Volume :
5
Issue :
1
Abstract :
Aims
To assess the pattern of adverse drug reactions in patients receiving cisplatin based cancer chemotherapy in tertiary care cancer institute.
Materials and Methods
A prospective, observational study was carried out from February 2014 to march 2015 after getting an approval from human ethical committee. Clinical and treatÂment data were collected from patients who underwent cisplatin based chemotherapy during the study period. Central Drugs Standard Control Organization (CDSCO) forms was used to record the adverse drug reactions (ADRs). The ADRs were assessed for causality, severity, preventability and predictability by suitable scales.
Result
During the study period, a total of 163 ADRs were reported from 54 patients received cisplatin based chemotherapy. Out of them 23(42.59%) were males and 31(57.41%) were females. Prevalence of oral cancer (44.4%) and cervical cancer (20.37%) were higher. Most of ADRs were associated with gastrointestinal system (57.83%).Vomiting 39(72.2%) was most frequent ADR reported. Other ADRs observed were nausea, alopecia, diarrhea, bone marrow depression, constipation, numbness, mucositis.
Conclusion
Cisplatin is one of the most widely used anticancer drug and has a high potential to cause various adverse effects in cancer patients. Gastrointestinal ADRs were much more frequent than others. Most of the reactions were probably preventable with use of premedication.