The granisetron transdermal system (GTS) is administered by applying a single, intact patch to the skin of the upper arm. This application must occur 24 to 48 hours prior to the first dose of chemotherapy and the patch is designed to remain in place for 120 hours (5 days).
The core principle of GTS administration is not just the physical application, but the strategic timing. It is a proactive, multi-day therapy designed to establish and maintain a steady, therapeutic drug concentration before the onset of chemotherapy-induced nausea.

The Pharmacological Strategy: Timing and Duration
Proper administration is about more than just placing the patch correctly; it's about understanding the therapeutic window it's designed to create. The entire process is built around delivering a consistent dose over a prolonged period.
Pre-Chemotherapy Application
The patch is intentionally applied 24 to 48 hours before chemotherapy begins. This lead time is critical for the drug to absorb through the skin and reach its target plasma concentration of 2.2 ng/mL, ensuring the anti-nausea effect is active when needed most.
Continuous Delivery
Once applied, the system delivers a steady rate of 3.1 mg of granisetron every 24 hours. It remains on the skin for a total of 120 hours, providing continuous protection throughout the high-risk period following a chemotherapy cycle.
Application Site
The patch should be applied to a clean, dry, and intact area of skin on the outer part of the upper arm.
Step-by-Step Application Protocol
Following the precise application steps ensures the patch adheres correctly and delivers the medication as intended.
Preparing the Patch
First, remove the patch from its foil pouch. It is critical that you do not cut the patch, as this can damage the drug delivery system. Peel off the thin plastic liner from the printed (non-sticky) side of the patch.
Initial Placement
Gently bend the patch in the middle. This action helps to separate the main protective film on the sticky side, which is split into two pieces. Peel off one piece of this film, being careful not to touch the adhesive surface.
Securing the Patch
Apply the exposed sticky side to the skin while holding the remaining portion of the protective film. Once it is in place, carefully remove the second piece of the film.
Final Adhesion
Press the entire patch firmly onto the skin with your palm for about 30 seconds to ensure it is sealed completely, especially around the edges. Proper adhesion is essential for correct drug delivery.
Post-Application Safety
Immediately wash your hands with soap and water after applying the patch. This removes any drug residue that may have transferred to your fingers during the process.
Making the Right Choice for Your Goal
To ensure the system works as designed, focus on the aspect of administration most critical to your objective.
- If your primary focus is preventing nausea: The most important factor is applying the patch 24 to 48 hours before starting the chemotherapy regimen.
- If your primary focus is ensuring patient safety and adherence: The key is to follow the precise application steps without cutting the patch and ensuring it remains firmly in place for the full 120 hours.
Correct and timely administration is the key to unlocking the transdermal system's potential for continuous, multi-day nausea prevention.
Summary Table:
| Key Aspect | Details |
|---|---|
| Application Site | Clean, dry, intact skin on the outer upper arm |
| Timing | Apply 24 to 48 hours before chemotherapy starts |
| Duration | Wear for a full 120 hours (5 days) |
| Dosage | Delivers 3.1 mg of granisetron every 24 hours |
| Crucial Step | Do not cut the patch; press firmly for 30 seconds after application |
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