Description of Antiemetic Drugs – PST04211 Basic Pharmacology

NTA Level 4 • Semester 2 • PST04211

Description of Antiemetic Drugs

Basic Pharmacology • Source Session/Topic 21
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 21: Description of Antiemetic Drugs

Total Session Time: 120 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• List indications of antiemetic drugs
• List contraindications of antiemetic drugs
• Describe dose, dosage and course of antiemetic drugs
• List side effects and adverse effects of antiemetic drugs
• Describe interactions and precautions of antiemetic drugs

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board and chalk/whiteboard markers
• Overhead projector and computer

SESSION OVERVIEW

Activity/

Step Time Content

Method

1 05 minutes Presentation Introduction, Learning Tasks

Presentation/

2 20 minutes Indications of Antiemetic Drugs

Buzzing

Presentation/

3 20 minutes Contraindications of Antiemetic Drugs

Brainstorming

Dose, Dosage and Course of Antiemetic

4 30 minutes Presentation

Drugs

Presentation/ Side Effects and Adverse Effects of

5 20 minutes

Brainstorming Antiemetic Drugs

Interactions and Precautions Antiemetic

6 15 minutes Presentation

Drugs

7 05 minutes Presentation Key Points

8 05 minutes Presentation Evaluation

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Listing Indications of Antiemetic Drugs (20minutes)

Activity: Buzzing (5 minutes)

ASK students to pair up and buzz on the following question for 2 minutes

• Mention antiemetic drugs used in clinical practice.
• What are indications of antiemetic drugs?

ALLOW few pairs to respond and let other pairs to add on points not mentioned

WRITE their response on the flip chart/board

CLARIFY and SUMMARIZE by using the content below

• Antiemetic drugs used in clinical practice include:

o Chlorpromazine

o Metoclopramide

o Promethazine hydrochloride

o Droperidone

o Donperidone

• Are indicated for treatment of nausea and vomiting due to:

o Adverse effects from medications

o Systemic disorders: pregnancy, vestibular dysfunction, increased pressure,

hepatobiliary disorders, radiation or chemotherapy, and gastrointestinal obstruction,

dysmotility

o Infections: central nervous system infection, peritonitis

• Used in intractable hiccoughs and vertigo
• Are indicated in post operative

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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STEP 3: Contraindications of Antiemetic Drugs (20 minutes)

Activity: Brainstorming (5 minutes)

Ask students to brainstorm on the following question:

What are contraindications of antiemetic drugs?

ALLOW few students to respond

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• Antiemetic drugs are contraindicated in patients with known hypersensitivity to these

drugs

• Prochlorperazine is contraindicated in patients with:

o Narrow angle glaucoma

o Severe liver disease

o Cardiovascular disease

STEP 4: Dose, Dosage and Course of Antiemetic Drugs (30 minutes)

• Chlorpromazine 10-25 mg PO q4-6 h prn
• Metoclopramide 1-2mg/kg iv 15-30 min
• Promethazine hydrochloride 20-25mg at bed time
• Droperidol 0.625-1.25mg 30 min before end of the surgery
• Donperidone 10-20mg 3-4 times daily

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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STEP 5: Side Effects and Adverse Effects of Antiemetic Drugs (20

minutes)

Activity: Brainstorming (5 minutes)

Ask students to brainstorm on the following question:

What are side effects and adverse effects of antiemetic drugs?

ALLOW few students to respond

WRITE their responses on the flip chart/ board

CLARIFY and SUMMARISE by using the content below

• Side effects of antiemetic drugs are:

o Headache

o Dizziness

o Constipation

o Drowsiness

o Sedation

o Dry mouth

o Hypertension

o Hypotension

o Nasal congestion

o Diarrhea

STEP 6: Interactions and Precautions of Antiemetic Drugs (15minutes)

• Precaution should be taken in:

o Severe nausea and vomiting

o Obstructive diseases of gastro intestinal or genitourinary system

• To be used with caution to patients with:

o Hypertension

o Sleep apnea

o Epilepsy

• Antiemetics interact with:

o Central nervous system depressants such as:

 Sedatives

 Antidepressants

 Opiates

 Hypnotics

 Antianxiety drugs

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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o Also exaggerate the anticholinergic effects of antihistamine, antidepressants,

phenothiazines and disopyramide

o Antiacids decrease absorption of antiemetic

Step 7: Key Points (5 minutes)

• Antiemetic drugs are indicated in patients with nausea and vomiting due to infections,

systemic disorders and effects of other medications

• Antiemetic drugs are contraindicated in patients with known hypersensitivity and severe

liver and cardiovascular diseases

• The side effects of Antiemetic drugs are headache, dizziness, constipation diarrhea and

sedation

• Caution should be taken to patient with severe nausea and vomiting and genitourinary and

gastrointestinal obstructive condition

• Antiemetic drugs react with different drugs central nervous depressant and increases

effects of anticholinergic drugs

STEP 8: Evaluation (5 minutes)

• What are antiemetic drugs?
• What are indications of antiemetic drugs?
• What are the contraindications of antiemetic drugs?
• What are the dose, dosage and course of antiemetic drugs
• What are side effects and adverse effects of antiemetic drugs?
• Describe interaction and precaution of antiemetic drugs?

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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References

Ministry Of Health and Social Welfare. (2013). Standard Treatment Guidelines & National

Essential Medicines List Tanzania Mainland (4th ed.). Dar es salaam, Tanzania

government printers.

Robert, L. Talbert, Gary C. Yee, Gary R. Matzke, Barbara G. Wells, L. Michael. (2014).

Pharmacotherapy: A Pathophysiologic Approach (9th ed.). New York, McGraw-Hill

Education.

Sally, S.R, Jeanne C.S. (2000). Introductory Clinical Pharmacology (6th ed) New York,

Lippincott Williams and Wilkins

School of Pharmaceutical sciences. (2011).Tanzania Pharmaceutical Handbook (2nd ed.). Dar

es Salaam, ARDHI University press.

The Royal Pharmaceutical Society of Great Britain. (2007). Martindale, The Extra

Pharmacopoeia (5TH ed). London, pharmaceutical press.

The Royal Pharmaceutical Society of Great Britain. (2009). British National Formulary

(59th ed). London, BMJ Group and RPS Publishing.

PST 04211 Basic Pharmacology NTA Level 4 Semester 2 Facilitator Guide

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