4 best remedies for vomiting
Despite the fact that nausea and vomiting is a very painful and unpleasant symptom, the rating of drugs with an antiemetic effect will be surprisingly poor. If we consider the means of headache, arterial hypertension or for the treatment of pneumonia, then we can not only pick up two or three dozen drugs, but also combine them into different groups. Antiemetics in groups is difficult to combine, and the original means, perhaps, will not be typed and a dozen.
Although the cause of nausea and vomiting can be multiple, this symptom requires the use of a few medications. Vomiting can occur when dizziness, due to neurosis or stress, with motion sickness, when flying on airplanes, and as a side effect of the occurrence of drugs, for example, in cancer patients during a course of chemotherapy.
The reason is that nausea and vomiting, or simply vomiting without nausea, when anti-emetics are prescribed, is almost never considered a symptom of intoxication and inflammation. But it is precisely on this occasion that these symptoms most often appear!
If vomiting is accompanied by acute poisoning, an intestinal infection, then this symptom disappears when the underlying disease is treated, antiemetic drugs are not needed. With meningitis, due to irritation of the meninges and the vomiting center of the brain, there is the so-called brain vomiting, without nausea. At the same time, the unsuspecting patient suddenly spews a powerful fountain of vomit without any warning to the body, without the slightest feeling of nausea. Anti-emetic drugs are also not prescribed for meningitis, since after relief of inflammation on the meninges, vomiting disappears by itself. Therefore, antiemetic agents struggle with the gag reflex, and their points of application are almost always different links of the arc of this reflex.
Attention! Antiemetics are strictly forbidden to be used for acute poisoning, for intestinal infections, for alcohol intoxication and for similar conditions, when vomiting cleanses the body and removes alcohol and microbial toxins from the stomach. The only exception is acute radiation injury and radiation sickness..
This ranking includes the most effective and popular drugs to suppress the gag reflex and reduce the unpleasant feeling of nausea.
Rating of the best remedies for vomiting
| Nomination | a place | Name of product | price |
| Rating of the best remedies for vomiting | 1 | Motilium, Motilak, Domstal, Motizhekt, Passazhiks (domperidone) | 559 ₽ |
| 2 | Reglanorm, Perinorm (Metoclopramide) | 116 ₽ | |
| 3 | Zofran, Latran, Emetron (ondancentron) | 675 ₽ | |
| 4 | Dramina, Aviamarin, Ciel (dimenhydrinate) | 182 ₽ |
Motilium, Motilak, Domstal, Motizhekt, Passazhiks (domperidone)
Rating: 4.9
The active ingredient is domperidone, it blocks dopamine receptors that exist in different parts of the central nervous system.Motilium is indicated for the treatment of chronic diseases of the esophagus, intestines and stomach, accompanied by belching, heartburn, a variety of symptoms of gastric dyspepsia - nausea, vomiting and a feeling of overflow in the gastric area.
Take Motilium need one tablet for half an hour before meals, and if necessary, before bedtime. Each tablet contains 10 mg of domperidone, the maximum daily dose is 8 tablets for adults. Motilium is produced by the pharmaceutical company Janssen Sillag, and the cost of one package of 30 tablets is 670 rubles on average. The cheapest analogue of Motilium is considered to be domestic domperidone, which is produced by Ozon. The average cost for such packaging is about 80 rubles.
Advantages and disadvantages
The advantage of Motilium is its relatively high efficiency, with a slight urge to vomit, and with mild nausea, sometimes 1 or 2 tablets per day is enough. On the other hand, there are contraindications. These include gastrointestinal bleeding, severe liver dysfunction, a pituitary tumor secreting prolactin, and phenylketonuria. But if all indications and contraindications are taken into account, this remedy will be indispensable in the symptomatic treatment of nausea and vomiting.
Reglanorm, Perinorm (Metoclopramide)
Rating: 4.8
The active ingredient of cerucal is metoclopramide. It acts on the same dopamine receptors as domperidone, and is also their central blocker. It is shown to use Cerucal in such diseases as acute gastritis with a feeling of nausea, a state of pylorospasm, when food is retained in the stomach, and its atony. It is used injectually for cervical obstruction after surgery, for heartburn, gastroesophageal reflux, nausea and vomiting in patients with acute stroke, as well as for successful diagnostic methods, for example, before esophagogastroduodenoscopy.
Take Zerukal need one tablet for half an hour before meals, the average dose for adults - one tablet three or four times a day, but not more than 6 tablets per day. The Croatian pharmaceutical company Pliva produces Cirucal, and the cost of 1 pack of 50 tablets of 10 mg each averages 120 rubles.
Advantages and disadvantages
The big plus of Cerukal is the ability to conduct long-term therapy, which can be two, three or more months, but not more than six months. Also Ceercal can be used as a means of complementary therapy in the treatment of cytostatics, such as Azathioprine, Cyclophosphamide, and other means for leveling their side effects. The advantage of Cerukal will be the presence of an injection form that quickly helps either eliminate nausea or prevent it, for example, during invasive studies.
