Skip to main content
Log in

High-dose intravenous metoclopramide and intermittent intramuscular prochlorperazine and diazepam in the management of emesis induced by cis-dichlorodiammineplatinum

  • Original Articles
  • Metoclopramide, Cis-platinum, Prochlorperazine, Diazepam
  • Published:
Cancer Chemotherapy and Pharmacology Aims and scope Submit manuscript

Summary

Intravenous metoclopramide and IM prochlorperazine and diazepam were compared in the management of vomiting occurring during treatment with cis-dichlorodiammineplatinum (cis-platinum). A total of 104 cycles in 30 patients were evaluated.

Twenty-two patients took part in a cross-over study in which emetic profiles for each patient, managed with each anti-emetic schedule were compared.

In all, 44 cycles of treatment in 22 patients were evaluated as part of a cross-over study. No significant difference in emetic control was observed between the two anti-emetic, regimens.

The side-effects observed using IV metoclopramide included extrapyramidal phenomena (19%) and flushing attacks (16%).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Baker GM, Wiltshaw E (1981) use of high-dose cis-platinum following failure on previous chemotherapy for advanced carcinoma of the ovary. Br J Obstet Gynaecol 88:1192–1199

    Google Scholar 

  2. Bruckner HW, Cohen CC, Deppe G, Kalsako VB, Wallach RC (1978) Treatment of advanced ovarian cancer with cis-dichlorodiammineplatinum (II): Poor risk patients with intensive prior therapy. Cancer Treat Rep 62:555–558

    Google Scholar 

  3. Gershenson D, Wharton JT, Herson J, Edwards CL, Rutledge FN (1981) Single-agent cis-platinum therapy for advanced ovarian carcinoma. Obstet Gynecol 58:487–496

    Google Scholar 

  4. Gralla RJ, Itri LM, Pisko SE, et al (1981) Anti-emetic efficacy of high-dose metoclopramide: Randomized, trials with placebo and prochlorperazine in patients with chemotherapy-induced nausea and vomiting. N Engl l J Med 305:905–909

    Google Scholar 

  5. Harris AL (1982) Cytotoxic therapy induced vomiting, is mediated via enkephalin pathways. Lancet I:714–716

    Google Scholar 

  6. Holland JF, Bruckner HW, Cohen CJ et al. (1980) cis-Platinum therapy of ovarian cancer. In: van Oosterom AT, Muggia FM, Cleton FJ (eds) Therapeutic progress in ovarian, cancer, testicular cancer and the sarcomas. University Press, Leiden, pp 41–52

    Google Scholar 

  7. Lagasse LD, Pretorius RG, Petrilli ES, Ford LC, Hoeschele J, Kean C (1981) The metabolism of cis-dichlorodiammineplatinum-distribution, clearance and toxicity. Am J Obstet Gynecol 139:791–796

    Google Scholar 

  8. Madias NE, Harrington JT (1978) Platinum nephrotoxicity. Am J Med 65:307–317

    Google Scholar 

  9. Morran C, Smith DC, Anderson DA, McCardle CS (1979) Incidence of nausea and vomiting with cytotoxic therapy: A prospective randomised trial of anti-emetics. Br Med J I:1323–1324

    Google Scholar 

  10. Peroutka SJ, Snyder SH (1982) Anti-emetics: neurotransmitter receptor predicts therapeutic actions. Lancet I: 658–659

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Luesley, D.M., Terry, P.B. & Chan, K.K. High-dose intravenous metoclopramide and intermittent intramuscular prochlorperazine and diazepam in the management of emesis induced by cis-dichlorodiammineplatinum. Cancer Chemother. Pharmacol. 14, 250–252 (1985). https://doi.org/10.1007/BF00258127

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00258127

Keywords

Navigation