Dolasetron Mesylate - @- 5-HT3 Receptor Antagonists - Antiemetic/ Antivertigo Agents
Drug Interaction:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists
Indication:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists
Prevention of nausea and vomiting associated with chemotherapy
Adverse Reaction:
Adverse reactions-
DOLASETRON- ( Oral and Injections)
Cardiovascular - Hypotension ( infrequent) atrial fibrillation/flutter,
bundle braepitaxich block ( left and right ) chest pain, edema,
extrasystole, nodal arrhythmias, orthostatic myocardial infarction,
palpitations, peripheral edema, peripheral ischemia,
Bradycardia, severe hypotension and syncope have been reported
immediately or closely following IV administration.
CNS- agitation, depersonalization, flushing, parathesia, sleep disorder,
tremor, vertigo ( infrequent ) abnormal dreaming, anxiety, ataxia,
confusion ,twitching ( rare )
Dermatologic - increase sweating, rash, ( infrequent )
GI- abnormal pain, anoexia, constipation, dyspepsia ( infrequent )
pancreatitis ( rare )
GU- acute renal failure, dysuria, ployuria ( rare )
Hematologic - anemia, epitaxis, hematuria, partial thromboplastin time prolonged,
purpra/hematoma, thrombocytopenia ( rare )
Hepatic - transcient increase in ALT and or AST values ( < 1% ),
hyperbilirubinemia, increased gamma-glutamyltransferace ( rare )
Metabolic - alkaline phosphatase inceased ( rare )
Musculoskeletal - arthalgia, myalgia ( rare )
Ophthalmic - abnormal vision ( infrequent ) photophobia ( rare )
Respiratoy - bronchospasm, dyspnea ( rare )
Special senses - taste pervertion ( infrequent ) tinnitus ( rare )
Miscellaneous- anaphylactic reaction, facial edema, local pain or burning on
IV administration , urticaria ( rare )
Contra-Indications:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists
Dosages/ Overdosage Etc:
Indication-
Prevention of nausea and vomiting associated with chemotherapy
Dosage- oral
Usual dosage - 100mg given within 1 hour before chemotherapy
Maximum dose 100mg
Children- 2 to 6 years-
Usual dosage- 1.2mg/kg within 2 hours before surgery
Maximum dose - 100mg
Dosage - Injection
Usual dosage- 1.8mg/kg IV given as a single dose approximately 30 minutes before
chemotherapy
Alternative dosage- Alternatively for most patients, a fixed dose of 100mg can be
administered IV for 30 seconds
Children-
2 to 16 years-
Usual dosage- 1.8mg/kg IV given as a single dose approimately 30 minutes before
chemotherapy
Patient Information:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists
Interaction with Food:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists
Pregnancy and lactation:
5-HT3 Receptor Antagonists include-
Alosetron, Dolasetron, Ondansetron, Palonosetron, Granisetron, Hydrolastron
Refer - 5-HT3 Receptor Antagonists