Nausea and Vomiting

Principles

Nausea can be intermittent or persistent, and either with or without vomiting.

Prescribing Guidance

palliAGEDgp smartphone application (available as an app or as online content)

• When your patient is dying (nausea and vomiting)

Tasmanian Adult Palliative Care Formulary

• Cyclizine lactate
• Dexamethasone
• Haloperidol
• Metoclopramide hydrochloride
• Ondansetron

Useful information

CareSearch

• Nausea and Vomiting

Therapeutic Guidelines: Palliative Care (subscription required)

• Last days of life: nausea and vomiting (V4, page 379)

Remember

• Where the cause is unknown, metoclopramide or haloperidol are first line therapy.
• Avoid metoclopramide in people with suspected bowel obstruction.
• While metoclopramide and haloperidol are generally contraindicated for people with Parkinson’s Disease, they can be used in the terminal phase.

Page last updated 13 February 2019