RT Journal Article
SR Electronic
T1 Effect of Prophylactic Anti-emetics on Opioid-induced Nausea and Vomiting: A Retrospective Observational Cohort Study
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 1737
OP 1742
DO 10.21873/invivo.12432
VO 35
IS 3
A1 TOMOKI TAMURA
A1 KEITA KAWAKADO
A1 GO MAKIMOTO
A1 MASAMOTO NAKANISHI
A1 SHOICHI KUYAMA
YR 2021
UL http://iv.iiarjournals.org/content/35/3/1737.abstract
AB Background: The guidelines on pharmacotherapy for cancer-related pain advocate active measures against the adverse effects of opioids to increase adherence to medication. However, preventative therapy for the management of nausea and vomiting has not been specified. This study aimed to verify the effects of prophylactic anti-emetics in preventing opioid-induced nausea and vomiting. Patients and Methods: We conducted a retrospective analysis of cases at our hospital in which oral opioids or patches were initiated for the management of pain due to malignant tumours from January 2017 to September 2019. Results: Strong opioids were initiated for 349 patients; of these, data for 298 patients were analysed. A total of 193 patients were on anti-emetic prophylaxis. We found that the group that did not receive anti-emetic prophylaxis was significantly more likely to be prescribed an additional anti-emetic. Conclusion: Prophylactic administration of anti-emetics at the time of initiating opioid analgesics may reduce gastrointestinal toxicity.