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Palonosetron in the management of chemotherapy- induced nausea and vomiting in patients receiving multiple-day chemotherapy

Authors Affronti ML, Bubalo J

Received 21 May 2014

Accepted for publication 5 July 2014

Published 5 September 2014 Volume 2014:6 Pages 329—337


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Mary Lou Affronti,1 Joseph Bubalo2

1Duke University Medical Center, Durham, NC, 2Oregon Health and Science University Hospital and Clinics, Portland, OR, USA

Abstract: Prevention of chemotherapy-induced nausea and vomiting (CINV) is a key component of treatment for patients with cancer. Guidelines are available to assist prescribers in the management of CINV associated with single-day chemotherapy regimens. However, currently there are no clear guidelines for management of CINV in patients receiving multiple-day chemotherapy regimens. Serotonin (5-HT3) receptor antagonists are a mainstay in preventing CINV, and palonosetron, given its longer half-life and duration of action relative to other 5-HT3 receptor antagonists, may be a useful option for managing CINV in multiple-day chemotherapy. Here we provide an overview of CINV and CINV treatment options, with a focus on palonosetron. We describe existing challenges in managing CINV, and discuss two patients receiving multiple-day chemotherapy, in whom CINV was managed successfully with palonosetron.

Keywords: chemotherapy-induced nausea and vomiting, palonosetron, multiple-day chemotherapy, 5-HT3 receptor antagonist

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