Effect of herbal therapy to intensity chemotherapy-induced nausea and vomiting in cancer patients

Akram Sadat Montazeri, Mehdi Raei, Atefeh Ghanbari, Ali Dadgari, Azam Sadat Montazeri, Azam Hamidzadeh, Akram Sadat Montazeri, Mehdi Raei, Atefeh Ghanbari, Ali Dadgari, Azam Sadat Montazeri, Azam Hamidzadeh

Abstract

Background: Chemotherapy-induced nausea and vomiting are the most important complications for cancer patients as its prevalence has been reported to be about 54-96 percent. ginger has been used for medicinal purposes including nausea and vomiting in traditional Persian, Chinese and Indian pharmacopoeia.

Objectives: The objective of this study was to evaluate the efficacy of complimentary ginger among cancer patients experiencing nausea and vomiting.

Material and methods: A randomized cross-over clinical trial was carried out on patients under chemotherapy treatment for at least 2 episodes of chemotherapy and at least 2 episodes of previous experience of nausea and vomiting. Subjects of this study received 2 different complementary regimes with 250mg ginger capsule in regime A and placebo capsule in regime B. subjects of the study were crossed over to receive the other regime during the two cycles of chemotherapy.

Results: Findings of the study indicated that subjects receiving ginger showed significant reduction in frequency and intensity of nausea and vomiting compared to placebo receiving subjects.

Conclusions: According to finding of this study, in accordance to most of other researches, ginger is an effective agent to reduce chemotherapy-induced nausea and vomiting. However, there are some researches supporting ginger as a moderate antiemetic agent among cancerous patients under chemotherapy.

Keywords: Cancer; Chemotherapy; Ginger; Herbal Therapy; Nausea; Vomiting.

Figures

Figure 1.. The Schematic Diagram of the…
Figure 1.. The Schematic Diagram of the Study Sequences

References

    1. Klein J, Griffiths P. Acupressure for nausea and vomiting in cancer patients receiving chemotherapy. Brit J Community Nurs. 2004;9(9):383–388.
    1. Zick SM, Ruffin MT, Lee J, Normolle DP, Siden R, Alrawi S, et al. Phase II trial of encapsulated ginger as a treatment for chemotherapy-induced nausea and vomiting. MASCC. 2009;17(5):563–72. doi: 10.1007/s00520-008-0528-8.
    1. Martin AR, Pearson JD, Cai B, Elmer M, Horgan K, Lindley C. Assessing the impact of chemotherapy-induced nausea and vomiting on patients' daily lives: a modified version of the Functional Living Index-Emesis (FLIE) with 5-day recall. MASCC. 2003;11(8):522–7. doi: 10.1007/s00520-003-0482-4.
    1. Miller M, Kearney N. Chemotherapy related nausea and vomiting–past reflections, present practice and future management. Eur J Cancer Care . 2004;13(1):71–81.
    1. LeRoy EC, Black C, Fleischmajer R, Jablonska S, Krieg T, Medsger TA, Jr, et al. Scleroderma (systemic sclerosis): classification, subsets and pathogenesis. J Rheumatol. 1988;15(2):202–5.
    1. Afifi FU, Wazaify M, Jabr M, Treish E. The use of herbal preparations as complementary and alternative medicine (CAM) in a sample of patients with cancer in Jordan. Complement Ther Clin Pract. 2010;16(4):208–12. doi: 10.1016/j.ctcp.2010.05.001.
    1. Abol GS, Razmjoo N, Moalem SA, Esmaeili H. Efficacy Of Ginger Capsule On Nausea And Vomiting During Pregnancy. JBUMS. 2004
    1. Manusirivithaya S, Sripramote M, Tangjitgamol S, Sheanakul C, Leelahakorn S, Thavaramara T, et al. Antiemetic effect of ginger in gynecologic oncology patients receiving cisplatin. Int J Gynecol Cancer. 2004;14(6):1063–9. doi: 10.1111/j.1048-891X.2004.14603.x.
    1. Sontakke S, Thawani V, Naik MS. Ginger as an antiemetic in nausea and vomiting induced by chemotherapy: A randomized, cross-over, double blind study. Indian J Pharmacol. 2003;35(1):32–36.
    1. Eberhart LHJ, Mayer R, Betz O, Tsolakidis S, Hilpert W, Morin AM, et al. Ginger does not prevent postoperative nausea and vomiting after laparoscopic surgery. Anesthesia & Analgesia. 2003;96(4):995–998.
    1. Nanthakomon T, Pongrojpaw D. The efficacy of ginger in prevention of postoperative nausea and vomiting after major gynecologic surgery. J Med Assoc Thai. 2006;89(Suppl 4):S130–6.
    1. Vutyavanich T, Kraisarin T, Ruangsri R. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstetrics & Gynecology. 2001;97(4):577–582.
    1. Visalyaputra S, Petchpaisit N, Somcharoen K, Choavaratana R. The efficacy of ginger root in the prevention of postoperative nausea and vomiting after outpatient gynaecological laparoscopy. Anaesthesia. 2002;53(5):506–510.
    1. Apariman S, Ratchanon S, Wiriyasirivej B. Effectiveness of ginger for prevention of nausea and vomiting after gynecological laparoscopy. J Med Assoc Thai. 2006;89(12):2003–9.
    1. Levine ME, Gillis MG, Koch SY, Voss AC, Stern RM, Koch KL. Protein and ginger for the treatment of chemotherapy-induced delayed nausea. J Altern Complement Med. 2008;14(5):545–51. doi: 10.1089/acm.2007.0817.
    1. Pongrojpaw D, Somprasit C, Chanthasenanont A. A randomized comparison of ginger and dimenhydrinate in the treatment of nausea and vomiting in pregnancy. J Med Assoc Thai. 2007;90(9):1703–9.
    1. Ozgoli G, Goli M, Simbar M. Effects of ginger capsules on pregnancy, nausea, and vomiting. J Altern Complement Med. 2009;15(3):243–6. doi: 10.1089/acm.2008.0406.

Source: PubMed

3
Abonnieren