Antiemetic phenothiazines Flashcards
Main use of antiemetic phenothiazines
NV especially due to vertigo and psychotic disorders as typical antipsychotics
Phenothiazines examples
prochlorperazine, chlorpromazine
Phenothiazine antiemetic MOA
Arise due to blocking of dopamine and histamine/acetylcholine (but less so) in eceptors in vestibular system and vomiting centre
Phenothiazine antiemetic Side effects
Drowsiness and postural hypotension, EPS, QT prolongation
When to avoid phenothiazine use
Liver disease, susceptible to anticholinergic effects like prostatic hypertrophy,
Drugs causing QT interval
Antipsychotics, amiodarone, ciprofloxacin, macrolides, quinine and SSRIs
What is antipsychotic is often used for opioid induced nausea
Haloperidol