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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