Nausea and Vomiting

Principles

Nausea can be intermittent or persistent, and either with or without vomiting.

Prescribing Guidance

The CareSearchgp App provides prescribing information on this issue

The palliMEDS app provides GPs with advice on managing this symptom with palliative care medicines endorsed by the Australian & New Zealand Society of Palliative Medicine (ANZSPM). The app is a collaboration between NPS MedicineWise and caring@home.

Tasmanian Adult Palliative Care Formulary

• Cyclizine lactate
• Dexamethasone
• Haloperidol
• Metoclopramide hydrochloride
• Ondansetron

Useful information

CareSearch

• Nausea and Vomiting

Therapeutic Guidelines: Palliative Care (subscription required)

• Last days of life: nausea and vomiting (V4, page 379)

Remember

• Where the cause is unknown, metoclopramide or haloperidol are first line therapy.
• Avoid metoclopramide in people with suspected bowel obstruction.
• While metoclopramide and haloperidol are generally contraindicated for people with Parkinson’s Disease, they can be used in the terminal phase.

Page last updated 12 March 2024