Antiemetic Therapy
Drug | Receptors | Indications | |
---|---|---|---|
Cyclizine | H1/Muscarinic-ACh | Raised intracranial pressure Motion sickness Inoperable bowel | |
central and peripheral action peripheral action only | D2/5HT4 | Gastric stasis Gastric irritation Inoperable bowel obstruction if no colic | |
Haloperidol | D2 | Opioid induced Metabolic causes Inoperable bowel obstruction | |
Ondansetron | 5HT3 | Chemo/RT Gastric irritation | |
butylbromide | Muscarinic-ACh | Inoperable bowel obstruction with colic | |
Levomepromazine | D2/H1/ Muscarinic-ACh | Broad-spectrum antiemetic, often third-line use |
RT, radiotherapy.