Breakthrough or cannot tolerate Zofran (e.g., constipation, headache 10 mg up to 3-4x daily Synergistic option (different mechanism) 10 mg up to 3-4 t4x daily
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Condiser: Dexamethasone
Refractory nausea Empirically for: Large-volume liver SBRT, Whole liver RT 2-4 mg BID on days of RT
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Consider: Lorazepam (Ativan)
Anticipatory/anxiety nausea Refractory to above 0.5-1 mg, 30-60 min prior to RT Up to TID PRN
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Consider: Olanzapine
Olanzapine: multi-receptor blockade (dopamine, serotonin, histamine) – can work when single-mechanisms drug fail. Consider using if refractory to Zofran/Compazine. 5 mg nightly (to minimize sedation) Can also help with sleep & increases appetite Careful in combining with Compazine (both dopamine blockers); minimize overlap
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Consider: Metoclopramide
Reglan (metoclopramide): increases GI motility; clues = nausea with post-prandial fullness, early satiety, bloating. 5–10 mg, 30 minutes before meals