5-HT(3)-receptor antagonists for the treatment of nausea and vomiting: a reappraisal of their side-effect profile.

Author: CunninghamRegina, GoodinSusan

Paper Details 
Original Abstract of the Article :
Nausea and vomiting can cause considerable distress and discomfort to patients undergoing chemotherapy, radiotherapy, or surgery. Several classes of antiemetic agents exist to combat these side effects, though the 5-HT(3)-receptor antagonists have become the first-line treatment choice for many canc...See full text at original site
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引用元:
https://doi.org/10.1634/theoncologist.7-5-424

データ提供:米国国立医学図書館(NLM)

5-HT(3) Receptor Antagonists for Nausea and Vomiting: A Reappraisal

The field of antiemetic therapy is a vast desert, with researchers constantly searching for the perfect oasis of relief for patients battling nausea and vomiting. This research delves into the world of 5-HT(3) receptor antagonists, a class of drugs often hailed as the 'gold standard' for treating nausea and vomiting, particularly in cancer patients undergoing chemotherapy, radiotherapy, or surgery. This study takes a closer look at the side-effect profile of these antagonists, recognizing that while they are generally well-tolerated, subtle differences exist among them. The authors highlight the importance of individualizing treatment, especially in vulnerable patient groups like children, the elderly, and those with underlying health conditions.

Beyond the Gold Standard: Individualized Treatment is Key

The study reveals that while 5-HT(3) receptor antagonists are often praised for their effectiveness and safety, it's crucial to remember that not all antagonists are created equal. The authors emphasize that certain drugs like dolasetron may pose greater cardiovascular risks, especially in patients with pre-existing heart conditions. Similarly, ondansetron might lead to more central nervous system side effects compared to other antagonists. These findings underscore the importance of taking a personalized approach to antiemetic therapy, tailoring treatment to the individual patient's needs and vulnerabilities.

Navigating the Evolving Desert of Antiemetics

This research shines a light on the need for ongoing exploration in the field of antiemetic therapy. Just like a desert traveler needs to be prepared for changing landscapes and weather conditions, clinicians must stay informed about the latest findings and nuances within this class of drugs. By taking into account individual patient factors, and keeping up with new developments, we can help patients navigate the often-difficult terrain of nausea and vomiting, providing them with the best possible relief.

Dr. Camel's Conclusion

In the vast desert of antiemetic therapy, 5-HT(3) receptor antagonists stand out as a promising oasis. However, like the desert itself, this landscape is complex and requires careful navigation. This research reminds us that individualizing treatment is crucial, as different antagonists have unique side-effect profiles. Remember, just as a wise desert traveler adapts to the changing landscape, clinicians must stay vigilant, continually learning and evolving their approach to antiemetic therapy.

Date :
  1. Date Completed 2003-03-04
  2. Date Revised 2019-06-07
Further Info :

Pubmed ID

12401905

DOI: Digital Object Identifier

10.1634/theoncologist.7-5-424

Related Literature

SNS
PICO Info
in preparation
Languages

English

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