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Selection of antiemetics by clinical situation

Selection of antiemetics by clinical situation
Situation Associated neurotransmitters Recommended antiemetic
Migraine headache Dopamine (probably a primary mediator) For headache and nausea: metoclopramide or prochlorperazine
For nausea: oral antiemetics, metoclopramide, prochlorperazine, serotonin antagonists
Vestibular nausea Histamine, acetylcholine Antihistamines and anticholinergics (equally effective)
Pregnancy-induced nausea Unknown For nausea: ginger, vitamin B6
For hyperemesis gravidarum: promethazine (first-line agent); serotonin antagonists and corticosteroids (second-line agents)
Gastroenteritis Dopamine, serotonin First-line agents: dopamine antagonists
Second-line agents: serotonin antagonists
Use in children is controversial
Postoperative nausea and vomiting Dopamine, serotonin Prevention: serotonin antagonists, droperidol, dexamethasone
Treatment: dopamine antagonists, serotonin antagonists, dexamethasone
Adapted from: Flake ZA, Scalley RD, Bailey AG. Practical selection of antiemetics. Am Fam Physician 2004; 69:1169.
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