Intravenous metoclopramide. An effective antiemetic in cancer chemotherapy

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Abstract
An open-label clinical trial was conducted to test the safety and efficacy of i.v. metoclopramide monohydrochloride in preventing chemotherapy-induced nausea and vomiting. Thirty-eight patients received a total of 83 assessable courses of chemotherapy with cisplatin alone or in combination with other cytotoxic agents. In 19 of 38 patients (50%) or 40 of 83 courses (48%), nausea or vomiting did not occur (total protection); in 6 of 38 patients (16%) or 19 of 83 courses (23%), emesis occurred 1 or 2 times (major protection). Thus, 25 of 38 patients (66%) receiving 59 of 83 courses (71%) of cisplatin-containing chemotherapy attained either total or major antiemetic protection with metoclopramide. In those patients who received multiple courses of chemotherapy, antiemetic protection afforded by metoclopramide remained unabated. At this dosage, the drug was well tolerated with minimal side effects. I.v. metoclopramide is consistently effective in preventing emesis associated with cisplatin when used alone or in combination with other cancer chemotherapy agents that are in themselves emetogenic.