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Nausea and Vomiting (PDQ®)

Patient Version
Last Modified: 12/01/2011

Acute or Delayed Nausea and Vomiting

Key Points for This Section


Acute and delayed nausea and vomiting are common in patients being treated for cancer.

Chemotherapy is the most common cause of nausea and vomiting that is related to cancer treatment.

How often nausea and vomiting occur and how severe they are may be affected by the following:

  • The specific drug.
  • The dose of the drug or if it is given with other drugs.
  • How often the drug is given.
  • The way the drug is given.
  • The individual patient.

Acute nausea and vomiting are more likely in patients who:

  • Have had nausea and vomiting after previous chemotherapy sessions.
  • Are female.
  • Drink little or no alcohol.
  • Are young.

Delayed nausea and vomiting are more likely in patients who:

  • Are receiving high-dose chemotherapy.
  • Are receiving chemotherapy two or more days in a row.
  • Have had acute nausea and vomiting with chemotherapy.
  • Are female.
  • Drink little or no alcohol.
  • Are young.

Acute and delayed nausea and vomiting are usually treated with drugs.

Acute and delayed nausea and vomiting are usually treated with antinausea drugs. Some types of chemotherapy are more likely to cause acute nausea and vomiting. Drugs may be given before each treatment to prevent nausea and vomiting. After chemotherapy, drugs may be given to prevent delayed vomiting. Some drugs last only a short time in the body and need to be given more often. Others last a long time and are given less often.

The following table shows drugs that are commonly used to treat nausea and vomiting caused by cancer treatment:

Drugs Used to Treat Nausea and Vomiting Caused by Cancer Treatment
Drug Name Type of Drug 
Droperidol, haloperidol, metoclopramide, prochlorperazine and other phenothiazinesDopamine receptorantagonists
Dolasetron, granisetron, ondansetron, palonosetronSerotonin receptor antagonists
Aprepitant Substance P/NK-1 antagonists
Dexamethasone. methylprednisolone, dronabinolCorticosteroids
Cannabinoids
Marijuana, nabilone
Alprazolam, lorazepam, midazolamBenzodiazepines
Olanzapine Antipsychotic/monoamine antagonists



