Granisetron

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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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 and elsewhere. As a result, serotonin can no longer bind to its binding sites on the 5-HT3 receptors and develop its effect. This directly prevents the development of nausea and vomiting, for example.

Indication
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Nausea and vomiting during therapy with cytostatic drugs or radiation therapy.

Dosage and method of use
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  • Adults: 1 time per day 2 mg p.o. or 1-3 mg slow i.v. Alternatively 1 time per day 0.01 mg/kg bw slow i.v. If necessary, the dosage can be repeated 1-2 times per day.
  • Children > 2 years and < 25 kg kg kg: 1 time / day 40 μg/kg kg kg slow i.v. If necessary, the dosage can be repeated 1-2 times / day.
  • Children > 2 yrs and > 25 kg bw: 1 time a day 1 mg slow i.v. If necessary, the dosage can be repeated 1-2 times a day.

Undesirable effects
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  • Cutaneous ADRs: Rare hypersensitivity reactions, occasionally anaphylactoid reactions. Slight rashes and very rarely edema, especially facial edema. Local reactions at the infusion site.
  • Extracutaneous ADRs: mild to moderate headache and constipation of low or moderate severity. Temporary increase in transaminases. Occasional flu-like symptoms with fever and chills. Rarely chest pain or shortness of breath. Local reactions at the infusion site.

Contraindication
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Use in children < 2 years, hypersensitivity reactions to other 5-HT3 antagonists.

Preparations
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Kevatril

Outgoing links (1)

Antiemetics;

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Last updated on: 29.10.2020