nausea and vomiting pharm Flashcards
Serotonin (5-HT3) Receptor Antagonists
- strong antiemetic
- end with “setron”
- risk of serotonin syndrome when combined with other 5HT affecting drugs
- dose dependent QT prolongation
Dolasetron
- Serotonin (5-HT3) Receptor Antagonists
- high risk of dose dependent QT prolongation (Torsades)
Granisetron
-Serotonin (5-HT3) Receptor Antagonists
Ondansetron
-Serotonin (5-HT3) Receptor Antagonists
Palonosetron
-Serotonin (5-HT3) Receptor Antagonists
Neurokinin (NK1) Receptor antagonists
- end with “pitant”
- moderate antiemetic
- chemotherapy induced NV
- mild GI and CNS AE
Aprepitant
- Neurokinin (NK1) Receptor antagonists
- PROPHYLAXIS of post-op NV
Fosaprepitant
-Neurokinin (NK1) Receptor antagonists
Netupitant
- Neurokinin (NK1) Receptor antagonists
- moderate CYP450 inhibitor
Fosnetupitant
-Neurokinin (NK1) Receptor antagonists
Rolapitant
- Neurokinin (NK1) Receptor antagonists
- moderate CYP450 inhibitor
Histamine (H1) Receptor Antagonists
- weak antiemetic
- anticholinergic activities
- can cause dry mouth, drowsiness, constipation, urinary retention….
Diphenhydramine
-Histamine (H1) Receptor Antagonists
Dimenhydrinate
-Histamine (H1) Receptor Antagonists
Hydroxyzine
-Histamine (H1) Receptor Antagonists