Anti-emetics Flashcards
Indications for H1 receptor antagonists?
Motion sickness
Morning sickness
Contra-indications for H1 receptor antagonists?
Avoid Cyclazine in acute porphyrias
Common side effects of H1 receptor antagonists?
Drowsiness
Can all anti-emetics be abruptly stopped?
Yes
Indications for Dopamine antagonists?
Chemotherapy induced N&V
PONV
What type of medication is Metoclopromide?
Dopamine antagonist
What are the contra-indications for Metoclopromide?
3-4 days post GI surgery
GI haemorrhage/obstruction/perforation
Phaeochromocytoma
What are side effects of Metoclopromide?
EPS Galactorrhoea Gynaecomastia Hyperprolactinaemia Menstrual changes
What type of medication is Domperidone?
Dopamine Antagonist
What are contra-indications for Domperidone?
Cardiac Disease
Conditions where cardiac conduction is/will be impaired
Where increased GI motility is harmful
Prolactinoma
Common side effects of Domperidone
Drowsiness
Dry mouth
Malaise
Indications of 5HT3 Receptor antagonists
Chemo induced N&V
Contra-indications for 5HT3 receptor antagonists
Congenital long QT syndrome (Ondansetron)
Common side effects of 5HT3 Receptor antagonists?
Constipation Headache Diarrhoea (Granisetron/Palanosetron) Insomnia (Granisetron) Flushing (Ondansetron) Injection side reactions (Ondansetron) Dizziness (Palanosetron)
Side effects of Droperidol?
Drowsiness
Hypotension