Chemotherapy-induced nausea and vomiting
Chemotherapy-induced nausea and vomiting · ICD-10: R11.2
Drugs and regimens
CINV prevention (adults and ≥12 y) — day 1: 125 mg, 1 h before chemotherapy
Days 2 and 3: 80 mg once daily (in the morning if no chemotherapy)
CINV refractory to conventional antiemetics — start 5 mg/m² 1–3 h before chemotherapy, then every 2–4 h (4–6 doses/day)
CINV prevention, adults — 150 mg IV on day 1, infused over 20–30 min
Chemotherapy nausea prevention — 2 mg once (or 1 mg twice) on chemotherapy days only
Prevention of delayed CINV — 1–18 years: 0.1–0.15 mg/kg up to 3 times daily
Moderately emetogenic chemotherapy — 4–11 years: 4 mg
Moderately emetogenic chemotherapy — 12–17 years: 8 mg
Chemotherapy nausea — ≥6 months: 0.15 mg/kg IV, 3 doses (max 16 mg per dose)
CINV prevention, adults — 0.25 mg IV over 30 s, 30 min before chemotherapy
Children 1 month–<17 y — 20 mcg/kg (max 1.5 mg) over 15 min