Worldwide drug shortages are a recent and growing concern which involves all drug classes, including antineoplastic [1]. Successive shortages disrupt and disorganize the activity of oncology practitioners who must find adaptive solutions [2]. Drug shortage can also impact the management of patients with cancer, with potential consequences in term of overall survival [3]. However and interestingly, successive drug shortages have refocused oncology specialists on evidence-based medicine (EBM) [4]. For example, folate shortage has pushed oncology practitioners to experiment a standardized low dose protocol, and first results appear to be consistent with a similar efficacy [5]. After the discovery of paclitaxel as an antimitotic drug, the first clinical trials with paclitaxel have revealed a high rate of HSR (up to 40 %) [7]. Clinical observations have linked this HSR with those observed with radiocontrast Media (RCM), which appears to be, at least in part, histaminergic [7]. Trial investigators and the National Cancer Institute have transposed premedication for RCM for clinical trials with paclitaxel (association of a corticoid, antiH1, and antiH2). This was followed by a significant decrease of HSR (around 1 %).Histaminergic receptors are present ubiquitously and divided according to subtypes. While H1 receptors are preferentially involved in bronchoconstriction and edema mechanisms, H2 receptors are mostly involved in gastric acid secretion. They are also involved in bronchodilation and possibly in hypotension phenomenon. Whereas role of H1 in HSR mediated by histamine is clearly demonstrated, implication of H2 receptors in HSR mediated by histamine is debated. Recent in vivo data based on a gene knockout approach suggest that both H1 and H2 take part in anaphylaxis [8]. A clinical study shows in 12 healthy or