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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1989-6-21
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pubmed:abstractText |
Sixty-nine patients with malignant tumors receiving cancer chemotherapy, 90% including cis-platinum, were evaluated in a randomized crossover study for the antiemetic efficacy and the side effects of two antiemetic regimens: chlorpromazine (CPM) 2.5 mg/kg in 5 doses plus dexamethasone (DXM) 0.2 mg/kg in 2 doses, and high-dose metoclopramide (HD-MCP) 10 mg/kg in 5 doses plus the same dose of DXM. In 69% of 173 courses of chemotherapy, antiemetic response was achieved, and in 26% emesis was completely prevented. There was no statistical difference in the response to the antiemetic regimens, but 65% of the patients who completed 3 courses of chemotherapy preferred HD-MCP plus DXM. The main side effects of the treatment were drowsiness, nervousness, diarrhea and extrapyramidal reactions. HD-MCP plus DXM is recommended as a first line antiemetic treatment in patients receiving cancer chemotherapy. Patients resistant to this treatment should receive CPM plus DXM treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antiemetics,
http://linkedlifedata.com/resource/pubmed/chemical/Chlorpromazine,
http://linkedlifedata.com/resource/pubmed/chemical/Cisplatin,
http://linkedlifedata.com/resource/pubmed/chemical/Dexamethasone,
http://linkedlifedata.com/resource/pubmed/chemical/Metoclopramide
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pubmed:status |
MEDLINE
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pubmed:issn |
0030-2414
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
150-4
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2654792-Adolescent,
pubmed-meshheading:2654792-Adult,
pubmed-meshheading:2654792-Aged,
pubmed-meshheading:2654792-Antiemetics,
pubmed-meshheading:2654792-Chlorpromazine,
pubmed-meshheading:2654792-Cisplatin,
pubmed-meshheading:2654792-Clinical Trials as Topic,
pubmed-meshheading:2654792-Dexamethasone,
pubmed-meshheading:2654792-Drug Evaluation,
pubmed-meshheading:2654792-Drug Therapy, Combination,
pubmed-meshheading:2654792-Female,
pubmed-meshheading:2654792-Humans,
pubmed-meshheading:2654792-Male,
pubmed-meshheading:2654792-Metoclopramide,
pubmed-meshheading:2654792-Middle Aged,
pubmed-meshheading:2654792-Neoplasms,
pubmed-meshheading:2654792-Prospective Studies,
pubmed-meshheading:2654792-Random Allocation,
pubmed-meshheading:2654792-Vomiting
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pubmed:year |
1989
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pubmed:articleTitle |
Chlorpromazine and dexamethasone versus high-dose metoclopramide and dexamethasone in patients receiving cancer chemotherapy, particularly cis-platinum: a prospective randomized crossover study.
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pubmed:affiliation |
Department of Oncology, Sharett Institute, Hadassah University Hospital, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|