{"id":4046,"date":"2025-03-31T18:11:56","date_gmt":"2025-03-31T18:11:56","guid":{"rendered":"https:\/\/kidneydiseaseclinic.net\/kdc\/granisetron-txt\/"},"modified":"2025-03-31T18:11:56","modified_gmt":"2025-03-31T18:11:56","slug":"granisetron-txt","status":"publish","type":"post","link":"https:\/\/kidneydiseaseclinic.net\/kdc\/granisetron-txt\/","title":{"rendered":"Granisetron.txt"},"content":{"rendered":"<h1>  Granisetron   <\/h1>\n<p><H3>  CLINICAL USE <\/H3><br \/>\nPrevention or treatment of nausea and vomiting induced by cytotoxic chemotherapy, radiotherapy, or postoperative nausea and vomiting  (PONV)<H3> DOSE IN NORMAL RENAL FUNCTION  <\/H3>Cytotoxic chemotherapy or radiotherapy: PO: 1\u20132 mg within 1 hour before start  \u2014of treatment, then 2 mg daily in 1\u20132 divided doses during treatmentIV: 3 mg before start of cytotoxic  \u2014therapy; up to 2 additional 3 mg doses can be given within 24 hours no less than 10 minutes apartIV Infusion: 40 mcg\/kg (max 3 mg)  \u2014before treatment; repeated once more if requiredPONV: 1 mg IV before induction of  anaesthesia; then 1 mg as required (maximum 2 mg in one day)<H3>  PHARMACOKINETICS    <\/H3><LI> Molecular weight &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :312.4 (348.9 as hydrochloride)<\/li>\n<li>  %Protein binding  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp  &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :\u224865<\/li>\n<li>  %Excreted unchanged in urine &amp;nbsp &amp;nbsp : &lt;20<\/li>\n<p><LI> Volume of distribution (L\/kg) &amp;nbsp &amp;nbsp &amp;nbsp :3<\/li>\n<p><LI>half-life \u2013 normal\/ESRD (hrs)&amp;nbsp &amp;nbsp &amp;nbsp :4\u20135\/Unchanged<H3>  DOSE IN RENAL IMPAIRMENT <\/H3> <H4>GFR (mL\/MIN)<\/H4><LI> 20 to 50  &amp;nbsp &amp;nbsp : Dose as in normal renal function <LI> 10 to 20  &amp;nbsp &amp;nbsp : Dose as in normal renal function<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : Dose as in normal renal function<H3> DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES  <\/H3><LI> CAPD  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp:Unknown dialysability. Dose as in normal renal function<\/p>\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :Unknown dialysability. Dose as in normal renal function. Company recommends timing\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : for greater than 2 hours after granisetron dose<LI>HDF\/high flux  &amp;nbsp :Unknown dialysability. Dose as in normal renal function. Company recommends timing\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : for greater than 2 hours after granisetron dose<LI>CAV\/VVHD  &amp;nbsp &amp;nbsp &amp;nbsp:Unknown dialysability. Dose as in normal renal function<H3> IMPORTANT DRUG INTERACTIONS  <\/H3>Potentially hazardous interactions with other drugs\n<li>None known <H3> ADMINISTRATION  <\/H3><H4> Reconstition<\/H4>\u2013<H4>  Route  <\/H4>Oral, IV bolus, <H4> IV infusion  <\/H4> <H4>  Rate of Administration  <\/H4>IV bolus: diluted in 5 mL sodium chloride  0.9% over not less than 30 seconds<H4> IV infusion  <\/H4>: <LI> 20 to 50  &amp;nbsp &amp;nbsp : mL over 5 minutes<H4>Comments<\/H4>Compatible with sodium chloride 0.9%,  sodium chloride 0.18% and glucose 4% solution, glucose 5%, Hartmann\u2019s solution, sodium lactate injection, 10% mannitolMaximum administered dose over  24 hours should not exceed 9 mg<H4>  OTHER INFORMATION  <\/H4>No special dosing adjustments necessary  in patients with renal or hepatic failure.<br \/>\n","protected":false},"excerpt":{"rendered":"<p>Granisetron CLINICAL USE Prevention or treatment of nausea and vomiting<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[7],"class_list":["post-4046","post","type-post","status-publish","format-standard","hentry","category-blog","tag-post-by-auto-php"],"_links":{"self":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/4046","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/comments?post=4046"}],"version-history":[{"count":0,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/4046\/revisions"}],"wp:attachment":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/media?parent=4046"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/categories?post=4046"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/tags?post=4046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}