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Approach the prevention of chemotherapy-induced nausea and vomiting in older patients with care

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Abstract

Chemotherapy-induced nausea and vomiting (CINV) negatively affects adherence to treatment and quality of life in older patients, and should be managed differently due to physiological and/or psychological changes; also consider impacts of patient comorbidities and polypharmacy. Prevent CINV using serotonin 3-receptor antagonists, neurokinin 1-receptor antagonists, corticosteroids and other drug classes (dopamine 2,3-receptor antagonists should mainly be used as a rescue antiemetic), and simplify CINV prophylaxis as much as possible. Further data is needed for CINV prophylaxis in older patients for optimal guideline-directed treatment.

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Correspondence to Connie Kang.

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C. Kang is a salaried employee of Adis International Ltd/Springer Nature and declares no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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Kang, C. Approach the prevention of chemotherapy-induced nausea and vomiting in older patients with care. Drugs Ther Perspect 38, 483–488 (2022). https://doi.org/10.1007/s40267-022-00952-4

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