Systemic Anti-Cancer Therapy Regimen Library
LUNG NSCLC Metastatic - vinORELBine [oral] 60 [day 1 and 8] Q3W
Treatment Overview
Cycle 1 (and all further cycles) - 21 days
Cycle details
Cycle 1 (and all further cycles) - 21 days
| Medication | Dose | Route | Days | Max Duration |
|---|---|---|---|---|
| ondansetron | 8 mg Twice daily | oral administration | 1, 8 | |
| vinORELBine * | 60 mg/m² | oral administration | 1, 8 | |
| domperidone | 10 mg Three times daily | oral administration | 1 | |
| docusate sodium + sennoside B | 2 Tablet(s) | oral administration | 1 |
Full details
Cycle 1 (and all further cycles) - 21 days
Day: 1
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| ondansetron | 8 mg Twice daily | oral administration |
Instructions:
ONE hour before chemotherapy and 8 to 12 hours after chemotherapy. |
|
| vinORELBine * | 60 mg/m² | oral administration |
Instructions:
|
|
| domperidone | 10 mg Three times daily | oral administration |
Instructions:
When required for nausea and/or vomiting.
|
|
| docusate sodium + sennoside B | 2 Tablet(s) | oral administration |
Instructions:
At night when required for constipation.
|
Day: 8
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| ondansetron | 8 mg Twice daily | oral administration |
Instructions:
ONE hour before chemotherapy and 8 to 12 hours after chemotherapy. |
|
| vinORELBine * | 60 mg/m² | oral administration |
Instructions:
|
Supportive Care Factors
| Factor | Value |
|---|---|
| Constipation risk: | laxatives are usually prescribed |
| Emetogenicity: | Medium to high |
References
Te Arai BioFarma Ltd. Vinorelbine Te Arai New Zealand Data Sheet 18 March 2021. https://www.medsafe.govt.nz/profs/Datasheet/v/vinorelbineTeAraicap.pdf (Accessed 27 April 2023).
Regimen details sometimes vary slightly from the published literature after recommendation by expert committee consensus.
* The medicines, doses, combinations, and schedule in this treatment regimen have been carefully reviewed against international best practice guidelines by specialists in medical oncology around New Zealand and this advice has been accepted for publication by Te Aho o Te Kahu (the Cancer Control Agency). Sometimes medicines that are used in routine clinical practice have not been through a formal review process by the NZ Medicines Regulator Medsafe and are therefore considered unapproved or off-label. These medicines are legally able to be prescribed through sections 25 and 29 of the Medicines Act and by obtaining informed consent from patients. All treatment regimens listed on this website have been through robust peer review and are considered an accepted standard of care, whether prescribed through sections 25 or 29 or carrying formal Medsafe Approval.
s29: This symbol indicates that some formulations of the associated medicine are legally only able to be prescribed under section 29 of the Medicines Act. You can see which formulations are section 29 by hovering over the s29 symbol. You can access full medication details from the New Zealand Formulary by clicking on the medication name. Each clinician retains full responsibility for ensuring they have complied with all relevant obligations and requirements of section 29 including obtaining informed patient consent prior to prescribing the applicable medicine.