Antiemetics

Question 1

if nauseated, good 1st line Tx to prescribe?

Answer 1

• CYCLIZINE 50 mg 8 hourly IM, IV, PO for most cases
  (BUT causes fluid retention so NOT in cardiac cases or HF)

if not nauseated, prescribe PRN

Question 2

when to avoid metoclopramide?

Answer 2

PD
(D antagonist, ↑ Sx)

young women due to risk of dyskinesia (espec acute dystonia)

Question 3

what antiemetic to give in HF?

when WOULDN’T you give this?

Answer 3

metoclopramide 10 mg 8 hourly IM, IV

parkinsonian
bowel obstructed

Question 4

caution in HF/cardiac cases?

Answer 4

caution with cyclizine!