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Dolasetron

Dolasetron is a serotonin 5-HT3 receptor antagonist used to treat nausea and vomiting following chemotherapy. Its main affect is to reduce the activity of the vagus nerve, which is a nerve that activates the vomiting center in the medulla oblongata. It does not have much effect on vomiting due to motion sickness. This drug does not have any effect on dopamine receptors or muscarinic receptors. more...

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Dolastron breaks down slowly, staying in the body for a long time. One dose usually lasts 4 to 9 hours and is usually administered once or twice daily. This drug is removed from the body by the liver and kidneys.

Clinical Uses

  • Chemotherapy-induced nausea and vomiting
    • 5-HT3 receptor antagonists are the primary drugs used to treat and prevent chemotherapy-induced nausea and vomiting. Many times they are given intravenously about 30 minutes before beginning therapy.
  • Post-operative and post-radiation nausea and vomiting
  • Is a possible therapy for nausea and vomiting due to acute or chronic medical illness or acute gastroenteritis

Adverse Effects

Dolasetron is a well-tolerated drug with few side effects. Headache, dizziness, and constipations are the most commonly reported side effects associated with its use. There have been no significant drug interactions reported with this drug's use. It is broken down by the liver's cytochrome P450 system and it has little effect on the metabolism of other drugs broken down by this system.

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Stability of dolasetron in two oral liquid vehicles
From International Journal of Pharmaceutical Compounding, 5/1/04 by Reed-Kane, Dana

Stability of dolasetron in two oral liquid vehicles.

Johnson CE, Wagner DS, Bussard WE. Am J Health Syst Pharm 2003; 60(21): 2242-2244.

A liquid oral formulation of dolasetron mesylate, a potent antiemetic, would be useful for pediatric and adult patients who require nonStandard dosages or who are unable to swallow tablets. The authors describe the preparation of a liquid suspension of dolasetron mesylate from crushed 50-mg tablets and a 1:1 mixture of Ora-Plus with either strawberry syrup or Ora-Sweet SF. The physical and chemical stability of this 10-mg/mL suspension stored in 2-oz amber plastic bottles at 23° to 25°C and 3° to 5°C was determined over 90 days. The concentration of dolasetron mesylate in each sample was at least 98% of the initial concentration throughout the 90-day study period. No changes in color, odor or taste were detected, and there was no visible microbial growth. Because of the slightly bitter aftertaste of dolasetron mesylate, the authors recommend that chocolate syrup be used to improve palatability of the suspension for children.

Copyright International Journal of Pharmaceutical Compounding May/Jun 2004
Provided by ProQuest Information and Learning Company. All rights Reserved

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