Tropisetron

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 20.05.2022

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Definition
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5-HT3 antagonist, antiemetic.

Pharmacodynamics (Effect)
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Selective, competitive binding to 5-HT3 receptors in the brain, among other places. As a result, serotonin can no longer bind to its binding sites, the 5-HT3 receptors, and exert its effect. This directly prevents the development of nausea and vomiting, among other things.

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Indication
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Prophylaxis of cytostatic-induced nausea and vomiting.

Limited indication
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Pregnancy, lactation, children < 2 years, hypertension, cirrhosis of the liver, renal failure.

Pregnancy/nursing period
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Do not use during pregnancy or lactation (insufficient data available; it is not known whether the active ingredient passes into breast milk).

Dosage and method of use
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5 mg slowly i.v. or as a short infusion immediately before chemotherapy, afterwards up to 5 days 5 mg/day p.o. For peroral therapy 0.2 ml injection solution/kg bw (= 0.2 mg/kg bw) up to max. 5 ml (1 amp. 5 mg/ml) can be mixed with orange juice or cola and drunk. For the intake of 5 mg/day 1 Kps. p.o. can also be taken.

Undesirable effects
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  • Cutaneous ADRs: Occasional allergic or anaphylactic reactions. Slight exanthematic skin changes and oedema, especially facial oedema. Local reactions at the infusion site.
  • Extracutaneous ADRs: headache, dizziness, hypertension, lymphadenopathy, gastrointestinal disorders (constipation or diarrhea), arthralgia.

Interactions
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Phenobarbital, phenytoin and rifampicin lead to a reduction of the tropisetron level.

Contraindication
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Use in children, hypersensitivity reactions to other 5-HT3 antagonists.

Preparations
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Navoban

Outgoing links (3)

Antiemetics; Phenytoin; Rifampicin;

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Last updated on: 20.05.2022