Glossary Terms

acute (uh-KYOOT)
Symptoms or signs that begin and worsen quickly; not chronic.
alcohol (AL-kuh-hol)
A chemical substance found in beer, wine, and liquor, and some medicines, mouthwashes, household products, and essential oils (scented liquid taken from plants). Alcohol contains a carbon atom attached to a hydroxyl group (a molecule made of an oxygen atom and a hydrogen atom).
alprazolam (al-PRAY-zoh-lam)
A drug used to treat anxiety disorders and panic attacks. It is being studied in the treatment of nausea and vomiting caused by some cancer treatments. It is a type of benzodiazepine. Also called Xanax.
antagonist (an-TA-guh-nist)
In medicine, a substance that stops the action or effect of another substance. For example, a drug that blocks the stimulating effect of estrogen on a tumor cell is called an estrogen receptor antagonist.
antipsychotic (AN-tee-sy-KAH-tik)
A type of drug used to treat symptoms of psychosis. These include hallucinations (sights, sounds, smells, tastes, or touches that a person believes to be real but are not real), delusions (false beliefs), and dementia (loss of the ability to think, remember, learn, make decisions, and solve problems). Most antipsychotics block the action of certain chemicals in the nervous system. Also called antipsychotic agent and neuroleptic agent.
aprepitant (uh-PREH-pih-tunt)
A drug used together with other drugs to prevent and control the nausea and vomiting caused by cancer treatment. It is also used to treat nausea and vomiting after surgery. It is a type of antiemetic and a type of substance P/neurokinin 1 receptor antagonist. Also called Emend.
benzodiazepine (ben-zoh-dy-A-zeh-peen)
A type of drug used to relieve anxiety and insomnia (trouble sleeping). Benzodiazepines are also used to relax muscles and prevent seizures. They increase the effect of a chemical in the brain called GABA, which is a neurotransmitter (a substance that nerves use to send messages to one another). This causes brain activity to slow down. Benzodiazepines are a type of CNS depressant.
cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.
chemotherapy (KEE-moh-THAYR-uh-pee)
Treatment with drugs that kill cancer cells.
corticosteroid (KOR-tih-koh-STAYR-oyd)
Any steroid hormone made in the adrenal cortex (the outer part of the adrenal gland). They are also made in the laboratory. Corticosteroids have many different effects in the body, and are used to treat many different conditions. They may be used as hormone replacement, to suppress the immune system, and to treat some side effects of cancer and its treatment. Corticosteroids are also used to treat certain lymphomas and lymphoid leukemias.
dexamethasone (DEK-suh-MEH-thuh-sone)
A synthetic steroid (similar to steroid hormones produced naturally in the adrenal gland). Dexamethasone is used to treat leukemia and lymphoma and may be used to treat some of the problems caused by other cancers and their treatment.
dolasetron (doh-LAH-seh-tron)
The active ingredient in a drug used to treat nausea and vomiting caused by cancer treatment. Dolasetron is a type of serotonin receptor antagonist and a type of antiemetic.
dose (dose)
The amount of medicine taken, or radiation given, at one time.
dronabinol (droh-NAH-bih-nol)
A synthetic pill form of delta-9-tetrahydrocannabinol (THC), an active ingredient in marijuana that is used to treat nausea and vomiting associated with cancer chemotherapy.
droperidol (droh-PAYR-ih-dol)
A drug used to prevent nausea and vomiting in patients who receive anesthesia before surgery. It is also used to treat anxiety. Droperidol is a type of antiemetic, adjunct anesthesia, and antipsychotic.
drug (drug)
Any substance, other than food, that is used to prevent, diagnose, treat or relieve symptoms of a disease or abnormal condition. Also refers to a substance that alters mood or body function, or that can be habit-forming or addictive, especially a narcotic.
granisetron (gra-NIH-seh-tron)
The active ingredient in a drug used to treat nausea and vomiting caused by cancer treatment. Granisetron is a type of serotonin receptor antagonist and a type of antiemetic.
haloperidol (ha-loh-PAYR-ih-dol)
A drug used to treat certain mental and neurological disorders. It is also being studied in the treatment of nausea and vomiting caused by some cancer treatments. It is a type of antiemetic and a type of antipsychotic. Also called Haldol.
high-dose chemotherapy (hy-dose kee-moh-THAYR-uh-pee)
An intensive drug treatment to kill cancer cells, but that also destroys the bone marrow and can cause other severe side effects. High-dose chemotherapy is usually followed by bone marrow or stem cell transplantation to rebuild the bone marrow.
lorazepam (lor-A-zeh-pam)
A drug that is used to treat anxiety and certain seizure disorders (such as epilepsy), and to prevent nausea and vomiting caused by chemotherapy. It belongs to the families of drugs called antiemetics and benzodiazepines.
marijuana (MAYR-ih-WAH-nuh)
The dried leaves and flowering tops of the Cannabis sativa plant, or an extract from the plant. Marijuana is being studied in the treatment of nausea and vomiting caused by chemotherapy or opiate drugs, such as morphine sulfate. Marijuana is also being studied in the treatment of pain.
methylprednisolone (MEH-thul-pred-NIH-suh-lone)
A corticosteroid hormone replacement.
metoclopramide (meh-toh-KLOH-pruh-mide)
A drug that increases the motility (movements and contractions) of the stomach and upper intestine. It is used to treat certain stomach problems and nausea and vomiting caused by chemotherapy. It is a type of antiemetic and a type of motility agent. Also called Reglan.
midazolam (mih-DAY-zoh-lam)
A drug used to treat anxiety and tension and to relax muscles. It is also being studied in the treatment of nausea and vomiting caused by some cancer treatments. It is a type of benzodiazepine. Also called midazolam hydrochloride and Versed.
monoamine oxidase inhibitor (MAH-noh-uh-MEEN OK-sih-days in-HIH-bih-ter)
A type of drug used to treat depression. It stops the breakdown of certain chemicals in the brain that help improve a person’s mood. A monoamine oxidase inhibitor is a type of antidepressant. Also called MAO inhibitor.
nausea (NAW-zee-uh)
A feeling of sickness or discomfort in the stomach that may come with an urge to vomit. Nausea is a side effect of some types of cancer therapy.
olanzapine (oh-LAN-zuh-peen)
A drug used to treat certain mental disorders. It is also being studied in the treatment of nausea and vomiting caused by some cancer treatments. It is a type of antipsychotic and a type of monoamine antagonist. Also called Zyprexa and Zyprexa Zydis.
ondansetron (on-DAN-seh-tron)
The active ingredient in a drug used to treat nausea and vomiting caused by cancer treatment. Ondansetron is a type of serotonin receptor antagonist and a type of antiemetic.
palonosetron (pa-loh-NOH-seh-tron)
The active ingredient in a drug used to treat nausea and vomiting caused by cancer treatment. Palonosetron is a type of serotonin receptor antagonist and a type of antiemetic.
phenothiazine (FEE-noh-THY-uh-zeen)
A type of drug that is used to treat severe mental and emotional disorders, severe nausea and vomiting, and certain other conditions. It belongs to the families of drugs called antipsychotics and antiemetics.
prochlorperazine (PROH-klor-PAYR-uh-zeen)
A drug used to prevent or reduce nausea and vomiting. It belongs to the family of drugs called antiemetics.
receptor (reh-SEP-ter)
A molecule inside or on the surface of a cell that binds to a specific substance and causes a specific physiologic effect in the cell.
serotonin (SAYR-uh-TOH-nin)
A hormone found in the brain, platelets, digestive tract, and pineal gland. It acts both as a neurotransmitter (a substance that nerves use to send messages to one another) and a vasoconstrictor (a substance that causes blood vessels to narrow). A lack of serotonin in the brain is thought to be a cause of depression. Also called 5-hydroxytryptamine.
vomit (VAH-mit)
To eject some or all of the contents of the stomach through the mouth.

Table of Links

1http://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/Patient/Table1