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Nausea or vomiting? Let's figure out what to do.

Pharmacist

If this nausea and or vomiting is not showing signs of going away, the best thing to do is give the primary care doctor a call.

If it is after hours, call the answering service. Most doctors will call in an anti-nausea medication to the pharmacy without you having to be seen immediately.

They don't want you coming in to throw up all over the place anyway or have you throwing up on the way to the office. If you doctor's office won't do this, then change doctors fast.

Over-the-counter medications for nausea and or vomiting are for either motion sickness related nausea or syrups that are supposed to help with upset stomach.

We will talk about these and ways to prevent dehydration and electrolyte loss. 

With these in mind, see what is recommended below.



Woman about to throw up

 


Which of the symptoms listed below are you experiencing right now?
Pharmacist

Lady about to throw up

Choose your symptoms from the list below and see what is recommended.

 

 

Selection require a medication like meclizine.
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Selection require cola syrup
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Selection require an antacid
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Selection require oral rehydration therapy.
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Selection require you to see a doctor.
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Symptoms require meclizine and cola syrup
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Symptoms require meclizine and an antacid
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Symptoms require meclizine and oral rehydration therapy
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Symptoms require meclizine and you have to seek urgent care.
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Symptoms require cola syrup and an antacid
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Symptoms require cola syrup and oral rehydration therapy
Pharmacist

 

Symptoms require cola syrup and for you to seek urgent care
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Symptoms require an antacid and oral rehydration therapy
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Symptoms require an antacid and for you to seek urgent care
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Symptoms require oral rehydration therapy and for you to seek urgent care
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Symptoms require meclizine, cola syrup and an antacid
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Symptoms require meclizine, cola syrup and oral rehydration therapy
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Symptoms require meclizine, cola syrup and for you to seek urgent care
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Symptoms require meclizine, antacid and oral rehydration therapy
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Symptoms require meclizine, antacid and for you to seek urgent care
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Symptoms require meclizine, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require cola syrup, antacid and oral rehydration therapy
Pharmacist

 

Symptoms require cola syrup, antacid and for you to seek urgent care
Pharmacist

 

Symptoms require cola syrup, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require antacid, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require meclizine, cola syrup, antacid and oral rehydration therapy
Pharmacist

 

Symptoms require meclizine, cola syrup, antacid and for you to seek urgent care
Pharmacist

 

Symptoms require meclizine, cola syrup, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require meclizine, antacid, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require cola syrup, antacid, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Symptoms require meclizine, cola syrup, antacid, oral rehydration therapy and for you to seek urgent care
Pharmacist

 

Something to prevent?

 

Preventive measures


 

Morning sickness
This assumes you are looking for nausea relief as a result of morning sickness due to pregnancy.
Pharmacist

If this is getting bad, you should let your doctor know immediately. There are prescription anti-nausea medications that are very effective for morning sickness. You shouldn't waste your money on over-the-counter medications in this case.

If for other reasons you can't see a doctor and are looking for something to use over-the-counter, a combination of vitamin B6 + Doxylamine may help.

Take this at night. You will need 10 to 25 mg of Vit B6 + 25 mg of Doxylamine (Unison tablets. Not the capsules). May want to start with half of the doxylamine (12.5mg).

Don't worry, the FDA says they are safe for pregnancy. Actually, there is a prescription version called Diclegis. This is expensive. The only difference is that Diclegis is sustained release to last all day and less drowsy. Your insurance may not pay for it.

Another over-the-counter choice is meclizine.

 

Migraine
This assumes you are looking for nausea relief as a result of migraine.
Pharmacist

You should honestly call your doctor for a prescription for this nausea due to a migraine. 

We will assume it is happening right now and you want to know what to take over-the-counter. The closest thing is meclizine (Bonine, Dramamine).     

Get the chewable formulation. Swallowing pills may make you throw up. 

When you feel better, make sure to call your doctor for a prescription nausea medication like ondansetron ODT.

 

None of these?
We must have left something out.

Meclizine

This is better used for preventing nausea and vomiting due to motion sickness and for vertigo.

It will not work for nausea due to stomach upset or stomach pain.

 

 

Cola Syrup

Cola syrup is more for nausea due to stomach upset.

You will take 1-2 tablespoons every 15 minutes until nausea subside (not more than six doses in 24 hours).

There is caffeine in this. So take early to avoid sleeplessness.

A good formulation is to add cola syrup to a glass of bubbling Alka-seltzer + water. This will give you a soda flavor while taking care of your upset stomach or indigestion and nausea.

 

 

Antacid

Pepto-Bismuth will be good to take if this nausea is due to a stomach upset or stomach acid.

 

 

Oral Rehydration Therapy (ORT)

Need to prevent dehydration from losing electrolytes if you are vomiting.

Sip on electrolyte drinks.

 

 

Seek Urgent Care

 

 

Combination Products

 

 

Worth doing

 

 

Last updated by pharmacist on 03/08/2018 at 07:26:pm

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Know this about the safe and effective use of this recommendation.
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Our disclaimer

  • Recommendation is the opinion of a registered US Pharmacist currently practicing as a community pharmacist.
  • Recommendation is not an attempt to discuss all possible self care or treatment approach to this health challenge.
  • The responsibility of the recommending pharmacist is limited to this question:
    "If a patient presents with these symptoms, what will you recommend and why?"
    It is not an attempt to publish an article on the treatment of any condition. Just what would you tell a patient who present with so and so in the usual course of your practice.
  • The pharmacist image presented in this article may or may not be the actual image of the authoring pharmacist.
    Because we insist on using articles written by currently practicing community pharmacists, these pharmacists may choose to remain anonymous especially if they are employed by an employer to avoid being pressured to recommend a particular product to drive sales.
  • Please read the policies and terms of use for self-care OTC, selfcarepharmacist.com and it's affiliates by clicking on the button below.

 

 

 

 

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