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J R Soc Med 1993;86:137-138
© 1993 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 86, Issue 3 137-138, Copyright © 1993 by Royal Society of Medicine

ORIGINAL ARTICLES

Postoperative nausea and vomiting: a comparison of anti-emetic drugs used alone or in combination

D Michaloudis, N O'Keeffe, K O'Sullivan and TE Healy
Department of Anaesthesia, Withington Hospital, Manchester.

Drugs with anti-emetic properties can exert their actions at more than one receptor site, histamine H1, muscarinic cholinergic or dopaminergic D2 receptors. This study was designed to test the hypothesis that a combination of drugs acting at different receptor sites in lower than standard doses would be at least as effective as a standard therapeutic dose of a single anti-emetic agent. A combination of droperidol, hyoscine and metoclopramide in subtherapeutic doses has been shown to be at least as effective as droperidol (1.25 mg) alone. In both groups there was a low incidence of emetic sequelae in the first 3 hours postoperatively.
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