Ondansetron and Metoclopramide

Little tidbit today.

Patient has a bowel obstruction and constipation. Was on ondansetron.

Ondansetron not recommended in patients with constipation, so recommended metoclopramide.

Just need to remember that metoclopramide is contraindicated in patients with bowel obstruction. Also patient was due for stent insertion to bypass the obstruction. Also not recommended as the pro-motility movement may dislodge the stent instead.

 

 

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