME.TheOncologist.com CME CME ABSTRACT

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Cited by 167 publications
(141 citation statements)
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“…49,50 Another limiting factor of the use of this drug orally is the decreased bioavailability versus parenteral route, due to first-pass metabolism, in addition to the potential decrease in its absorption as a result of frequent episodes of vomiting caused by the treatment with cyclophosphamide. 31 Taking into account the concepts that guide the rational use of pharmaceuticals, including the reduction of treatment costs for both the patient and society, oral administration of mesna would have also the advantage of a likely decrease in expenses, due the lower bed occupancy time and less workload of the nursing team. 51 Still in this context, another possible disadvantage is the patient's non-compliance; thus, one cannot be sure that the patient has taken, or otherwise, the last dose of mesna PO.…”
Section: Fig 2 -Guidelinesmentioning
confidence: 99%
See 1 more Smart Citation
“…49,50 Another limiting factor of the use of this drug orally is the decreased bioavailability versus parenteral route, due to first-pass metabolism, in addition to the potential decrease in its absorption as a result of frequent episodes of vomiting caused by the treatment with cyclophosphamide. 31 Taking into account the concepts that guide the rational use of pharmaceuticals, including the reduction of treatment costs for both the patient and society, oral administration of mesna would have also the advantage of a likely decrease in expenses, due the lower bed occupancy time and less workload of the nursing team. 51 Still in this context, another possible disadvantage is the patient's non-compliance; thus, one cannot be sure that the patient has taken, or otherwise, the last dose of mesna PO.…”
Section: Fig 2 -Guidelinesmentioning
confidence: 99%
“…55 The second dose of mesna (20% of cyclophosphamide dose) is administered in the interval between 15 and 30 min after the administration of cyclophosphamide. 28 Nausea and vomiting are considered as common adverse reactions in chemotherapy, and this also occurs with cyclophosphamide 31 which, in turn, participates of many chemotherapeutic regimens. In this case, a routine has been proposed for the treatment of rheumatic diseases.…”
Section: Fig 2 -Guidelinesmentioning
confidence: 99%
“…Antiemetic guidelines are published by several groups including MASCC, ASCO and NCCN [22]. The differences in the guidelines often relate to when they are updated and therefore encompass the latest literature.…”
Section: Guidelinesmentioning
confidence: 99%
“…Currently, in adult patients undergoing highly emetogenic chemotherapy, the administration of a 5-HT 3 receptor antagonist alongside the NK 1 receptor antagonist, aprepitant, and dexamethasone is recommended for the treatment of acute CINV. 10,11 For patients undergoing a moderately emetogenic chemotherapy regimen, palonosetron hydrochloride (Aloxi®, palonosetron; a 5- In paediatric patients, at the time of study design, Multinational Association of Supportive Care in Cancer (MASCC) and European Society for Medical Oncology (ESMO) guidelines recommended prophylactic antiemetic therapy comprising a 5-HT 3 receptor antagonist and dexamethasone to prevent acute CINV in patients scheduled to receive moderately or highly emetogenic chemotherapy. 2 In later guidance, the Pediatric Oncology Group of Ontario (POGO) Guideline for the Prevention of Acute Nausea and Vomiting due to Antineoplastic Medication in Pediatric Cancer Patients recommended that children scheduled to receive highly emetogenic therapy should receive antiemetic prophylactic therapy of ondansetron or granisetron plus dexamethasone and aprepitant (≥12 years of age and receiving antineoplastic agents not known to interact with aprepitant) or ondansetron or granisetron plus dexamethasone (<12 years of age or receiving aprepitant interacting agents).…”
Section: Introductionmentioning
confidence: 99%