The potential for error increases with the rising number of oral chemotherapy agents prescribed and administered outside the supervision of a clinical setting. Elapsed time between ingestion and intervention is always a factor in successful management of overdose situations (Goldfrank, 2006), particularly for orally administered chemotherapeutic agents. However, an error may not be discovered immediately. Specific time-sensitive recommendations include the use of gastric lavage with airway protection if performed within one hour of ingestion (Goldfrank, 2006) .consider using activated charcoal with dose based on age.