by Polsdorfer R

This article can give you a general idea about each of the medicines listed below. Only the most general side effects are listed. Ask your doctor if you need to take any special precautions. Use medicine as recommended by your doctor. If you have questions about use or side effects, contact your doctor.

A number of medicines may be used to treat ovarian cancer. Side effects may develop from certain treatments. Some medicines are used to help ease side effects.

Prescription Medications

Antiemetics

  • Prochlorperazine
  • Ondansetron
  • Granisetron
  • Metoclopramide

Corticosteroids

  • Dexamethasone
  • Prednisone

Opioids

  • Hydrocodone
  • Morphine
  • Oxycodone and acetaminophen

Blood Stem Cell Support Drugs

  • Filgrastim
  • Epoetin

Over-the-Counter Medications

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

  • Ibuprofen
  • Naproxen

Prescription Medications

Antiemetics

Common names are:

  • Prochlorperazine
  • Ondansetron
  • Granisetron
  • Metoclopramide

Antiemetics help treat nausea and vomiting caused by cancer treatments. Prochlorperazine can be taken by mouth, injection, or inserted into the rectum. Ondansetron and granisetron can be taken orally or as injections. Metoclopramide is usually given by injection.

Some problems from prochlorperazine may be:

  • Changes in eyesight, such as blurring or color changes
  • Fainting
  • Loss of balance
  • Restlessness
  • Shuffling walk
  • Stiffness of arms or legs
  • Trembling and shaking of hands and fingers

Some problems from ondansetron may be:

Some problems from granisetron may be:

  • Belly pain
  • Constipation
  • Diarrhea
  • Headache
  • Unusual tiredness or weakness

Some problems from metoclopramide may be:

  • Diarrhea (with high doses)
  • Sleepiness
  • Restlessness
  • Increased risk of tardive dyskinesia (a serious neurological condition)—in those who use the medicine more than 3 months
Corticosteroids

Common names are:

  • Dexamethasone
  • Prednisone

Corticosteroids help to ease inflammation and related pain. Pain and inflammation can happen for many reasons, such as:

  • Bone pain from cancer that has spread to the bones
  • Edema (fluid buildup in cells) caused by tumors or treatment

Some problems from corticosteroids are:

  • Increased hunger
  • Upset stomach
  • Nervousness or restlessness
Opioids

Common names are:

  • Hydrocodone
  • Morphine
  • Oxycodone and acetaminophen

Opioids act on the central nervous system to ease pain. These drugs can be very effective. However, they must be used with great caution. They can be mentally and/or physically addictive. Long-term use needs to be monitored by the doctor.

Some problems from opioids may be:

  • Lightheadedness or feeling faint
  • Sleepiness
  • Nausea or vomiting
  • Severe constipation
Blood Stem Cell Support Drugs

Common names are:

  • Filgrastim
  • Epoetin

During cancer treatment, cancer cells are destroyed. Healthy blood cells can also be destroyed. Filgrastim helps the bone marrow make new white blood cells. White blood cells help the body fight infection.

Epoetin helps bone marrow to make new red blood cells. Low red blood cell levels can lead to anemia . Epoetin is quite effective, but can take 2 weeks to work. It is not used as a quick fix for a low red blood cell count. A blood transfusion helps increase red blood cell count more quickly.

Both filgrastim and epoetin are given by injection.

From problems from filgrastim may be:

  • Headache
  • Pain in arms or legs
  • Pain in joints or muscles
  • Pain in lower back or pelvis
  • Skin rash or itching

Some problems from epoetin may be:

  • Cough, sneezing, or sore throat
  • Fever
  • Swelling of face, fingers, ankles, feet, or lower legs
  • Weight gain

Over-the-Counter Medications

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Common names are:

  • Ibuprofen
  • Naproxen

NSAIDs are used to ease pain and inflammation.

Some problems with NSAIDs are:

  • Stomach cramps, pain, or discomfort
  • Heartburn, indigestion, nausea, or vomiting
  • Sleepiness or lightheadedness
  • Headache

Special Considerations

When taking medicine:

  • Take your medicine as advised. Do not change the amount or schedule.
  • Be aware of the side effects of your medicine. Tell your doctor if you have any.
  • Talk to your doctor before you stop taking any prescription medicine.
  • Do not share your prescription medicine.
  • Medicines can be harmful when mixed. Talk to your doctor or pharmacist if you are taking more than one. This includes over the counter products and supplements.
  • Plan for refills.

References

Hesketh PJ, Kris MG, et al. Antiemetics: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol. 2017;35(28):3240-3261.

Ovarian cancer. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/ovarian-cancer. Accessed March 24, 2022.

Ovarian cancer. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/gynecologic-tumors/ovarian-cancer. Accessed March 24, 2022.

Ovarian epithelial, fallopian tube, and primary peritoneal cancer treatment. National Cancer Institute website. Available at: https://www.cancer.gov/types/ovarian/patient/ovarian-epithelial-treatment-pdq#section/%5F156. Accessed January 29, 2018.

Treating ovarian cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/ovarian-cancer/treating.html. Accessed March 24, 2022.

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