Gastric stasis and gastritis
- metoclopramide - first line for gastric stasis
- oral:10mg - 20mg qds before meals
- s.c. : 30-100mg/24hr
- domperidone is an alternative to metoclopramide
- oral: 10mg-20mg qds
- p.r. 30-60mg tds
- note that domperidone does not cross the blood brain barrier so fewer side effects
- proton pump inhibitors are used in gastritis
- an antiflatulent eg Asilone 5-10ml qds helps as a defoaming agent
Reference:
- West Midlands Palliative Care Physicians (2003). Palliative care - guidelines for the use of drugs in symptom control.
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