Zofran, Latran, Emetron (ondancentron)
Rating: 4.8
It is a modern anti-emetic medicine produced by the well-known company Novartis, Switzerland. The active substance is ondansetron - an antagonist of xerotonin receptors. It is known that cancer drugs and cytostatics cause an increase in serotonin concentration in the central nervous system, and it is capable of stimulating the emetic center through the parasympathetic system. Ondansentron, blocking receptors, inhibits the gag reflex arc.
Zofran is shown mainly as concomitant therapy in patients taking cytotoxic drugs and chemotherapeutic drugs, as well as being on radiotherapy. Other indications will be various postoperative conditions when the patient is worried about nausea and vomiting, and often this occurs not only after operations on the gastrointestinal tract, but also with a gradual decrease in the effects of general anesthesia. This tool is available in various forms: parenteral administration, in lozenges, and in the form of a syrup with strawberry flavor.Each tablet contains 4 mg or 8 mg of active agent, and no more than 4 tablets of 8 mg per day can be taken. The first pill is taken one hour before the chemotherapy session.
The cost of absorbable tablets is quite high. A pack of only 10 mg Zofran tablets of 8 mg costs, on average, 2,100 rubles. But there are more accessible analogues. So, ondansetron, produced by the Israeli company Teva costs only 306 rubles for the same package.
Advantages and disadvantages
Since this drug is serious, it cannot be used in pregnant women, during lactation, and also in children under two years of age. Side effects are known for a variety of allergic reactions, dry mouth, chest pain, headache and a feeling of heat. However, the effectiveness of this tool is so high that even with high-dose chemotherapy, in which such a side effect, such as nausea, occurs in almost 100% of cases, ondansetron can significantly improve the patient's quality of life during this difficult type of treatment.
Note: There is an even more specific anti-emetic from this group, this is granisetron, the original drug is Cytril. It produces an even stronger antiemetic effect, and affects only those serotonin receptors that are responsible for the gag reflex. This drug has much higher efficacy and safety, but its cost is even higher. One package of domestic granisetron, which is deliberately cheaper than all foreign drugs, and especially original, is 5,000 rubles per pack of only 10 tablets. The cost of the original drug Kytril can only be guessed.
Dramina, Aviamarin, Ciel (dimenhydrinate)
Rating: 4.7
At the end of this small anti-emetic rating, it is necessary to say a few comforting words and to those who are completely healthy, who may experience the unpleasant symptoms of sea and air sickness, which are swayed in the car. Antiemetic drugs are also required for patients with various forms of dizziness, vestibular neuronitis, and Meniere's disease, which are often treated by ENT specialists.
For these patients, there is the drug Dramina and its analogues, in which the active ingredient is 50 mg of dimenhydrinate in each tablet. This tool belongs to the group of histamine receptor blockers and cholinergic receptors in the central nervous system. Dramina acts on the structures of the vestibular apparatus, on its semicircular canals and special pebbles, or otoliths. In addition to reducing nausea and vomiting, this remedy significantly reduces appetite, has a sedative effect, slightly reduces allergy symptoms, and helps reduce vertigo.
It is necessary to use the drug Dramina before meals. In case of sea-sickness, an adult is recommended to take no more than 6 tablets per day, divided into 3 doses, and for systemic vertigo, Meniere's disease and labyrinthism determine the dosage and the multiplicity of reception - the ENT doctor. The Croatian company Jadran produces the drug Dramina, and a pack of 10 tablets costs 180 rubles.
Advantages and disadvantages
Unfortunately, this drug, despite the pronounced anti-emetic effect, has all the disadvantages of the group of histamine receptor blockers. Often there is anxiety, drowsiness, nasal congestion, constipation and dry mouth, urinary retention, and other unpleasant effects. In case of overdose, all these symptoms are greatly enhanced, so do not exceed the required dosage.
To top it all, taking the drug Dramina slows down the speed of the driver's reaction, so you should not get behind the wheel after taking this drug, as well as work with different machines and mechanisms. This drug and its analogues are contraindicated in the first trimester of pregnancy, during breastfeeding, in epilepsy and in glaucoma.
Of course, the list of contraindications and side effects is quite impressive, and some will agree to endure the unpleasant symptoms of motion sickness, rather than taking a rather rough drug. But with vestibular neuronitis and dizzy spells can be so strong that the patient lies clinging to the bed, it seems to him that the room is spinning in one direction around him, like on a carousel, and at the same time he is experiencing debilitating attacks of repeated vomiting. It is in such cases that Dramina will ease the patient's condition, while the positive effect will far exceed the above side effects.
Attention! This rating is subjective, is not advertising and does not serve as a guide to the purchase. Before buying, you should consult with a specialist.
