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Table 110.4

Antiemetic Therapy

DrugReceptorsIndications
CyclizineH1/Muscarinic-ACh

Raised intracranial pressure

Motion sickness

Inoperable bowel

obstruction

c110uf001

Metoclopramide

– central and peripheral action

Domperidone

– peripheral action only

D2/5HT4

Gastric stasis

Gastric irritation

Inoperable bowel

obstruction if no colic

c110uf002
HaloperidolD2

Opioid induced

Metabolic causes

Inoperable bowel obstruction

c110uf003
Ondansetron5HT3

Chemo/RT

Gastric irritation

c110uf004

Hyoscine

butylbromide

Muscarinic-AChInoperable bowel obstruction with colicc110uf005
Levomepromazine

D2/H1/

Muscarinic-ACh

Broad-spectrum antiemetic, often third-line usec110uf006

RT, radiotherapy.