Palonosetron

Therapeutic Group

Anti-Emetic & Anti-Nauseants

Indication Dosage

Palonosetron is a medication used to prevent nausea and vomiting caused by chemotherapy or surgery. It works by blocking the action of a chemical in the brain called serotonin, which can trigger nausea and vomiting.

Moderate To Severe Emetogenic Chemotherapy: 

By IV Inj: 

  • Adult: 250 Mcg To Be Administered Over 30 Seconds, Given As A Single Dose, 30

Minutes Prior To Chemotherapy. 

  • Children 1 Month To Adolescents: 20mcg/kg/dose Iv (max: 1.5mg/dose) Infused Over 15 Minutes As A Single Dose 30 Minutes Prior To Chemotherapy. 

Chemotherapy-induced Nausea/vomiting (CINV) Prophylaxis Associated With Initial And Repeat Courses Of Emetogenic Cancer Chemotherapy: 

By IV Inj: 

  • Adult: 250 Mcg To Be Administered Over 30 Seconds, Given As A Single Dose, 30 Minutes Prior To Chemotherapy. 
  • Children 1 Month To Adolescents: 20mcg/kg/dose Iv (max: 1.5mg/dose) Infused Over 15 Minutes As A Single Dose 30 Minutes Prior To Chemotherapy. 

For Post-Operative Nausea/vomiting (PONV) Prophylaxis For Up To 24 Hours After Surgery: 

By IV Inj: 

  • Adult: 0.075mg Iv Single Dose Administered Over 10 Seconds Immediately Before The Induction Of Anesthesia. 

Maximum Dose Ranges That Can Be Administered Are Given Below: 

  • Adults: 0.25mg Iv Or 0.5mg Po As A Single Dose. 
    Geriatric: 0.25mg Iv Or 0.5mg Po As A Single Dose. 
    Adolescents: 20mcg/kg/dose Iv (max: 1.5mg/dose). 
    Children: 20mcg/kg/dose Iv (max: 1.5mg/dose). 
    Infants: 20mcg/kg/dose Iv.

Content

  • Inj Per 5 ml: Palonosetron Hydrochloride 0.25mg

Pregnancy

Avoid

Stability

  • Anti-receptor Antagonist

Contra Indications

  • None Known

Precautions

  • None Known

Lactation

  • Avoid

Side Effects

  • Anorexia
  • Headache
  • Dizziness
  • Constipation
  • Diarrhea
  • Abdominal Pain
  • Amblyopia
  • Anxiety
  • Arrhythmia
  • Arthralgia
  • Asthenia
  • Atrioventricular Block
  • Bradycardia
  • Changes In Blood Pressure
  • Dry Mouth
  • Dyspepsia
  • Dyspnea
  • Electrolyte Disturbance
  • Euphoria
  • Extrasystoles
  • Flatulence
  • Glycosuria
  • Hyperglycaemia
  • Influenza-like Symptoms
  • Insomnia
  • Motion Sickness
  • Myalgia
  • Myocardial Ischaemia
  • Peripheral Neuropathy
  • Serotonin Syndrome Tachycardia
  • Tinnitus
  • Urinary Retention

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