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Effect of Ginger and Chamomile on Nausea and Vomiting Caused by Chemotherapy in Iranian Women with Breast Cancer

  • Sanaati, Fateme (Department of Nursing, University of Welfare and Rehabilitation Sciences, Tehran University of Medical Sciences) ;
  • Najafi, Safa (Breast Cancer Research Centre, Jahad Daneshgahi, Tehran University of Medical Sciences) ;
  • Kashaninia, Zahra (Department of Nursing, University of Welfare and Rehabilitation Sciences) ;
  • Sadeghi, Masoud (Medical Biology Research Center, Kermanshah University of Medical Sciences)
  • 발행 : 2016.08.01

초록

Background: Chemotherapy-induced nausea and vomiting (CINV) places a significant burden on the patient. Herbal agents are the most commonly complementary therapies used among the public. This study was done to determine the effect of ginger and chamomile capsules on nausea and vomiting in cases undergoing chemotherapy for breast cancer (BC). Materials and Methods: In a randomized, double-blind and clinical trial study, 65 women with BC undergoing chemotherapy were referred to Breast Cancer Research Center, Tehran, Iran, between May 2013 to June 2014. Regimen for ginger group for 5 days before and 5 days after chemotherapy was: 2 times a day and 500 mg capsules of powdered ginger root in addition to a routine antiemetic regimen consisting of dexamethasone, metoclopramide and aprepitant (DMA) capsules. Chamomile group similarly was: 2 times a day and 500 mg capsules of Matricaria chamomilla extract in addition to a routine antiemetic regimen consisting of DMA capsules. Control group, routine antiemetic regimen consisting of DMA capsules. Results: There were no significant differences between the ginger, chamomile and control groups regarding age. Drugs used for chemotherapy were identical and duration of disease was also matched (1-4 months). Ginger and chamomile were both significantly effective for reducing the frequency of vomiting, there being no significant difference between the ginger and chamomile groups. Moreover, unlike the chamomile, ginger significantly influenced the frequency of nausea. Conclusions: According to the findings of this study, it should be declared that taking ginger capsules (1 g/day) might relieve CINV safely. Nurses dealing directly with cancer patients should be responsible for providing educational programs for patients and their families about how to deal with their drug regimens and associated side effects.

