You are currently viewing Nausea & Vomiting Treatment – Mnemonic

Here is a quick mnemonic “VOMITING THERAPY to remember about Nausea & Vomiting Treatment

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Nausea & Vomiting Treatment : How To Remember Easily ?

  • V – Vestibular pathways are targeted by antihistamines and anticholinergics to treat motion sickness and labyrinthine disorders.
  • O – Ondansetron and granisetron are 5-HT3 antagonists used to prevent postoperative vomiting, radiation therapy-induced symptoms, and cancer chemotherapy-induced emesis.
  • M – Metoclopramide, a 5-HT4 agonist and D2 antagonist, stimulates gastric emptying and is effective in gastroparesis.
  • I – Intravenous erythromycin is useful for inpatients with refractory gastroparesis as it increases gastroduodenal motility by acting on motilin receptors.
  • T – Tricyclic antidepressants may reduce vomiting symptoms in patients with functional causes.
  • I – Initially, Octreotide, a somatostatin analogue, can induce propagative small-intestinal motor complexes and benefit patients with intestinal pseudoobstruction.
  • N – NK1 antagonists like aprepitant are approved for chemotherapy-induced vomiting and can also reduce gastroparesis symptoms.
  • G – Gastric electrical stimulators may reduce symptoms, enhance nutrition, and improve the quality of life in medication-refractory gastroparesis.
  • T – Total parenteral nutrition through a jejunostomy can improve overall health in some patients with refractory gastroparesis.
  • H – Hyperprolactinemic side effects can occur with dopamine antagonists used for antiemetic therapy.
  • E – Erythromycin’s long-term oral use is limited by the development of tolerance.
  • R – Refractory motility disorders pose challenges and may require alternative treatment approaches.
  • A – Antidepressants like mirtazapine and olanzapine exhibit antiemetic effects in some clinical settings.
  • P – Pyloric botulinum toxin injections and surgical pyloroplasty can improve symptoms in gastroparesis.
  • Y – You may consider gastric peroral endoscopic myotomy (G-POEM) of the pylorus for symptom improvement in some cases of gastroparesis.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department