Motion Sickness Flashcards
tx options for nausea and receptor activity
–| 5HT = ondansetron
–| DA + 5HT = metoclopramide
–| DA = phenothiazines (proclorperizine)
tx options for vertigo
scopolamine
AHs (meclizine, dimenhydrinate)
benzos
tx options for motion sickness
scopolamine
AH (benadryl, dimenhydrinate, meclizine)
promethazine should not be used in
children, especially <2yo
scopolamine dosing
1 patch 4+ hours before needed
lasts 72 hours
scopolamine counseling points/SE
drowsiness –> no driving
xerostomia
confusion
dizziness
constipation
inc IOP
remove before MRI
no alcohol
scopolamine is CI in
closed angle glaucoma 2/2 inc IOP
HSR to belladonna alkaloids
non pharm options for nausea
ginger
sea bands
dimenhydrinate
brand
dosing
Dramamine
50-100mg PO Q4-6H PRN
dimenhydrinate SE
dizziness, inc IOP, CNS dep, blurred vision, drowsiness
shared SE of scopolamine, dimenhydrinate and meclizine
inc IOP, CNS SE/dep
meclizine
brand
dosing
Dramamine All Day Less Drowsy
Antivert
25-50mg PO Q24H PRN
meclizine SE
CNS dep
inc IOP
what is the difference between Dramamine and Dramamine All Day Less Drowsy
Dramamine = dimenhydrinate
Dramamine All Day Less Drowsy = meclizine
