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 |