Granisetron in the control of nausea and vomiting associated with bone marrow transplantation: a review of its efficacy and tolerability

被引:3
作者
Prentice, HG
机构
[1] UCL Royal Free & Univ Coll, Sch Med, London W1G 6BW, England
[2] London Clin, Dept Haematol, London W1G 6BW, England
关键词
granisetron; nausea; vomiting; anti-emetic; 5-HT3 receptor antagonist; HIGH-DOSE CHEMOTHERAPY; STEM-CELL TRANSPLANTATION; BODY IRRADIATION PRIOR; ANTIEMETIC EFFICACY; ORAL GRANISETRON; PREVENTION; ONDANSETRON; SAFETY; DEXAMETHASONE; PROPHYLAXIS;
D O I
10.1007/s00520-003-0480-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer patients undergoing bone marrow transplantation (BMT) experience severe nausea and vomiting associated with high-dose chemotherapy agents; these emetic symptoms are compounded by total body irradiation used in many conditioning regimens. This paper reviews clinical experience with the 5-HT3 receptor antagonist granisetron, both as a single agent and in combination with other anti-emetics, in patients undergoing BMT and peripheral blood stem cell transplantation (PBSCT). Clinical studies demonstrate the efficacy (47-61% with no vomiting and no worse than mild nausea) and tolerability of granisetron. Its long half-life and duration of action may be responsible for its effective 24 h control of nausea and vomiting in BMT patients.
引用
收藏
页码:501 / 508
页数:8
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