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Anti-Emetics
USMLE Step 1
| Drug | MOA & ADRs |
|---|---|
| 2 Brainstem areas associated w/ vomiting | 1)chemoreceptor trigger zone in area postrema[CVO ventral to 4th ventricle]outside BBB-can re directly 2 chem +;2)vomiting ctr in lateral reticular formation of medulla coordinate motor mechanism of vomit & re 2 afferent input from vestibula,periphery,etc |
| Meclizine | MOA: H1 blocker,used for vertigo |
| Metoclopramide | MOA: DA receptor antagonist used for nausea associated w/ chemotx, @ high doses highly effective vs highly emetic cisplatin drug; ADRs: anti-DA side effects that limits use @ high doses leading to Parkinsonian-like effects |
| Droperidol | MOA: DA receptor antagonist used for nausea & emesis due to radiation tx |