MedicationDosage and usual routes of administration
Dopamine antagonists
Haloperidol (Haldol)0.5 to 2 mg orally, IV or SC every 6 hours; then titrate the dosage
Prochlorperazine (Compazine)10 to 20 mg orally every 6 hours, 25 mg rectally every 12 hours, or 5 to10 mg IV every 6 hours
Droperidol (Inapsine)2.5 to 5 mg IV every 6 hours
Thiethylperazine (Torecan)10 to 20 mg orally every 6 hours
Perphenazine (Trilafon)2 to 8 mg orally or IV every 6 hours
Histamine H1 receptor blockers (antihistamines)
Diphenhydramine (Benadryl)25 to 50 mg orally every 6 hours
Meclizine (Antivert)25 to 50 mg orally every 6 hours
Hydroxyzine hydrochloride (Atarax), hydroxyzine pamoate (Vistaril)25 to 50 mg orally every 6 hours
Promethazine (Phenergan)12.5 to 25 mg IV or IM every 4 to 6 hours, or 25 mg orally or rectally every 4 to 6 hours
Acetylcholine antagonist (anticholinergic)
Scopolamine (Transderm Scop)1 to 3 transdermal patches every 72 hours
Serotonin antagonists
Ondansetron (Zofran)8 mg orally three times daily
Granisetron (Kytril)1 mg orally once or twice daily
Dolasetron (Anzemet)100 mg orally once daily
Prokinetic agent
Metoclopramide (Reglan)10 to 20 mg orally every 6 hours
Antacids
Liquid antacids (various)1 to 2 tablespoons every 2 hours as needed
Histamine H2 receptor blockers800 mg orally at bedtime for ulcers; 800 mg orally twice daily for gastroesophageal reflux
Cimetidine (Tagamet)*
Ranitidine (Zantac)150 mg orally twice daily or 300 mg orally at bedtime; decrease dosage by 50% if creatinine clearance is less than 50 mL per minute (0.84 mL per second)
Famotidine (Pepcid)20 to 40 mg orally at bedtime for ulcers; 20 to 40 mg orally twice daily for gastroesophageal reflux
Proton pump inhibitors
Omeprazole (Prilosec)20 mg orally once daily; dosage should be reduced in Asian patients
Lansoprazole (Prevacid)15 mg orally once daily
Cytoprotective agents
Misoprostol (Cytotec)200 μg orally two to four times daily
Proton pump inhibitorsSame as above
Other medications
Dexamethasone (Decadron)6 to 20 mg orally once daily
Dronabinol (Marinol)l2.5 to 5 mg orally three times daily
Lorazepam (Ativan, Intensol)0.5 to 2 mg orally, sublingually or SC every 4 to 6 hours
Octreotide (Sandostatin)50 to 150 μ g IV or SC every 8 to12 hours; titrate dosage every 24 to 48 hours to achieve and maintain desired effect