Central Nervous System

Question 1

What are the licensing age for Cyclizine, Cinnarizine and Promethazine?

Answer 1

• Cyclizine (over 6 years)
• Cinnarizine (over 5 years Stugeron 15)
• Promethazine (over 5 years Avomine & Phenergan)

Question 2

What are the licensing age for Hyoscine?

Answer 2

• Hyoscine ( Over 3 years Joy-rides)
• Hyoscine ( Over 10 years Kwells)
• Hyoscine (Over 4 years Kwells Kids)

Question 3

In insomnia, what is the licensing age of Diphenhydramine & Promethazine?

Answer 3

• Over 16 years

Question 4

When should Diphenhydramine and Promethazine be taken?

Answer 4

• Diphenhydramine (20 - 30 mins before bed)

- Promethazine (60 mins before bed)

Question 5

What is the referral criteria for Insomnia?

Answer 5

• Suspected anxiety or depression
• Chronic problem (longer than 4 weeks duration)
• Children under 16
• Suspected alcohol dependence

Question 6

For Nausea & Vomiting, what is the licensing age for Prochlorperazine, Cyclizine and Promethazine?

Answer 6

• Prochlorperazine (Over 18 years Buccastem for previously diagnosed migraine sufferers)

Cyclizine (Over 6 years)

Promethazine (Over 2 years)

Question 7

Can Prochlorperazine, Cyclizine and Promethazine be used in pregnancy & breastfeeding?

Answer 7

No

Question 8

How should buccal tablet be administered?

Answer 8

• Tablet placed either between the upper lip and gum, above the front teeth or between the cheek and upper gum

Question 9

What is the referral criteria for Nausea & Vomiting?

Answer 9

• Early morning vomiting in women of childbearing age - possible pregnancy
• Vomiting in children < 1 years lasting > 24 hours (risk of dehydration)
• Nausea and vomiting with no identifiable cause
• Moderate to severe abdominal pain