Adverse drug reactions due to cancer chemotherapy in a tertiary care hospital in south Karnataka: a prospective observational study
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20195270Keywords:
ADR, Pharmacovigilance, Cancer chemotherapyAbstract
Background: Cancer is a multi-cellular disease which can arise from any cell type and organs. Adverse drug reactions (ADR) are undesirable consequence of cancer chemotherapeutic drugs. A great importance has to be given for their assessment, detection, monitoring, reporting and preventing these ADR for the beneficial effects of the patients. So the present study was undertaken for the purpose of detecting and quantifying those adverse reactions which is of some importance in therapeutic setting.
Methods: A prospective observational study conducted in chemotherapy ward, male and female patients of any age receiving cancer chemotherapy and presenting with ADR’s in duration of 3 months.
Results: 160 patients were observed. Out of 160 patients 123 presented with ADR’s. Most common ADR’s were loss of appetite (67.6), diarrhea (61.8%), vomiting (21.5%), nausea (17.7%), anemia (24.7%). Cisplatin, paclitaxel, oxaliplatin, doxorubicin, gefitinib are common drugs causing ADR’s.
Conclusions: Cancer chemotherapeutic drugs are associated with various adverse reactions. This study shows the importance of active monitoring of these reactions and measures to prevent their effects early in the treatment of cancer.
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References
Tripathi KD. Essentials of Medical Pharmacology. 8th ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2019.
Smith DL. The effect of patient non- compliance on health care costs. Med Interface. 1993;6:74-84.
Wahlang JB, Laishram PD, Brahma DK, Sarkar C, Lahon J, Nongkynrih BS. Adverse drug reactions due to cancer chemotherapy in a tertiary care teaching hospital. Ther Adv Drug Saf. 2017;8(2):61-6.
Zaki SA. Adverse drug reaction and causality assessment scales. Lung India. 2011;28:152-3.
Kumar N, Gupta N, Kishore J. Kuppuswamy’s socioeconomic scale: Updating income ranges for the year 2012. Indian J Public Health 2012;56:103-4.
Poddar S, Sultana R, Sultana R, Akbor MM, Azad MAK, Hasnat A. Pattern of adverse drug reactions due to cancer chemotherapy in tertiary care teaching hospital in Bangladesh. Dhaka Univ J Pharm Sci. 2009;8:11-6.
Bates DW, Leape L. Adverse drug reaction. Morreli’s Clinical Pharmacology. 4th edn. Boston, USA: McGraw-Hill; 2000: 15.
Sharma A, Kumari K, Manohar H, Bairy K, Thomas, J. Pattern of adverse drug reactions due to cancer chemotherapy in a tertiary care hospital in South India. Perspect Clin Res. 2015;6:109-15.
Guo H, Ren R, Zhang D, Ji M. Monitoring report on 341 cases of adverse reactions caused by antitumor drugs. Afr J Microbiol Res. 2012;6:3774-7.
Prasad A, Datta PP, Bhattacharya J, Pattanayak C, Chauhan AS, Panda P. Pattern of adverse drug reactions due to cancer chemotherapy in a tertiary care teaching hospital in eastern India. J Pharmacovigilance. 2013;1(2):1-4.
Schiffer CA, Anderson KC, Bennett CL, Bernstein S, Elting LS, Goldsmith M, et al. Platelet transfusion for patients with cancer: clinical practice guidelines of the American Society of Clinical Oncology. J Clin Oncol. 2001;19(5):1519-38.