키워드

과제정보

연구 과제 주관 기관 : Breast Cancer Research Center of University of Tehran

참고문헌

  1. Amirifard N, Sadeghi E, Payandeh M, et al (????). Relationship between HER2 proto-oncogene status and prognostic factors of breast cancer in the west of Iran. Asian Pac J Cancer Prev, 17, 295-8.
  2. Ballatori E, Roila F, Ruggeri B, et al (2007). The impact of chemotherapy-induced nausea and vomiting on healthrelated quality of life. Supportive Care in Cancer, 15, 179-85. https://doi.org/10.1007/s00520-006-0109-7
  3. Bloechl-Daum B, Deuson RR, Mavros P, Hansen M, Herrstedt J(2006). Delayed nausea and vomiting continue to reduce patients’ quality of life after highly and moderately emetogenic chemotherapy despite antiemetic treatment. J Clin Oncol, 24, 4472-8. https://doi.org/10.1200/JCO.2006.05.6382
  4. Carelle N, Piotto E, Bellanger A, et al(2002). Changing patient perceptions of the side effects of cancer chemotherapy. Cancer, 95, 155-63. https://doi.org/10.1002/cncr.10630
  5. Davidson W, Teleni L, Muller J, et al (2012). Malnutrition and chemotherapy-induced nausea and vomiting: implications for practice. Oncol Nurs Forum, 39, 340-5. https://doi.org/10.1188/12.ONF.E340-E345
  6. Ensiyeh J, Sakineh MA(2009). Comparing ginger and vitamin B6 for the treatment of nausea and vomiting in pregnancy: a randomised controlled trial. Midwifery, 25, 649-53. https://doi.org/10.1016/j.midw.2007.10.013
  7. Ernst E, Pittler M (2000). Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trials. Br J Anaesthesia, 84, 367-71. https://doi.org/10.1093/oxfordjournals.bja.a013442
  8. Jordan K, Schaffrath J, Jahn F, Mueller-Tidow C, Jordan B (2014). Neuropharmacology and management of chemotherapy-induced nausea and vomiting in patients with breast cancer. Breast Care, 9, 246-53. https://doi.org/10.1159/000366300
  9. Manusirivithaya S, Sripramote M, Tangjitgamol S, et al (2004). Antiemetic effect of ginger in gynecologic oncology patients receiving cisplatin. Int J Gynecological Cancer, 14, 1063-9. https://doi.org/10.1111/j.1048-891X.2004.14603.x
  10. Martens D (1995). Chamomile: the herb and the remedy. J Chiropractic Academy Homeopathy, 6, 15-8.
  11. Marx W, McCarthy AL, Ried K, et al(2014). Can ginger ameliorate chemotherapy-induced nausea? Protocol of a randomized double blind, placebo-controlled trial. BMC Complement Altern Med, 14, 134. https://doi.org/10.1186/1472-6882-14-134
  12. Nanthakomon T, Pongrojpaw D (2006). The efficacy of ginger in prevention of postoperative nausea and vomiting after major gynecologic surgery. J Med Assoc Thai, 89, S130-6.
  13. Olaku O, White JD(2011). Herbal therapy use by cancer patients: a literature review on case reports. Eur J Cancer, 47, 508-14. https://doi.org/10.1016/j.ejca.2010.11.018
  14. Ozgoli G, Goli M, Simbar M(2009). Effects of ginger capsules on pregnancy, nausea, and vomiting. J Alternative Complementary Med, 15, 243-6. https://doi.org/10.1089/acm.2008.0406
  15. Payandeh M, Sadeghi M, Sadeghi E, Aeinfar M (2015). Clinicopathology figures and long-term effects of tamoxifen plus radiation on survival of women with invasive ductal carcinoma and triple negative breast cancer. Asian Pac J Cancer Prev, 16, 4863-7. https://doi.org/10.7314/APJCP.2015.16.12.4863
  16. Payandeh M, Sadeghi M, Sadeghi E (2015). Differences in prognostic factors between early and late recurrence breast cancers. Asian Pac J Cancer Prev, 16, 6575-9. https://doi.org/10.7314/APJCP.2015.16.15.6575
  17. Ryan J, Heckler C, Dakhil S, et al (2009). Ginger for chemotherapy-related nausea in cancer patients: A URCC CCOP randomized, double-blind, placebo-controlled clinical trial of 644 cancer patients. J Clin Oncol, 27, 9511.
  18. Sharma S, Kochupillai V, Gupta S, Seth S, Gupta Y(1997). Antiemetic efficacy of ginger (Zingiber officinale) against cisplatin-induced emesis in dogs. J Ethnopharmacol, 57, 93-6. https://doi.org/10.1016/S0378-8741(97)00054-8
  19. Sharma SS, Gupta YK (1998). Reversal of cisplatin-induced delay in gastric emptying in rats by ginger (Zingiber officinale). J Ethnopharmacol, 62, 49-55. https://doi.org/10.1016/S0378-8741(98)00053-1
  20. Shikov AN, Pozharitskaya ON, Makarov VG, Kvetnaya AS (2008). Antibacterial activity of chamomilla recutita oil extract against helicobacter pylori. Phytotherapy Res, 22, 252-3. https://doi.org/10.1002/ptr.2243
  21. Sontakke S, Thawani V, Naik M(2003). Ginger as an antiemetic in nausea and vomiting induced by chemotherapy: a randomized, cross-over, double blind study. Indian J Pharmacol, 35, 32-6.
  22. Sun CC, Bodurka DC, Weaver CB, et al(2005). Rankings and symptom assessments of side effects from chemotherapy: insights from experienced patients with ovarian cancer. Supportive Care Cancer, 13, 219-27. https://doi.org/10.1007/s00520-004-0710-6
  23. Tong H, Isenring E, Yates P (2009). The prevalence of nutrition impact symptoms and their relationship to quality of life and clinical outcomes in medical oncology patients. Supportive Care Cancer, 17, 83-90. https://doi.org/10.1007/s00520-008-0472-7
  24. Van Cutsem E, Arends J(2005). The causes and consequences of cancer-associated malnutrition. Eur J Oncol Nurs, 9, 51-63. https://doi.org/10.1016/j.ejon.2005.09.007
  25. Vidall C, Dielenseger P, Farrell C, et al (2011). Evidence-based management of chemotherapy-induced nausea and vomiting: a position statement from a European cancer nursing forum. Ecancermedicalscience, 5, 211.
  26. Wu KL, Rayner CK, Chuah SK, et al(2008). Effects of ginger on gastric emptying and motility in healthy humans. Eur J Gastroenterol Hepatol, 20, 436-40. https://doi.org/10.1097/MEG.0b013e3282f4b224
  27. Zick SM, Ruffin MT, Lee J, et al (2009). Phase II trial of encapsulated ginger as a treatment for chemotherapyinduced nausea and vomiting. Supportive Care Cancer, 17, 563-72. https://doi.org/10.1007/s00520-008-0528-8