Published : 2025-02-25

Nausea and vomiting associated with chemotherapy and principles of management in their prevention

Katarzyna Łysiak

Anna Łysiak

Barbara Maziarz

Paulina Przywara

Natalia Bogumiłło

Kinga Ściurka

Julia Ignacak

Mikołaj Borek

Oliwia Grzelak

Abstract

Nowadays, there are many effective cancer treatments that use different combinations of chemotherapeutics agents to destroy cancer cells, often in advanced stages when radical surgery methods are no longer possible. Unfortunately, the toxicity of treatment can cause many side effects. One of them is nausea and vomiting, which significantly affects the quality of life and is a challenge for cancer patients. Nausea and vomiting affect 40-80% of patients receiving chemotherapy and/or radiotherapy.  The likelihood of their occurrence depends on the treatment regimen, dose and route of administration. Of course, patient-related factors also play a role. The use of combination antiemetics, including setrons in combination with a neurokinin-1 (NK-1) receptor antagonist and glucocorticosteroids, can effectively prevent nausea and vomiting - in the early type in about 80-90% of patients and in the late type in about 60-80%. Nausea and vomiting can significantly reduce the quality of life of patents undergoing cancer treatment. However, adherence to an appropriate treatment regimen ensures that patients have an optimal quality of life during treatment. This article discusses current strategies for the prevention and treatment of nausea and vomiting using antiemetic drugs.

Keywords:

vomiting, nausea, chemotherapy, guidelines, glucocorticosteroids


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Łysiak, K., Łysiak, A., Maziarz, B., Przywara, P., Bogumiłło, N., Ściurka, K., … Grzelak, O. (2025). Nausea and vomiting associated with chemotherapy and principles of management in their prevention. Prospects in Pharmaceutical Sciences, 23(1), 74–79. https://doi.org/10.56782/pps.227

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Editorial Team
Stefana Banacha 1
02-097 Warsaw, Poland
biuletynfarmacji@wum.edu.pl
Publisher:
Medical University of Warsaw
ul. Żwirki i Wigury 61
02-091 Warszawa

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