Joint Formulary & PAD

GP

Nausea and vomiting (pregnancy)

Committee Recommendations (1)

The Surrey Heartlands APC have agreed a traffic light status for each of the drugs used in the CKS guidelines for nuasea & vomiting in pregnancy:

1st line treatment options

Cyclizine - GREEN

Promethazine Teoclate - GREEN

Promethazine Hydrochloride - GREEN

Doxylamine/pyridoxine (Xonvea®) - GREEN (not preferred)

Prochlorperazine - GREEN

Chlorpromazine - GREEN

Where patient has swallowing difficulties

Promethazine oral Solution (Sugar Free) - GREEN

Prochlorperazine Buccal Tablets - GREEN

Chlorpromazine Oral Solution (Sugar Free) - GREEN

2nd line treatment options

Metoclopramide - GREEN

Ondansetron tablets - GREEN

Domperidone tablets - GREEN

Where patient has swallowing difficulties

Metoclopramide Oral Solution (Sugar Free) - GREEN

Ondansetron Orodispersible Film – GREEN

Domperidone Oral Suspension - GREEN

 NON-FORMULARY (Orodispersible film is a more cost-effective option)

Ondansetron orodispersible tablets

Ondansetron Oral Solution

 

Guideline Profile

Indication :
Nausea and vomiting (pregnancy)
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