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Prophylaxis for paclitaxel hypersensitivity reactions
Author(s): Kintzel PE
Source: ANNALS OF PHARMACOTHERAPY    Volume: 35    Issue: 9    Pages: 1114-1117    Published: SEP 2001  
Times Cited: 8     References: 14     
Abstract: OBJECTIVE: To evaluate clinical literature supporting the prophylactic use of single-dose intravenous dexamethasone to prevent hypersensitivity reactions (HSRs) to paclitaxel infusion.

DATA SOURCES: Clinical literature accessed through MEDLINE (from 1986 to 2000).

DATA SYNTHESIS: Prophylaxis for paclitaxel-related HSRs generally includes repeated dexamethasone doses beginning 12 hours before paclitaxel, and administration of diphenhydramine plus a histamine(2)-receptor antagonist 30 minutes before infusion of paclitaxel. Single-dose intravenous dexamethasone administered with ancillary medications 30 minutes before infusion of paclitaxel has been used to prevent regimen-related HSRs.

CONCLUSIONS: Single-dose intravenous dexamethasone can be used in combination with appropriate ancillary medications to prevent paclitaxel-related HSRs.

Document Type: Article
Language: English
Reprint Address: Kintzel, PE (reprint author), Detroit Med Ctr, Harper Univ Hosp, Barbara Ann Karmanos Canc Inst, Dept Pharm,Cell Transplant Program, 3990 John R, Detroit, MI 48201 USA
Addresses:
1. Detroit Med Ctr, Harper Univ Hosp, Barbara Ann Karmanos Canc Inst, Dept Pharm,Cell Transplant Program, Detroit, MI 48201 USA
Publisher: HARVEY WHITNEY BOOKS CO, PO BOX 42696, CINCINNATI, OH 45242 USA
Subject Category: Pharmacology & Pharmacy
IDS Number: 473KV
ISSN: 1060-0280
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