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Palonosetron

ALOXI

What it isLong-acting second-generation 5-HT3-receptor antagonist; prevention of chemotherapy-induced nausea and vomiting.

Why this oneIts unusually durable receptor effect extends protection into delayed chemotherapy nausea, where older setrons fade.

What limits itIt has little QT effect compared with dolasetron or ondansetron; constipation, headache, and cost remain.

NO BOXED WARNINGS

Principal riskConstipation and headache; cost

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Palonosetron ballicule

Palonosetron ballicule: receptor binding, kinetics and half-life diagram

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