Antiemetic Drug (motion sickness) Flashcards
dopamine receptor antagonist Drugs
Domperidone
Metoclopramide
Prochlorperazine maleate
MOA of dopamine receptor antagonist
blocks dopamine receptors enhancing motility in upper GI tract and accelerates gastric emptying
side effects of domperidone
dry mouth, migriane, headache
counselling points for domperidone
take 15-30min before food
dosing for metoclopramide
PO 10mg TDS mx 30mg/day
side effects of metoclopramide
drowsiness
counselling points for metoclopramide
- take 30mins before food
- may cause drowsiness, do not drive or operate machinery
Dosing for prochlorperazine maleate
PO 5-10mg TDS-QDS
Side effects of prochlorperazine maleate
constipation, dry mouth, drowsiness
counselling points for prochlorperazine maleate
- medication can cause drowsiness. Do not drive or operate machinery
- do not drink alcohol
Antihistamine Drugs
- Cinnarizine
- Dimenhydrinate
Antihistamine MOA
interfering with the signal transmission between vestibular apparatus of the inner ear and the vomiting centre of hypothalamus
Dosing for Cinnarizine
PO 25mg at least 1/2 hr before travelling, repeated every 6 hours
Side effects for Cinnarizine
drowsiness
Counselling points for Cinnarizine
- can cause drowsiness, do not drive/operate machines
- do not drink alcohol