What is your favorite antiemetic?

  1. 0 Hi. I had a patient today who was on day two of detoxing off of a heavy dose of methadone. She was vomiting violently, and couldn't keep down the PO zofran that the physician had prescribed. I asked for an order for something else, and was given an order for 25 mg compazine PR. This helped the nausea, but did not completely stop it. What are your favorite antiemetics to use, especially in a detoxing patient? Thanks for your responses.
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  3. Visit  Kay28 profile page

    About Kay28

    Kay28 has '3' year(s) of experience and specializes in 'Psych'. From 'Massachusetts'; Joined Sep '05; Posts: 117; Likes: 118.

    8 Comments so far...

  4. Visit  Esme12 profile page
    1
    This might be better answered in the addictions Specialities section. Addictions Nursing for Nurses | Nursing Students

    With the absence of an IV, Compazine or phenergan PR.
    rn/writer likes this.
  5. Visit  rn/writer profile page
    0
    Moved to Addictions Nursing in the hope of getting knowlegeable responses.
  6. Visit  amybeets05 profile page
    0
    what about dissolvable zofran...it is a sublingual very small tablet that has a good taste.
  7. Visit  Meriwhen profile page
    0
    Phenergan IM usually works wonders for the vomiting patient. Downsides are that it must be given in a large muscle, it's a painful shot even in that large muscle, and some patients can get a bit of a buzz from the med.
  8. Visit  tom7044 profile page
    0
    by far, phenergan (promethazine hcl); at my place of employment we can choose between compazine, ondansetron (zofran) and promethazine hcl. i generally use phenergan po or im for these patients that are having severe nausea and vomiting from withdrawal because in my experience, it works faster, gives more complete relief, is less sedating than zofran and doesn't have the potential for eps that compazine does. compazine would be my last choice for these patients
  9. Visit  Yulie profile page
    0
    I would agree with the Phenergan for nausea / Vomiting in an addicted patient, but have never heard that it is less sedating than Zofran. That is actually one reason it (phenergan) might be preferred for an addicted pt. (that they might be able to rest some)
  10. Visit  Creamsoda profile page
    0
    Quote from Yulie
    I would agree with the Phenergan for nausea / Vomiting in an addicted patient, but have never heard that it is less sedating than Zofran. That is actually one reason it (phenergan) might be preferred for an addicted pt. (that they might be able to rest some)

    Yeah I thought it was quite the opposite. Zofran doesn't have sedating properties. Why do you think the drug seekers always want phenergan.
  11. Visit  Meriwhen profile page
    0
    Quote from Creamsoda
    Yeah I thought it was quite the opposite. Zofran doesn't have sedating properties. Why do you think the drug seekers always want phenergan.
    Ditto. Phenergan can also give them a high. And you can tell the patients who are experiencing that high: they insist they need their their phenergan q4h on the dot, yet have no problems polishing off a plate of ice cream and a tankard of coffee.


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