Table 4.
Published cases of hypersensitivity associated with oxaliplatin
Reference | Presenting Features | Premedication | Oxaliplatin dose and serial dilution if used | Duration of therapy |
Lydia et al[23] | Diaphoresis, hypotension, nausea, abdominal cramping rash, coryza | D1-prednisone 20 mg Po Q6 h × 4 D2 45 min pre chemo ondansterone 8 mg + dexamethasone 20 mg iv 30 min prior diphenylhydramine 50 mg iv + cemetidine 300 mg iv | 140 mg on d 2 dilutions from 1:10000 to 1:1 | 8 h |
Thomas et al[5] | Erythematic, flushing | Dexamethasone 20 mg 6 h and 12 h prior 30 min pre infusion: solumedrol 125 mg iv, diphenylhydramine 50 mg iv, cimetidine 50 mg iv | - | 2-4 h |
Bhargava et al[22] | Palpitation, flushing, hypotension | Dexamethasone starting 24 h prior 30 min before infusion received dexamethasone, diphenylhydramine, hydrocortisone 100 mg iv | 1:10000, 1:1000, 1:100, 1:10 each bag infuse over one hour | 6-8 h |
Meyer et al[7] | dexamethasone-famotidine and diphenylhydramine | 90% of total dose 1:1000, 1:100 and 1:10 dilution over 90 min | 6 h | |
Lim et al[24] | Abdominal distension, heat, pruritis | D 1 diphenylhydramine 50 mg QID 30 min prior to infusion metoclopramide 9 mg, morazepam 2 mg, dexamethasone 5 mg iv | Fixed dose infusion over 24 h with dilute solution (0.15 mg/mL) | 24 h |
Present case | Fever | - | Refused further oxaliplatin therapy | - |