Chemotherapy-induced adverse drug reaction of antineoplastic drugs among oncology patients in a tertiary care teaching hospital

Authors

  • Sabarinath Harshakumar Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, Karnataka, India
  • Sherin V. Kurian Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, Karnataka, India
  • Josmi James Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, Karnataka, India
  • Fiyona K. George Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, Karnataka, India
  • Sonatta Monica Jose Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20244109

Keywords:

Stages of cancer, Chemotherapy cycle, Adverse drug reactions, Quality of life

Abstract

Background: The main objectives of the study were to assess the pattern of adverse drug reactions (ADRs) associated with the use of antineoplastic drugs along with their causality and severity. The study also aims to analyse the different stages of cancer, cycles of chemotherapy and the quality of life of the patients.

Methods: This prospective, cross-sectional and descriptive study was conducted among 100 patients of either sex for 6 months from April 2023 to October 2023. This study included patients above the age of 18 years who were clinically diagnosed with cancer and prescribed at least one antineoplastic drug.

Results: Most of the cancer patients belonged to stage 2 and were undergoing the third cycle of chemotherapy. Most common ADRs were alopecia, anemia and anorexia. The study revealed that 79% of ADRs were possible and nearly 21% were probable in nature. After the severity assessment, it was found that all of the ADRs were mild (level 1). It was also identified that quality of life (QoL) decreases with advancing stages of cancer.

Conclusions: Cancer, along with therapeutic agents, can impair a patient's quality of life, prompting the development of effective management strategies. Assessing the severity and causation of ADRs can help determine the right supportive care agent to improve patients' general well-being.

Metrics

Metrics Loading ...

References

Staging of Cancer. Available at: https://www.cancer.net/navigating-cancercare/diagnosing-cancer/stages cancer#:text=Staging%20is%20a%20way%20to,other%20parts%20of %20the%20body. Accessed on 17 March 2024.

Cleveland Clinic. Cancer, 2023. Available at: https://my.clevelandclinic.org/health/diseases/12194-cancer. Accessed on 17 March 2024.

Introduction to Chemotherapy. Available at: https://www.cancer.net/navigatingcancer-care/how-cancer-treated/chemotherapy/what-chemotherapy. Accessed on 17 April 2024.

Information on the side effects of chemotherapy. Available at: https://www.cancer.net/navigating-cancer-care/how cancer-treated/chemotherapy/side-effects-chemotherapy. Accessed on 17 March 2024.

World Health Organization. Safety of medicines-adverse drug reactions, June 18. Available at: https://www.who.int/docs/default-source/medicines/safety-of-medicines--adverse-drug-reactions-jun18.pdf?sfvrsn=4fcaf40_2. Accessed on 17 April 2024.

Quality of life in patients with cancer. Available at: https://en.m.wikipedia.org/wiki/Quality_of_life. Accessed on 17 March 2024.

Quality of life and factors affecting it in adult cancer patients undergoing cancer chemotherapy in a tertiary care hospital, 2020. Available at: https://onlinelibrary.wiley.com/doi/full/10.1002/cnr2.1312. Accessed on 17 March 2024.

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.

Tamang R, Bharati L, Khatiwada AP, Ozaki A, Shrestha S. Pattern of Adverse Drug Reactions Associated with the Use of Anticancer Drugs in an Oncology-Based Hospital of Nepal. JMA Journal. 2022;5(4):416-26.

D'Souza PJ, Chakrabarty J, Sulochana B, Gonsalves J. Quality of Life of Head and Neck Cancer Patients Receiving Cancer Specific Treatments. J Krishna Inst Med Sci. 2013;2:1.

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. Therap Advan Drug Safe. 2017;8(2):61-6.

Downloads

Published

2024-12-31

How to Cite

Harshakumar, S., Kurian, S. V., James, J., George, F. K., & Jose, S. M. (2024). Chemotherapy-induced adverse drug reaction of antineoplastic drugs among oncology patients in a tertiary care teaching hospital. International Journal of Research in Medical Sciences, 13(1), 159–163. https://doi.org/10.18203/2320-6012.ijrms20244109

Issue

Section

Original Research Articles