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Nausea and Vomiting Caused by Chemotherapy

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Supportive Care in Cancer Therapy

Part of the book series: Cancer Treatment and Research ((CTAR,volume 13))

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Abstract

Nausea and vomiting is a regulatory response that has evolved in higher animals to maintain the constancy of the cellular environment. Like many other homeostatic regulatory mechanisms, the principles of negative feedback apply. A sensor detects changes from the normal; the sensor signals trigger changes that continue until the normal is again achieved. Nausea and vomiting is deeply rooted in the evolutionary survival of the species and it is not surprising that it is a difficult response to suppress. Today, cancer treatment requires the use of drugs that can cause severe nausea and vomiting. The physician must also treat and study the suffering caused by his treatments. This chapter reviews the physiology of vomiting, the pharmacology of anti-emetic drugs, and the clinical use of anti-emetics.

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References

  1. Ingelfinger FJ, Moss RE: The activity of the descending duodenum during nausea. Am J Physiol 136: 561, 1942.

    Google Scholar 

  2. Lumsden K, Holden WS: The act of vomiting in man. GUT 10: 173, 1969.

    Article  PubMed  CAS  Google Scholar 

  3. Wolfs: Studies on nausea. Effects of ipecac and other emetics on the human stomach and duodenum. Gastroenterology 12: 212, 1949.

    Google Scholar 

  4. Wang SC: Emetic and antiemetic drugs. Physiol Pharmacol 11: 255, 1965.

    Google Scholar 

  5. Wang SC, Borison HL: The vomiting center: a critical experimental analysis. AMA Arch Neurol Psychiat 63: 928, 1950.

    CAS  Google Scholar 

  6. Ganong WF: Review of medical Physiology. Lange Medical Publications, Los Altos, California, 10th ed 1981, p 480.

    Google Scholar 

  7. Peroutka S J, Synder SH: Antiemetics: neurotransmitter receptor binding predicts therapeutic actions. Lancet 1 (8273): 658–659, 1982.

    Article  PubMed  CAS  Google Scholar 

  8. Palacios JM, Wamsley JK, Kubar MJ: The distribution of histamine Ht receptors in the rat brain: an autoradiographic study. Neuroscience 6: 15–17, 1981.

    Article  PubMed  CAS  Google Scholar 

  9. Wamsley JK, Lewis MS, Young WS, III, Kuhar MJ: Autoradiographic localization of muscarinic cholinergic receptors in rat brainstem. J Neurosci 1: 176–191, 1981.

    PubMed  CAS  Google Scholar 

  10. Stefanini E, Clement-Cormier Y: Detection of dopamine receptors in the area postrema. Eur J Pharmacol 74: 257–260, 1981.

    Article  CAS  Google Scholar 

  11. McCarthy LE, Borison HL, Spiegel PK, Friedlander RM: Vomiting: radiographic and oscillographic correlates in the decerebrate cat. Gastroenterology 67: 1126–1130, 1974.

    PubMed  CAS  Google Scholar 

  12. Nesse RM, Carli T, Curtis GC, Kleinman RD: Pretreatment nausea in cancer chemotherapy: a conditioned response? Psychosomatic Med 42 (1): 33–36, 1980.

    CAS  Google Scholar 

  13. Morrow GR, Arseneau JC, Asbury RF, Bennet JM, Laszlo B: Anticipatory nausea and vomiting with chemotherapy. New Engl J Med 306 (7): 431–432, 1982.

    PubMed  CAS  Google Scholar 

  14. Brand ED, Harris TD, Borison HL, Goodman LS: The antiemetic activity of 10-(y-dime- thylaminopropyl)-2-chlorphenothiazine (chlorpromazine) in dog and cat. J Pharmacol Exp Ther 110: 86, 1954.

    PubMed  CAS  Google Scholar 

  15. Moyer TH, Conner PK: Clinical and laboratory observations on two trifluoromethyl phenothiazine derivatives. J Lab Clin Med 51: 185, 1958.

    PubMed  CAS  Google Scholar 

  16. Wyant GM: A comparative study of eleven antiemetic drugs in dogs. Can Anaesthesiol Soc J 9: 399, 1962.

    Article  CAS  Google Scholar 

  17. Laffan RJ, Papandrianos P, Burke JC, Craver BN: Antiemetic action of fluphenazine (Prolixin): a comparison with other phenothiazines. J Pharmacol Exp Ther 131: 130, 1961.

    PubMed  CAS  Google Scholar 

  18. Gay LN, Carliner PE: The prevention and treatment of motion sickness & seasickness. Bull Johns Hopkins Hosp 84: 470, 1949.

    PubMed  CAS  Google Scholar 

  19. Moertel CG, Reitemeier RJ, Gage RP: A controlled clinical evaluation of antiemetic drugs. JAMA 186: 116–8, 1963.

    PubMed  CAS  Google Scholar 

  20. Morran C, Smith DC, Anderson DA, McArdle CS: Incidence of nausea and vomiting with cytotoxic chemotherapy: a prospective randomized trial of antiemetics. Br Med J 1: 1323–4, 1979.

    Article  PubMed  CAS  Google Scholar 

  21. Longo D, Howser D, Wesley M, Anderson T, Young RC: Randomized double-blind crossover trial of scopolamine vs placebo administered by transcutaneous patch for the control of chemotherapy induced emesis. Proc Am Assoc Cancer Res 22: 161, 1981.

    Google Scholar 

  22. Edmonds-Seals J, Prys-Roberts C: Pharmacology of drugs used for neuroleptanalgesia. Br J Anesth 42: 207–216, 1970.

    Article  Google Scholar 

  23. Shields KG, Ballinger CM, Hathaway BN: Antiemetic effectiveness of haloperidol in human volunteers challenged with apomorphine. Anesth Analg 50: 1017–1027, 1971.

