Therapeutic Activity
Cisplatin is widely prescribed for a variety of tumors (germ-cell,
advanced bladder carcinoma, adrenal cortex
carcinoma, breast cancer, head and neck carcinoma, lung carcinoma). It is administered
intravenously for one to 5 days in a row, followed by a rest period of 2-3 weeks.
There are serious side effects associated with cisplatin, notably renal
toxicity, emesis,
neurotoxicity, bone marrow suppression and hearing loss. Damage to the kidneys can be
minimized through the
administration of continuous IV hydration along with diuretic drugs
before and following the infusion of cisplatin. Similarly, several effective
antiemetic drugs protect the patient from the worst of nausea and vomiting.
Testing of patient renal function, blood and hearing is recommended before
each cycle of therapy.
Cisplatin is marketed by Bristol-Myers Squibb
as platinol. (And the last time I looked, their Web site featured a prominent person
cured of testicular cancer using their products.)