| Drug
Class |
Generic
Name
(Trade Name) |
Uses |
Recommended
Doses |
Side
Effects |
Phenothiazines
|
Chlorpromazine
(Thorazine) |
Uncommonly
used for Nausea and Vomiting |
10 - 25 mg q 4 - 6 po
25mg q 3h IV slow
25-50 mg q 4h IM
100 mg q 6-8h pr |
Hypotension |
|
Prochlorperazine
(Compazine)
|
Nausea
and vomiting |
5-10
mg tid po
2.5 - 10 mg IV slow infusion
5-10 mg q 4h IM
25 mg bid pr
|
Hypotension |
Prokinetics
|
Metoclopramide
(Reglan)
Cisapride
(Propulsid)
Trimethobenzamide
(Tigan)
Erythromycin
Bethanechol
|
Gastroparesis
GERD
Nausea and
vomiting
Gastroparesis
Gastroparesis
|
10-20
mg qid po
10-20 mg IV
10-20 mg qid po
250 mg tid/qid po
200 mg tid/qid IM
200 mg tid/qid pr
250 mg qid IV or po
10-25 mg qid po
|
Extrapyramidal
symptoms
Abd pain, diarrhea
Drowsiness
Diarrhea, abd pain
Abd pain
Abd pain
|
Antihistamines
|
Dymenhydrinate
(Dramamine)
Meclizine
(Antivert)
Cyclizine
(Marezine)
Promethazine
(Phernagen)
Dyphenhydramine
(Benadryl)
|
Motion
sickness
Motion sickness
Meniere's disease
Motion Sickness
Motion Sickness
|
50
mg q 4h po
50 mg q 24h po
50 mg q 4h po
50 mg q 4h IV
25 mg q 12h po
25 mg q 12h IV
12.5-50 mg q 12h IM
12.5-50 mg q 12h pr
25-50 mg q 6h po
|
Drowsiness
Drowsiness
Drowsiness
Drowsiness
Drowsiness |
Butyrophenones
|
Droperidol |
Post-op |
2.5-5
mg IV |
Hypotension
Sedation
Extrapyramidal symptoms |
|
Haloperidol |
Rarely
used |
0.5-2
mg po |
Hypotension
Sedation
Extrapyramidal symptoms |
Anticholinergics
|
Scopolomine
(Transderm patch) |
Motion
Sickness |
1.5
mg patch q 3 days
delivers 0.5g/day |
Drowsiness |
5-HT3
Receptor Antagonists
|
Ondansetron
(Zofran)
Granisetron
(Kytril)
|
Post-op
Chemotherapy
Chemotherapy |
4
- 8 mg IV
32 mg one time dose
1 mg bid po
10 mcg/kg IV
|
Elevated
LFTs
Headache |
Non-pharmacological
|
Acupressure
|
?
Motion Sickness
? Pregnancy |
|
|