Which strategy is commonly used to manage chemotherapy-induced nausea and vomiting?

The strategy of using prophylactic antiemetics, dietary modifications, and acupuncture is a well-established approach to managing chemotherapy-induced nausea and vomiting (CINV). Prophylactic antiemetics are medications administered before chemotherapy to prevent nausea and vomiting, significantly improving patient comfort and compliance with treatment regimens. These medications include various classes such as serotonin receptor antagonists, neurokinin-1 receptor antagonists, and corticosteroids, which are effective in mitigating CINV.

Dietary modifications can also play a critical role; patients may be advised to consume small, frequent meals and to avoid rich, spicy, or fatty foods that could exacerbate nausea. Acupuncture has been shown in some studies to help alleviate nausea and can offer a complementary option alongside more traditional medical management.

In contrast, surgical intervention and higher doses of chemotherapy are not standard strategies for managing CINV and could lead to unnecessary risk and worsening symptoms, as increasing doses of chemotherapy could potentially heighten the incidence of nausea and vomiting. While increased physical activity is generally beneficial for overall health, it is not a recognized intervention for managing the specific symptoms of chemotherapy-induced nausea and vomiting.