Clinical recommendationEvidence ratingReferencesComments
Selective serotonin reuptake inhibitors improve depression in patients receiving chemotherapy.B6, 7 RCTs of paroxetine (Paxil)
Patients with cancer should be assessed for fatigue at regular intervals.C51 Recommendation from consensus guideline
5-hydroxytryptamine3 receptor antagonists (such as ondansetron [Zofran]) are recommended first-line therapy for radiation-induced emesis.B33 Recommendation from evidence-based practice guideline
Adding dexamethasone (4 mg daily for five days) to ondansetron therapy provides additional prophylaxis against radiation-induced emesis.B33, 34 Consistent findings from small RCT34 and recommendation from evidence-based practice guideline33
Phosphodiesterase type 5 inhibitors, such as sildenafil (Viagra) and tadalafil (Cialis), are effective for erectile dysfunction associated with radiation therapy.A4244 Consistent findings from RCTs of sildenafil and tadalafil