Title |
Is there a pharmacological basis for differences in 5-HT3-receptor antagonist efficacy in refractory patients?
|
---|---|
Published in |
Cancer Chemotherapy and Pharmacology, April 2005
|
DOI | 10.1007/s00280-005-1033-0 |
Pubmed ID | |
Authors |
Ronald de Wit, Matti Aapro, Peter R Blower |
Abstract |
5-HT3-receptor antagonists are the current antiemetic 'gold standard' for chemotherapy- and radiotherapy-induced nausea and vomiting. Interestingly, studies have shown that patients experiencing poor control of acute chemotherapy-induced nausea and vomiting with one antiemetic therapy may respond well to another agent, including a drug of the same class. This review examines pharmacological differences between the 5-HT3-receptor antagonists in order to determine potential reasons for their differing efficacy, particularly in relation to refractory emesis. Differences in drug metabolism by the cytochrome P450 system, inadequate dosing of the respective agents, differences in onset and duration of action, and effects on serotonin release and reuptake are discussed. |
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Geographical breakdown
Country | Count | As % |
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Indonesia | 1 | 3% |
Japan | 1 | 3% |
United States | 1 | 3% |
Germany | 1 | 3% |
Unknown | 30 | 88% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 6 | 18% |
Student > Master | 4 | 12% |
Researcher | 4 | 12% |
Student > Ph. D. Student | 4 | 12% |
Professor | 3 | 9% |
Other | 3 | 9% |
Unknown | 10 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 29% |
Biochemistry, Genetics and Molecular Biology | 4 | 12% |
Agricultural and Biological Sciences | 4 | 12% |
Nursing and Health Professions | 2 | 6% |
Chemistry | 2 | 6% |
Other | 1 | 3% |
Unknown | 11 | 32% |