Paclitaxel-induced Hypersensitivity Reaction

An immunological response that results in an adverse reaction due to a certain drug is known as a hypersensitivity reaction (HSR). Such type of reactions is seen with antineoplastic agents. HSR is commonly seen with one of the chemotherapeutic agents, namely, paclitaxel. Occurrence of such reactions...

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Main Authors: Cyril Sajan, Elizabeth Jacob, Varunsingh Saggu, Rajesh Hadia, Hemraj Singh Rajput
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of the Scientific Society
Subjects:
Online Access:https://journals.lww.com/10.4103/jss.jss_41_23
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author Cyril Sajan
Elizabeth Jacob
Varunsingh Saggu
Rajesh Hadia
Hemraj Singh Rajput
author_facet Cyril Sajan
Elizabeth Jacob
Varunsingh Saggu
Rajesh Hadia
Hemraj Singh Rajput
author_sort Cyril Sajan
collection DOAJ
description An immunological response that results in an adverse reaction due to a certain drug is known as a hypersensitivity reaction (HSR). Such type of reactions is seen with antineoplastic agents. HSR is commonly seen with one of the chemotherapeutic agents, namely, paclitaxel. Occurrence of such reactions can be suppressed with the administration of premedications (dexamethasone 20 mg intravenous [IV], diphenhydramine 50 mg IV, and famotidine 20 mg IV). Mainly, the paclitaxel consists of paclitaxel IP, polyoxyl 35, castor oil IP (Cremophor ELP), and dehydrated alcohol IP. The mechanism of this reaction is not known exactly, but it is believed that the reaction may be occurring due to paclitaxel itself or its vehicle castor oil IP (Cremophor ELP). Molecules present in Cremophor ELP are found to be similar in structure to certain nonionic block copolymers that activate complement proteins (the proteins involved in various immune processes).
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institution Kabale University
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-3a610eff194147f59d47856593f7c2f12025-01-07T07:23:01ZengWolters Kluwer Medknow PublicationsJournal of the Scientific Society0974-50092278-71272024-12-0151462562710.4103/jss.jss_41_23Paclitaxel-induced Hypersensitivity ReactionCyril SajanElizabeth JacobVarunsingh SagguRajesh HadiaHemraj Singh RajputAn immunological response that results in an adverse reaction due to a certain drug is known as a hypersensitivity reaction (HSR). Such type of reactions is seen with antineoplastic agents. HSR is commonly seen with one of the chemotherapeutic agents, namely, paclitaxel. Occurrence of such reactions can be suppressed with the administration of premedications (dexamethasone 20 mg intravenous [IV], diphenhydramine 50 mg IV, and famotidine 20 mg IV). Mainly, the paclitaxel consists of paclitaxel IP, polyoxyl 35, castor oil IP (Cremophor ELP), and dehydrated alcohol IP. The mechanism of this reaction is not known exactly, but it is believed that the reaction may be occurring due to paclitaxel itself or its vehicle castor oil IP (Cremophor ELP). Molecules present in Cremophor ELP are found to be similar in structure to certain nonionic block copolymers that activate complement proteins (the proteins involved in various immune processes).https://journals.lww.com/10.4103/jss.jss_41_23cremophor elphypersensitivity reactionsnonsmall cell lung cancerpaclitaxel
spellingShingle Cyril Sajan
Elizabeth Jacob
Varunsingh Saggu
Rajesh Hadia
Hemraj Singh Rajput
Paclitaxel-induced Hypersensitivity Reaction
Journal of the Scientific Society
cremophor elp
hypersensitivity reactions
nonsmall cell lung cancer
paclitaxel
title Paclitaxel-induced Hypersensitivity Reaction
title_full Paclitaxel-induced Hypersensitivity Reaction
title_fullStr Paclitaxel-induced Hypersensitivity Reaction
title_full_unstemmed Paclitaxel-induced Hypersensitivity Reaction
title_short Paclitaxel-induced Hypersensitivity Reaction
title_sort paclitaxel induced hypersensitivity reaction
topic cremophor elp
hypersensitivity reactions
nonsmall cell lung cancer
paclitaxel
url https://journals.lww.com/10.4103/jss.jss_41_23
work_keys_str_mv AT cyrilsajan paclitaxelinducedhypersensitivityreaction
AT elizabethjacob paclitaxelinducedhypersensitivityreaction
AT varunsinghsaggu paclitaxelinducedhypersensitivityreaction
AT rajeshhadia paclitaxelinducedhypersensitivityreaction
AT hemrajsinghrajput paclitaxelinducedhypersensitivityreaction