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A review on radiation induced nausea and vomiting: “Current management strategies and prominence of radio sensitizers”

Publication Type : Journal Article

Publisher : Journal of Oncology Pharmacy Practice

Source : Journal of Oncology Pharmacy Practice, 2021 Jul;27(5):1061-1072. doi: 10.1177/10781552211011539. Epub 2021 May 4. Erratum in: J Oncol Pharm Pract. 2022 Dec;28(8):1936. PMID: 33947288.

Campus : Kochi

School : School of Medicine

Department : Radiotherapy

Year : 2021

Abstract : Radiations dissipated are high energy waves used mostly as treatment intervention in controlling the unwanted multiplication of cell. About 60%-65% of cancer treatment requires radiation therapy and 40%-80% of radiation therapy causes RINV which are true troublemakers. Radiation therapy (RT) is targeted therapy mostly used to treat early stages of tumour and prevent their reoccurrence. They mainly destroy the genetic material (DNA) of cancerous cells to avoid their unwanted growth and division. The RINV affects the management and quality of life of patients which further reduces the patient outcome. RINV depends on RT related factors (dose, fractionation, irradiation volume, RT techniques) and patient related factors like (gender, health conditions, age, concurrent chemotherapy, psychological state, and tumour stage). RT is an active area of research and there is only limited progress in tackling the RINV crisis. Advanced technological methods are adopted that led to better understanding of total lethal doses. Radiation therapy also affects the immunity system that leads to radiation induced immune responses and inflammation. Radio sensitizers are used to sensitize the tumour cells to radiations that further prevent the normal cell damage from radiation exposure. There is a need for future studies and researches to re-evaluate the data available from previous trials in RINV to make better effective antiemetic regimen. The article focuses on radiation therapy induced nausea and vomiting along with their mechanism of action and treatment strategies in order to have a remarkable patient care.

Cite this Research Publication : Vijayan M, Joseph S, James E, Dutta D. "A review on radiation induced nausea and vomiting: Current management strategies and prominence of radio sensitizers", Journal of Oncology Pharmacy Practice, 2021 Jul;27(5):1061-1072. doi: 10.1177/10781552211011539. Epub 2021 May 4. Erratum in: J Oncol Pharm Pract. 2022 Dec;28(8):1936. PMID: 33947288.

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