title: Antiemetic effect of ginger in gynecologic oncology patients receiving cisplatin.
abstract: To determine whether ginger had antiemetic effect in cisplatin-induced emesis, we conducted a randomized, double-blinded crossover study in 48 gynecologic cancer patients receiving cisplatin-based chemotherapy. Subjects were randomly allocated to regimen A or regimen B in their first cycle of the study. All patients received standard antiemetics in the first day of cisplatin administration. In regimen A, capsules of ginger root powder were given orally 1 g /day for 5 days, starting on the first day of chemotherapy. In regimen B, placebo was given on the first day and metoclopramide was given orally thereafter for 4 days. The patients were then crossed over to receive the other antiemetic regimen in their next cycle of chemotherapy. Among 43 evaluable patients who received both cycles of treatment, success in controls of nausea and emesis were not significantly different between the two regimens in both acute and delayed phases. Restlessness, as a side effect, occurred more often in metoclopramide arm compared to ginger arm (P=0.109). In conclusion, addition of ginger to standard antiemetic regimen has no advantage in reducing nausea or vomiting in acute phase of cisplatin-induced emesis. In delayed phase, ginger and metoclopramide have no statistically significant difference in efficacy.
authors.affiliation: Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Dusit district, Bangkok, Thailand. sumonmalm@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Manusirivithaya
authors.forename: M
authors.initials: M
authors.lastname: Sripramote
authors.forename: S
authors.initials: S
authors.lastname: Tangjitgamol
authors.forename: C
authors.initials: C
authors.lastname: Sheanakul
authors.forename: S
authors.initials: S
authors.lastname: Leelahakorn
authors.forename: T
authors.initials: T
authors.lastname: Thavaramara
authors.forename: K
authors.initials: K
authors.lastname: Tangcharoenpanich
mesh_terms: D000284:Administration, Oral; D000932:Antiemetics / Q000008:administration & dosage / Q000627:therapeutic use*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects; D018592:Cross-Over Studies; D004311:Double-Blind Method; D005260:Female; D020939:Zingiber officinale; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy; D008517:Phytotherapy; D027343:Rhizome; D012720:Severity of Illness Index; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy; D014839:Vomiting / Q000139:chemically induced / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000932:Antiemetics