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    Lactulose

    Lactulose is an osmotic laxative used to treat constipation and manage hepatic encephalopathy.

    Applications:

    • Relieves chronic constipation by drawing water into the bowel.

    • Reduces blood ammonia levels in patients with liver disease (hepatic encephalopathy).

    Side Effects:

    • Common: bloating, gas, abdominal cramps, diarrhea.

    • Serious (rare): electrolyte imbalance with prolonged use or high doses.

    Br120.00
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    Lactulose

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    Promethazine Hydrochloride

    Promethazine Hydrochloride is an antihistamine with antiemetic, sedative, and anticholinergic properties.

    Applications:

    • Treats nausea, vomiting, and motion sickness.

    • Used as a sedative or for allergy symptoms.

    • Sometimes used pre/post-surgery for nausea control.

    Side Effects:

    • Common: drowsiness, dry mouth, dizziness.

    • Serious (rare): respiratory depression (especially in children), severe tissue damage if injected improperly.

    Br120.00
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    Promethazine Hydrochloride

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    Metoclopramide Hydrochloride

    Metoclopramide Hydrochloride is a dopamine antagonist used to treat nausea, vomiting, and delayed gastric emptying.

    Applications:

    • Treats nausea and vomiting from various causes, including chemotherapy and migraines.

    • Manages gastroparesis by enhancing stomach motility.

    • Used for GERD when other treatments fail.

    Side Effects:

    • Common: drowsiness, fatigue, restlessness.

    • Serious (rare): tardive dyskinesia (involuntary movements), Parkinson-like symptoms, depression.

    Br120.00
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    Metoclopramide Hydrochloride

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    Meclizine Hydrochloride

    Meclizine Hydrochloride is an antihistamine used to treat motion sickness and vertigo.

    Applications:

    • Prevents and treats nausea, vomiting, and dizziness from motion sickness.

    • Manages vertigo from inner ear disorders like Ménière’s disease.

    Side Effects:

    • Common: drowsiness, dry mouth, and blurred vision.

    • Serious (rare): confusion, especially in older adults.

    Br120.00
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    Meclizine Hydrochloride

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    Fosaprepitant

    Fosaprepitant is an antiemetic used to prevent nausea and vomiting caused by chemotherapy.

    Applications:

    • Prevents acute and delayed nausea/vomiting from highly emetogenic chemotherapy.

    • Often used in combination with other antiemetics (like dexamethasone and a 5-HT3 antagonist).

    Side Effects:

    • Common: fatigue, headache, hiccups, and constipation.

    • Serious (rare): infusion site reactions, allergic reactions, liver enzyme elevation.

    Brands: Emend (IV).

    Br120.00
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    Fosaprepitant

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    Aprepitant

    Applications:

    Chemotherapy-Induced Nausea/Vomiting (CINV): Prevents acute/delayed nausea from highly emetogenic chemo (e.g., cisplatin).
    Moderately Emetogenic Chemo: Used with dexamethasone + 5-HT3 blockers (e.g., ondansetron).
    Postoperative Nausea/Vomiting (PONV): Alternative for high-risk surgeries (less common).

    Side Effects:

    Common: Fatigue, hiccups, constipation, headache, loss of appetite.
    Serious (Rare):

    • Liver toxicity (elevated LFTs).

    • Hypersensitivity (rash, anaphylaxis).

    • Drug interactions (CYP3A4 inhibitor—affects warfarin, birth control, some chemo drugs).

    Note: Avoid with pimozide (QT prolongation risk). IV form (fosaprepitant) available.

    Br120.00
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    Aprepitant

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    Propranolol

    Applications:

    • Heart: Treats high BP, angina, arrhythmias, prevents heart attacks

    • Migraines: Reduces frequency

    • Anxiety: Controls physical symptoms (shaking, fast heartbeat)

    • Hyperthyroidism: Manages symptoms like rapid pulse

    • Essential tremor: Decreases shaking

    Side Effects:

    • Common: Fatigue, dizziness, cold hands/feet, sleep issues

    • Serious (rare):

      • Slow heart rate, wheezing (caution in asthma patients)

      • Worsening heart failure, depression

    Note:

    • Avoid sudden stoppage (taper gradually).

    • Brands: Inderal®, Hemangeol®, generics.

    Monitor heart rate & BP. Not for asthma/COPD patients.

    Br120.00
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    Propranolol

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