CategoryActionDrug examples
5-HT3 receptor antagonistsBlock 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
AnticholinergicsBlock acetylcholine receptors, slow bowel function, dry secretionsScopolamine one to two patches (1.5 mg) applied topically and changed every 48 to 72 hours
AntihistaminesBlock histamine release, have anticholinergic propertiesDiphenhydramine (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
BenzodiazepinesCNS anxiolytic effects; enhances gamma-aminobutyric acid action, slowing neuronal functionLorazepam (Ativan) 0.5 to 2 mg orally or IV every six hours
CannabinoidsBrainstem cannabinoid receptor agonists, CNS anxiolytic effectsNabilone (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)
CorticosteroidsAnti-inflammatory, reduces tumor-related swelling centrally or peripherallyDexamethasone 2 to 8 mg orally or IV every four to eight hours
Dopamine receptor blockers
BenzamidesPeripheral (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 toneMetoclopramide (Reglan) 5 to 20 mg orally or IV every six hours as needed
ButyrophenonesCentral (more than peripheral) dopamine D2 receptor blocker, with antimuscarinic activityHaloperidol (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)
PhenothiazinesDopamine D2 receptor blocker, with some antimuscarinic and antihistaminic activityProchlorperazine (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