4.20.2014

Pain Control and Anti-Emetics

When prescribing pain medications you must also consider the side effects that those medications may have on your patient such as nausea, constipation, rash, etc.

We will talk about anti-emetics today.

There are many classes of anti-emetics to consider. Most services have their favorites, but due to patient allergies and the ineffectiveness of some medications on some patients - it is good to have a few back-ups in mind to try. You can also consult the pharmacy team that you work with for additional advice. This list is not comprehensive.

Dopamine antagonist: 
Prochlorperazine (good for opiod related nausea), Metoclopramide, Haloperidol

5HT3 antagonists: 
Ondansetron* (PO and IV)

Antihistamines: 
Diphenhydramine**

Anticholinergics: 
Scopolamine

Antipsychotics: 
Olanzapine


*can lead to headaches and constipation
**can be sedating





Source: MPR http://www.empr.com/antiemetic-treatments/article/125873/

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