Effect of in the Management of Nausea and Vomiting Induced by Treatment With Cisplatin Associated With Radiotherapy: A Randomized Controlled Trial

Objective: evaluate the efficacy of Zingiber Officinale in the management of nausea and vomiting induced by treatment with cisplatin associated with radiotherapy in patients with uterine cervical neoplasms. Methods: a triple-blind, randomized, placebo-controlled trial. Interventions: Comparing the e...

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Bibliographic Details
Published in:Integrative cancer therapies Vol. 22
Main Authors: Kauanny Vitoria Gurgel dos Santos MSc, Romeika Lorena Mendes da Silva BSc, Ayane Cristine Alves Sarmento MSc, Kleyton Santos de Medeiros PhD, Renata Lima Pessoa MSc, Daniele Vieira Dantas PhD, Rodrigo Assis Neves Dantas PhD
Format: Journal Article
Language:English
Published: SAGE Publishing 01-12-2023
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Summary:Objective: evaluate the efficacy of Zingiber Officinale in the management of nausea and vomiting induced by treatment with cisplatin associated with radiotherapy in patients with uterine cervical neoplasms. Methods: a triple-blind, randomized, placebo-controlled trial. Interventions: Comparing the effects of ginger with institutional antiemetic therapy (ondansetron with dexamethasone). Patients with cervical cancer who started treatment with cisplatin with an indication of 40 mg/m² associated with radiotherapy, aged over 18 years, and with the ability to tolerate swallowing a capsule were recruited and equally allocated (1:1:1) into 3 groups of 16 patients each (the ginger capsules 250 mg group, ginger capsules 500 mg group, and placebo group). Nausea and vomiting were measured on baseline, 7 days after the first dose of medication and every seven consecutive days during a treatment break. Results: The 250 mg ginger group had an 8.0% greater chance of experiencing nausea within 24 h after the chemotherapy infusion than the placebo group, although there is no statistical significance ( P  = .92986). The 500 mg ginger group showed a 63.9% reduction in nausea under the same conditions ( P  = .40460). No change was detected in the occurrence of nausea episodes during the 6 weeks ( P  = .8664) or between the groups ( P  = .2817). No change was detected in acute or late vomiting during the 6 weeks ( P  = .3510) or between the groups ( P  = .8500 and P  = .5389, respectively). Conclusion: Ginger supplementation does not reduce the intensity of acute and late nausea and vomiting. REBEC (RBR-47yx6p9).
ISSN:1552-695X
DOI:10.1177/15347354231220608