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Antiemetici: farmaci che permettono il mantenimento delle onde peristaltiche necessarie per la progression del cibo nel canale intestinale nei limiti fisiologici. Fra gli antiemetici il più sicuro è la vitamina B6che viene spesso utilizzata in associazione con lo zenzero. L’acido citrico reduce l’iperacidità gastrica e non presenta alcuna controindicazione come l’alanina che regolando il metabolismo gicidico reduce la nausa da dismetabolismo glicidico. Del resto molto usati si sono dimostrati i transmetilanti come la metionina e il glutatione. La metoclopropamide agisce inibendo la stimolazione dei recettori dopaminegici D2 a livello del tronco encefalico. Anche se non sono stati dimostrati effetti embriotossici, la metoclopropamide deve essere usata con moderazione e solo in fase acuta. Anche le fenotiazine (clorpromazina) possono essere utilizzate come antiemetici, ma solo per brevissimi periodi e solo in caso di fallimento delle precedenti terapie.
Tab. 4 – Farmaci antiemetici
Piridossina (Vit. B6)
Emesil cps (Vit b6 + Zenzero)
Vit B1 +Vit B2 + Vit B6
Tiamina, Riboflavina (vit
Biochetasi (tiamina +
|Argilla verde ventilate (erboristeria)|
|I (12) fiori di Bach (erboristeria)|
Tationil, Glutatione G, Gluthion, Ridutox, Rition, Tod
Stemetil fl, cpr, supp, Farganesse cpr e fiale, Allergan, Benadryl
Ctg C della FDA;
Disturbi neurologici nel neonato
Motilium, Domperidone, Digestivo Giuliani,
Mepiramina + Vit b6
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