Nausea and vomiting associated with chemotherapy and radiotherapy

Active Ingredient: Granisetron

Indication for Granisetron

Population group: only adults (18 years old or older)

Granisetron is indicated in adults for the treatment of acute nausea and vomiting associated with chemotherapy and radiotherapy.

For this indication, competent medicine agencies globally authorize below treatments:

2 mg in 1-2 divided odses daily

Route of admnistration

Oral

Defined daily dose

2 - 2 mg

Dosage regimen

From 1 To 1 mg 2 time(s) per day every day

Detailed description

1 mg twice a day or 2 mg once a day for up to one week following radiotherapy or chemotherapy. The first dose of granisetron should be administered within one hour before the start of therapy.

Dexamethasone has been used concomitantly at doses up to 20 mg once a day orally.

Dosage considerations

The first dose of granisetron should be administered within one hour before the start of therapy.

1-9 mg in 1-3 divided doses

Route of admnistration

Intravenous

Defined daily dose

1 - 9 mg

Dosage regimen

From 0.333 To 3 mg 3 time(s) per day every day

Detailed description

A dose of 1–3 mg (10–40 ยตg/kg) of granisetron should be administered either as a slow intravenous injection or as a diluted intravenous infusion and administered over 5 minutes. The solution should be diluted to 5 ml per mg. Further maintenance doses of Granisetron may be administered at least 10 minutes apart. The maximum dose to be administered over 24 hours should not exceed 9 mg.

Combination with adrenocortical steroid

The efficacy of parenteral granisetron may be enhanced by an additional intravenous dose of an adrenocortical steroid e.g. by 8-20 mg dexamethasone administered before the start of the cytostatic therapy or by 250 mg methyl-prednisolone administered prior to the start and shortly after the end of the chemotherapy.

Dosage considerations

It should be administered either as a slow intravenous injection or as a diluted intravenous infusion 5 minutes prior to the start of chemotherapy or radiotherapy.

10-120 ยตg/kg in 1-3 divided doses

Route of admnistration

Intravenous

Defined daily dose

10 - 120 ug per kg of body weight

Dosage regimen

From 3.333 To 40 ug per kg of body weight 3 time(s) per day every day

Detailed description

A dose of 1–3 mg 10–40 ยตg/kg of granisetron should be administered either as a slow intravenous injection or as a diluted intravenous infusion and administered over 5 minutes. The solution should be diluted to 5 ml per mg. Further maintenance doses of Granisetron may be administered at least 10 minutes apart. The maximum dose to be administered over 24 hours should not exceed 9 mg.

Combination with adrenocortical steroid

The efficacy of parenteral granisetron may be enhanced by an additional intravenous dose of an adrenocortical steroid e.g. by 8-20 mg dexamethasone administered before the start of the cytostatic therapy or by 250 mg methyl-prednisolone administered prior to the start and shortly after the end of the chemotherapy.

Dosage considerations

It should be administered either as a slow intravenous injection or as a diluted intravenous infusion 5 minutes prior to the start of chemotherapy or radiotherapy.

Active ingredient

Granisetron

Granisetron is a potent anti-emetic and highly selective antagonist of 5-hydroxytryptamine (5HT3 receptors). Pharmacological studies have demonstrated that granisetron is effective against nausea and vomiting as a result of cytostatic therapy.

Read more about Granisetron

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