| 5-HT3 receptor antagonists | Block serotonin receptors in the CNS associated with chemoreceptor trigger zone and “vomiting center” | Ondansetron (Zofran) 4 to 8 mg orally or IV every four to eight hours |
| | Granisetron (Kytril) 1 mg orally or IV twice daily |
| Anticholinergics | Block acetylcholine receptors, slow bowel function, dry secretions | Scopolamine one to two patches (1.5 mg) applied topically and changed every 48 to 72 hours |
| Antihistamines | Block histamine release, have anticholinergic properties | Diphenhydramine (Benadryl) 12.5 to 50 mg orally, rectally, or IV every four to 12 hours |
| | Promethazine (Phenergan) 25 to 50 mg orally, rectally, or IV every six hours |
| Benzodiazepines | CNS anxiolytic effects; enhances gamma-aminobutyric acid action, slowing neuronal function | Lorazepam (Ativan) 0.5 to 2 mg orally or IV every six hours |
| Cannabinoids | Brainstem cannabinoid receptor agonists, CNS anxiolytic effects | Nabilone (Cesamet) 1 to 2 mg orally every 12 hours |
| | Dronabinol (Marinol) 5 to 10 mg orally, rectally, or under the tongue every six to eight hours |
| | Marijuana (only where legal for medical use) |
| Corticosteroids | Anti-inflammatory, reduces tumor-related swelling centrally or peripherally | Dexamethasone 2 to 8 mg orally or IV every four to eight hours |
| Dopamine receptor blockers |
| Benzamides | Peripheral (more than central) dopamine D2 receptor blocker, with some 5-HT antagonism and cholinergic stimulation at bowel level improving gastric emptying and increasing lower esophageal sphincter tone | Metoclopramide (Reglan) 5 to 20 mg orally or IV every six hours as needed |
| Butyrophenones | Central (more than peripheral) dopamine D2 receptor blocker, with antimuscarinic activity | Haloperidol (formerly Haldol) 0.5 to 2 mg orally or IV every four to eight hours |
| | | Droperidol 1.25 to 2.5 mg IV (one to three doses) |
| Phenothiazines | Dopamine D2 receptor blocker, with some antimuscarinic and antihistaminic activity | Prochlorperazine (formerly Compazine) 5 to 10 mg orally or IV every six to eight hours; or 25 mg rectally every 12 hours |
| | | Chlorpromazine 12.5 to 25 mg IV every six to eight hours; or 25 to 50 mg orally every eight hours |