Nausea/Vomiting | Pruritus | Sedation |
---|---|---|
Metoclopramide* 10 mg po/IV q 4 hours prn | Diphenhydramine* 25–50 mg po/IV q 12 hours | Caffeine |
Prochlorperazine* 10 mg po/IV q 4hours, or 25 mg PR q 8 hours | Hydrocortisone 1% cream to affected area q 6 hours | Dextroamphetamine 2.5–10 mg po |
Add meclizine if motion exacerbates symptoms | Dexamethasone 1 mg po q day | Methylphenidate 2.5–10 mg po q day to TID |
If severe: Transdermal scopolamine or 5HT3 antagonist† | (Modafinil 100 to 400 mg q day is almost 5× as expensive as methylphenidate) |
* Available in liquid form.
q, every; prn, as needed; po, by mouth; IV, intravenous; TID, 3 times per day.
† Ondansetron is available in both liquid and oral transdermal forms.