Nausea |
22% (all grades); 1% (grades 3/4) |
Grade 3: withdraw treatment until grade 1 toxicity is reached; antiemetic drugs, hydration and electrolytic replacement as needed |
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Grade 4: withdraw treatment until grade 1 toxicity is reached; resume the drug at lower dose; antiemetic drugs, hydration and electrolytic replacement as needed. |
Diarrhea |
31% (all grades); 3% (grades 3/4) |
Grade 3: withdraw treatment; support therapy with antidiarrheal drugs, hydration and electrolytic replacement as needed. |
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Grade 4: withdraw treatment until grade 1 toxicity is reached; resume the drug at a lower dose; antidiarrheal drugs, hydration and electrolytic replacement as needed. |
Gastrointestinal bleeding |
3% (all grades); 1% (grades 3/4) |
Interrupt treatment; transfusions as needed; resume treatment at a lower dose but with caution |