    Article  PubMed  CAS  Google Scholar 

  24. Pinder RM, Brogden RN, Sawyer PR, Speight TM, Avery GS: Metoclopramide: a review of its pharmacological properties and clinical use. Drugs 12: 81–131, 1976.

    Article  PubMed  CAS  Google Scholar 

  25. Justin-Besançon L, Laville C. Action antiémetique du métoclopromide vis-à-vis de l’apo- morphine et de l’hydergine. Cr Soc Biol (Paris) 158: 723–727, 1964.

    Google Scholar 

  26. Gralla RJ, Itri LM, Pisko SE et al.: Antiemetic efficacy of high-dose metoclopromide: randomized trials with placebo and prochlorperazine in patients with chemotherapy induced nausea and vomiting. N Engl J Med 305: 905–909, 1981.

    Article  PubMed  CAS  Google Scholar 

  27. Sallan SE, Zinberg NE, Frei E, III: Antiemetic effect of delta-9-Tetrahydrocannabinol in patients receiving cancer chemotherapy. N Engl J Med 293: 795–797, 1975.

    Article  PubMed  CAS  Google Scholar 

  28. Sallan SE, Cronin C, Zelen M et al.: Antiemetics in patients receiving chemotherapy for cancer. A randomized comparison of delta-9-Tetrahydrocannabinol and prochlorperazine. N Engl J Med 302: 135–138, 1980.

    Article  PubMed  CAS  Google Scholar 

  29. Frytak S, Moertel CG, O’Fallon JR et al.: Delta-9-tetrahydrocannabinol as an antiemetic for patients receiving cancer chemotherapy. A comparison with prochlorperamine and a placebo. Ann Intern Med 91: 825–830, 1979.

    PubMed  CAS  Google Scholar 

  30. Poster DS, Penta JS, Bruno S et al.: A review of oral delta-9-tetrahydrocannabinol clinical antiemetic studies 1975:1980. In: Treatment of Cancer Chemotherapy Induced Nausea and Vomiting, Poster DS, Penta JS, Bruno S (eds). New York, Masson Publishing USA, 1981, pp 55–59.

    Google Scholar 

  31. Chang AE, Shiling DJ, Stillman RC et al.: Delta-9-tetrahydrocannabinol as an antiemetic in cancer patients receiving high dose methotrexate. A prospective randomized evaluation. Ann Intern Med 91: 819–824, 1979.

    PubMed  CAS  Google Scholar 

  32. Milne GM, Johnson MR, Fiese EF, Wolf JS: Selected pharmacological studies with levon- antradol. In: Treatment of Cancer Chemotherapy Induced Nausea and Vomiting, Poster DS, Penta JS, Bruno S (eds). New York, Masson Publishing USA, 1981, pp 129–136.

    Google Scholar 

  33. Long A, Mioduszewski J, Natale R: A randomized double-blind crossover comparison of the antiemetic activity of levonantradol and prochlorperazine. Proceedings American Society of Clinical Oncology 220: 57, 1982.

    Google Scholar 

  34. Steele N, Gralla RJ, Braun DW, Young CW: Double-blind comparison of the antiemetic effects of nabilone and prochlorperazine on chemotherapy induced emesis. Cancer Treat Rep 64: 219–224, 1980.

    PubMed  CAS  Google Scholar 

  35. Drapkin RL, McAloon E, Sokol G et al.: The antiemetic effect of dexamethasone in patients receiving cis-platinum. Proceedings American Association of Clinical Oncology (C-34) 1981, p 419.

    Google Scholar 

  36. Drapkin RL, Sokol GH, Paladine WJ et al.: The antiemetic effect and dose response of dexamethasone in patients receiving cis-platinum. Proceedings American Association of Clinical Oncology (C-236) 1982, p 61.

    Google Scholar 

  37. Rich WM, Gazi A, DiSain PJ: Methylprednisolone as an antiemetic during cancer chemotherapy - a pilot study. Gynecol Oncol 9: 193–198, 1980.

    Article  PubMed  CAS  Google Scholar 

  38. Aapro MS, Alberts DS: High-dose dexamethasone for prevention of cis-platin-induced vomiting. Cancer Chemother Pharmacol 7: 11–14, 1981.

    Article  PubMed  CAS  Google Scholar 

  39. Lokich JJ: Phase I study of cis-diamminedichloroplatinum (II) administered as a constant 5 day infusion. Cancer Treat Rep 64: 905–908, 1980.

    PubMed  CAS  Google Scholar 

  40. Moore GE, Meiselbaugh D: DTIC (NSC-45388) toxicity. Cancer Treat Rep 60: 219, 1976.

    PubMed  CAS  Google Scholar 

  41. Stolinsky DC, Solomon J, Pugh RP et al.: Clinical experience with procarbazine in Hodgkin’s disease, reticulum cell sarcoma, and lymphosarcoma. Cancer 26: 984–990, 1979.

    Article  Google Scholar 

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© 1983 Martinus Nijhoff Publishers, Boston

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Drapkin, R.L. (1983). Nausea and Vomiting Caused by Chemotherapy. In: Higby, D.J. (eds) Supportive Care in Cancer Therapy. Cancer Treatment and Research, vol 13. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3864-2_5

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  • DOI: https://doi.org/10.1007/978-1-4613-3864-2_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3866-6

  • Online ISBN: 978-1-4613-3864-2

  • eBook Packages: Springer Book Archive

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