MedicationsDosageApproximate cost per dose (brand in parentheses)*Common adverse effects
Antihistamines and anticholinergics
Diphenhydramine (Benadryl)25 mg every 6 hours$0.20Blurred vision, exacerbation of narrow-angle glaucoma (especially in older adults), sedation, urinary retention
Meclizine (Antivert)25 mg every 6 hours$0.40 ($1.60)
Scopolamine (Transderm Scop)1 patch every 3 days($18)
Dopamine antagonists
Metoclopramide (Reglan)10 mg every 4 hours$0.20 ($2.30)Extrapyramidal effects, hypotension, QT prolongation, sedation
Prochlorperazine5 to 10 mg every 6 hours$0.35
Promethazine12.5 to 25 mg every 6 hours$0.50
Serotonin antagonist
Ondansetron (Zofran)2 mg orally or intravenouslyIntravenous: $4 ($26)Hypersensitivity reactions (rare), QRS widening, QT prolongation
Oral: $1.40 ($22)
Other agents
Methylprednisolone (Depo-Medrol)40 mg intravenously$9 ($11)Corticosteroids: exacerbation of hypertension, fluid retention, hyperglycemia, psychiatric disturbance
Dexamethasone4 to 8 mg intravenously$4
Ginger250 mg every 6 hours$0.10
Doxylamine/pyridoxine (Diclegis)2 to 4 tablets per day$6
Pyridoxine10 to 25 mg every 8 hours$0.05