If a patient has flu like symptoms, nausea and vomiting, no vertigo and less than 65 years of age....which is preferred?
Thank you for your question. Both antiemetics have a role, but ondansetron is more effective for "rock star vomiting" without the side-effects of drowsiness or anti-cholinergic symptoms, which is important in our elderly population. If there are no contraindications such as prolonged QTc than this is the antiemetic I use for profound vomiting secondary to flu like illness. However, if it is for more nausea and mild vomiting, then Gravol is effective, and if they have vertigo, it is an added bonus.
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