CINV Flashcards
Doxorubicin/Epirubicin + cyclophosphamide
High risk
Cisplatin
High risk
Doxorubicin > 60 mg/m2
High risk
Carboplatin
Moderate risk
Irinotecan
Moderate risk
Oxaliplatin
Moderate risk
Docetaxel/Paclitaxel
Low risk
Etoposide/Topotecan
Low risk
5-FU
Gemcitabine
Low risk
Pemetrexed
Low risk
Bevacizumab Cetuimab Ipilumumab Nivolumab Pembrolizumab Pertuzumab Rituximab Trastuzumab
Minimal risk
Vinca alkaloids
Minimal risk
Ceritinib
Crizotonib
Moderate-High risk
TKIs
Minimal-low risk
Capecitabine
Minimal-low risk
Anticipatory
Lorazepam 0.5-2mg Q6H PRN
Breakthrough/Refractory
Olanzapine Lorazepam Cannabinoids Haloperidol Metoclopramide Scopolamine patch Prochlorperazine/Promethazine 5-HT3 antagonist Dexamethasone
Minimal risk IV
Breakthrough
+/- Lorazepam 0.5-2 mg Q6H PRN
+/- H2RA or PPI
Low risk IV
Dexamethasone 8-12 mg PO/IV daily
+/- Lorazepam
+/- H2RA or PPI
Moderate risk IV
Dexamethasone + 5-HT3 antagonist +/- NK-1
Day 1
- Dexamethasone 12 mg PO/IV once
- Ondansetron 16 mg PO once
- +/- Aprepitant 125 mg PO once
Day 2-3
1. Ondansetron 16 mg PO daily
0r
2. Aprepitant 80mg PO daily
High risk IV
Dexamehtasone + 5-HT3 + NK-1 antagonist
Day 1
- Dexamethasone 12 mg PO/IV once
- Ondansetron 16 mg PO once
- Aprepitant 125 mg PO once
Day 2-4
- Dexamethasone 8 mg PO/IV daily
- Aprepitant 80 mg PO daily
Low risk oral
Ondansetron 8-16 mg PO daily PRN
Moderate-High risk oral
Ondansetron 16-24 mg PO daily