Antiemetic Medication Choices Based on Clinical Scenarios

Condition First-Line Antiemetic Considerations/Contraindications
Renal Failure / Hypercalcemia / Toxin Induced Vomiting Haloperidol Contraindicated in Parkinson’s disease.
Levomepromazine or Cyclizine are alternatives
Increased Intracranial Pressure (ICP) or Bowel Obstruction Cyclizine Suitable for ICP or bowel obstruction scenarios
Delayed Gastric Emptying (e.g., Peritoneal Metastasis) Metoclopramide Prokinetic, do not use with Parkinson’s disease
Chemotherapy or Radiotherapy Induced Vomiting Ondansetron Effective for chemo or radiotherapy-induced nausea and vomiting

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