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  Česky / Czech version Čes. Gynek. 68, 2003, č. 4 s. 269-277
 
Anti-emetic Drugs in Oncogynecology 
Jirsová S.1, Cibula D.1, Eretová V.1, Freitag P.1, Jančárková N.1, Hejlová P.2, Mareš P.3, Pavlišta D.1, Živný J.1 

1Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze, přednosta prof. MUDr. J. Živný, DrSc. 2Gynekologicko-porodnické oddělení NsP Mělník, primář MUDr. J. Zmrhal, CSc. 3Onkologická klinika 1. LF UK a VFN v Praze, přednosta doc. MUDr. L. Petruželka, CSc.
 


Summary:

       Objective: The authors present a survey of available pharmacological possibilities of treatment of nausea and vomiting aimed at their application in oncological therapy of gynecological neoplastic diseases. Type of the study: A review article. Name andAddress of the Institution: Gynecological-Obstetrical Clinic,FirstMedicalFaculty, Charles University and General Faculty Hospital, Praha. Subject and Method of the Study: A survey of published data fromthe Czech and foreign professional literature. Conclusion: 5-HT3 receptor antagonists take up the most important position in the antiemetic treatment of oncological patients. They efficiently preventand treatvomiting induced by anticancer drugs with high and very high emetogenic effect. They have been used as monotherapy or in combination with corticoids. In the treatment of nausea and vomiting or vomiting induced by anticancer drugs with medium or light emetogenic effect, antiemetic preparations from the corticoid series and dopamine receptor antagonists may be recommended. In the treatment of anticipation vomiting, benzodiazepines are indicated for their anxiolytic and psychosedative influence.

        Key words: antiemetics, estrones, 5-HT3 antagonists
       

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