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Olanzapine in the Treatment of Refractory Nausea and Vomiting in Palliative Care Settings.

Abstract
The patients often present to palliative care with intractable nausea and vomiting. This may reduce the effectiveness of oral drugs and significantly affects the quality of life of these patients. Despite multiple drugs available for treatment, it is often difficult to control the symptoms. Olanzapine is an atypical antipsychotic and acts on multiple receptors and may help in treating vomiting in a patient with advanced malignancy. We report a case of gallbladder carcinoma who presented to us with intractable vomiting which was not relieved with a combination of traditional antiemetics but showed marked improvement with olanzapine.
AuthorsNishkarsh Gupta, Sidharth Puri, Vinod Kumar, Rakesh Garg, Sachidanand Jee Bharati, Seema Mishra, Sushma Bhatnagar
JournalIndian journal of palliative care (Indian J Palliat Care) 2018 Jul-Sep Vol. 24 Issue 3 Pg. 372-374 ISSN: 0973-1075 [Print] United States
PMID30111956 (Publication Type: Case Reports)

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