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    Hyoscine/Scopolamine Hydrobromide

    Hyoscine/Scopolamine Hydrobromide is an anticholinergic used to prevent motion sickness and treat nausea.

    Applications:

    • Prevents motion sickness-related nausea and vomiting.

    • Used for postoperative nausea and in palliative care to reduce secretions.

    Side Effects:

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

    • Serious (rare): confusion, hallucinations, and urinary retention.

    Br120.00
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    Hyoscine/Scopolamine Hydrobromide

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    Granisetron Hydrochloride

    Granisetron Hydrochloride is a 5-HT3 receptor antagonist used to prevent and treat nausea and vomiting.

    Applications:

    • Prevents nausea and vomiting from chemotherapy and radiation therapy.

    • Used postoperatively to manage nausea and vomiting.

    Side Effects:

    • Common: headache, constipation, dizziness.

    • Serious (rare): QT prolongation, allergic reactions.

    Br120.00
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    Granisetron 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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    Dexamethasone

    Dexamethasone is a corticosteroid used to reduce inflammation and suppress the immune system.

    Applications:

    • Treats inflammatory conditions like arthritis, allergies, and skin diseases.

    • Used in cancer therapy and autoimmune disorders.

    • Helps manage cerebral edema and severe COVID-19 symptoms.

    Side Effects:

    • Common: insomnia, mood changes, increased appetite, and weight gain.

    • Serious (long-term use): osteoporosis, high blood sugar, increased infection risk, and adrenal suppression.

    Brands: Decadron, DexPak, Ozurdex (eye implant), Maxidex (eye drops).

    Br120.00
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    Dexamethasone

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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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