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%).
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References
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
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
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
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
Harris AL (1982) Cytotoxic therapy induced vomiting, is mediated via enkephalin pathways. Lancet I:714–716
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
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
Madias NE, Harrington JT (1978) Platinum nephrotoxicity. Am J Med 65:307–317
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
Peroutka SJ, Snyder SH (1982) Anti-emetics: neurotransmitter receptor predicts therapeutic actions. Lancet I: 658–659
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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
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DOI: https://doi.org/10.1007/BF00258127