The use of olanzapine versus metoclopramide for the treatment of breakthrough chemotherapy-induced nausea and vomiting in patients receiving highly emetogenic chemotherapy.

Author: GraySarah E, NagyCindy K, NavariRudolph M

Paper Details 
Original Abstract of the Article :
PURPOSE: Olanzapine has been shown to be a safe and effective agent for the prevention of chemotherapy-induced nausea and vomiting (CINV). Olanzapine may also be an effective rescue medication for patients who develop breakthrough CINV despite having received guideline-directed CINV prophylaxis. ME...See full text at original site
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引用元:
https://doi.org/10.1007/s00520-012-1710-6

データ提供:米国国立医学図書館(NLM)

A New Hope for Nausea Relief: Olanzapine vs. Metoclopramide

The world of medicine is a vast desert, filled with unique challenges that require innovative solutions. In the realm of chemotherapy-induced nausea and vomiting (CINV), a particularly troublesome side effect, researchers are constantly searching for effective remedies. This study delves into a crucial aspect of CINV management, exploring the efficacy of olanzapine versus metoclopramide as rescue medications for breakthrough CINV. Utilizing a double-blind, randomized phase III trial, this research aimed to determine which medication is more effective in alleviating nausea and vomiting in patients undergoing highly emetogenic chemotherapy. The researchers found that olanzapine significantly outperformed metoclopramide in controlling breakthrough emesis and nausea, offering a glimmer of hope for patients battling this distressing side effect.

Olanzapine Emerges as a Stronger Ally

The study revealed a substantial difference in the effectiveness of the two medications. A striking 70% of patients receiving olanzapine experienced no emesis during the 72-hour observation period, compared to a mere 31% of patients who received metoclopramide. This finding is like a desert oasis—a refreshing respite from the harsh realities of CINV.

A Beacon of Hope for Patients Facing Chemotherapy

These findings provide valuable insights for healthcare professionals and offer a ray of hope for patients undergoing highly emetogenic chemotherapy. The ability to effectively control breakthrough CINV can significantly improve patients' quality of life during treatment, enabling them to cope better with the challenges of cancer therapy. It is crucial to remember that this study highlights the potential of olanzapine as a more effective rescue medication, but further research is always necessary to confirm these findings and ensure the safety and efficacy of this medication in a broader population.

Dr.Camel's Conclusion

This research, like a caravan venturing through the desert, has brought us closer to a better understanding of CINV management. Olanzapine emerged as a more effective rescue medication, offering a potential oasis in the challenging journey of chemotherapy for patients. It's crucial to remember that each individual's response to medication can vary, and further research is crucial to ensure the safe and effective application of olanzapine in a broader population.

Date :
  1. Date Completed 2014-05-30
  2. Date Revised 2022-03-21
Further Info :

Pubmed ID

23314603

DOI: Digital Object Identifier

10.1007/s00520-012-1710-6

Related Literature

SNS
PICO Info
in preparation
Languages

English

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