Page last updated: 2024-11-03

promethazine and Emesis, Postoperative

promethazine has been researched along with Emesis, Postoperative in 18 studies

Promethazine: A phenothiazine derivative with histamine H1-blocking, antimuscarinic, and sedative properties. It is used as an antiallergic, in pruritus, for motion sickness and sedation, and also in animals.
promethazine : A tertiary amine that is a substituted phenothiazine in which the ring nitrogen at position 10 is attached to C-3 of an N,N-dimethylpropan-2-amine moiety.

Research Excerpts

ExcerptRelevanceReference
"Frequently, patients identified as high risk for postoperative nausea and vomiting (PONV) are treated prophylactically with intravenous (IV) ondansetron and postoperatively with IV promethazine."9.14Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV. ( Bennett, J; DeLoge, J; Kelly, J; Pellegrini, J, 2009)
"Promethazine was significantly more effective than ondansetron for treating PONV after failed ondansetron prophylaxis."5.34A comparison of ondansetron with promethazine for treating postoperative nausea and vomiting in patients who received prophylaxis with ondansetron: a retrospective database analysis. ( Gan, TJ; Habib, AS; Reuveni, J; Taguchi, A; White, WD, 2007)
"Frequently, patients identified as high risk for postoperative nausea and vomiting (PONV) are treated prophylactically with intravenous (IV) ondansetron and postoperatively with IV promethazine."5.14Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV. ( Bennett, J; DeLoge, J; Kelly, J; Pellegrini, J, 2009)
"To determine the incidence of postoperative nausea and vomiting when a combination of ondansetron and promethazine is given prophylactically, and to ascertain the effect of postoperative nausea and vomiting on recovery room duration and patient satisfaction."5.09Ondansetron/promethazine combination or promethazine alone reduces nausea and vomiting after middle ear surgery. ( Amhan, M; Aves, T; Chuang, AZ; Khalil, S; Lemak, NA; Philbrook, L; Rabb, M; Villanueva, G; Wells, L, 1999)
"625 mg of IV droperidol given 30 min before emergence from general anesthesia reduces the incidence of immediate and delayed postoperative nausea and vomiting (PONV) in a general surgical adult patient population, and (2) compared the efficacy of droperidol, ondansetron, and promethazine for the rescue treatment of PONV."5.09Small-dose droperidol effectively reduces nausea in a general surgical adult patient population. ( Ascari, CM; Durieux, ME; Kloth, RL; Kreisler, NS; Rhyne, HA; Spiekermann, BF; Sullivan, LM, 2000)
"The common prophylactic treatment for postoperative nausea and vomiting is a triple therapy of droperidol, promethazine and dexamethasone."2.77Aprepitant versus ondansetron in preoperative triple-therapy treatment of nausea and vomiting in neurosurgery patients: study protocol for a randomized controlled trial. ( Antor, A; Bergese, S; Fernandez, S; Uribe, A; Viloria, A, 2012)
"The secondary endpoint was postoperative nausea and vomiting."2.71The effect of promethazine on postoperative pain: a comparison of preoperative, postoperative, and placebo administration in patients following total abdominal hysterectomy. ( Chia, YY; Chung, NC; Ko, NH; Liu, K; Lo, Y; Tan, PH, 2004)
"Promethazine was significantly more effective than ondansetron for treating PONV after failed ondansetron prophylaxis."1.34A comparison of ondansetron with promethazine for treating postoperative nausea and vomiting in patients who received prophylaxis with ondansetron: a retrospective database analysis. ( Gan, TJ; Habib, AS; Reuveni, J; Taguchi, A; White, WD, 2007)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19902 (11.11)18.7374
1990's3 (16.67)18.2507
2000's8 (44.44)29.6817
2010's4 (22.22)24.3611
2020's1 (5.56)2.80

Authors

AuthorsStudies
Barney, EZ1
Fuller, ME1
Habib, AS4
Deitrick, CL1
Mick, DJ1
Lauffer, V1
Prostka, E1
Nowak, D1
Ingersoll, G1
Zhu, LL1
Chen, M1
Zhou, Q1
Gan, TJ3
Candiotti, KA1
Klein, SM1
Rodriguez, Y1
Nielsen, KC1
White, WD2
Pellegrini, J1
DeLoge, J1
Bennett, J1
Kelly, J1
Schwartz, A1
Lane, B1
Cannella, K1
Bowen, C1
Copelan, D1
Nteff, G1
Barnes, K1
Poudevigne, M1
Lawson, J1
Bergese, S1
Viloria, A1
Uribe, A1
Antor, A1
Fernandez, S1
Sartain, JB1
Barry, JJ1
Richardson, CA1
Branagan, HC1
DILLON, GP1
BELLVILLE, JW1
HOWLAND, WS1
BROSS, ID1
Chia, YY1
Lo, Y1
Liu, K1
Tan, PH1
Chung, NC1
Ko, NH1
Reuveni, J1
Taguchi, A1
Parlow, JL1
Meikle, AT1
van Vlymen, J1
Avery, N1
Malesker, MA1
Malone, PM1
Cingle, CM1
Cochran, RM1
Khalil, S1
Philbrook, L1
Rabb, M1
Wells, L1
Aves, T1
Villanueva, G1
Amhan, M1
Chuang, AZ1
Lemak, NA1
Kreisler, NS1
Spiekermann, BF1
Ascari, CM1
Rhyne, HA1
Kloth, RL1
Sullivan, LM1
Durieux, ME1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Inhalation Intervention for Nausea in the Emergency Department[NCT02092441]80 participants (Actual)Interventional2014-04-30Completed
Value of Ondansetron Medication vs Inhaled Isopropyl Therapy in the Emergency Department (VOMIITED)[NCT03125811]Early Phase 1121 participants (Actual)Interventional2017-07-17Completed
Aromatherapy in Management of Postoperative Nausea in Post-Bariatric Surgery Patients[NCT03130218]204 participants (Actual)Interventional2017-06-08Completed
A Prospective Evaluation of an Anesthesia Protocol to Reduce Post-operative and Post-discharge Nausea and Vomiting in a High Risk Orthognathic Surgery Population[NCT01592708]233 participants (Actual)Interventional2012-06-30Completed
Studying the Effectiveness of Triple Therapy With Palonosetron, Dexamethasone and Promethazine for Prevention of Post Operative Nausea and Vomiting in High Risk Patients Undergoing Neurological Surgery and General Anesthesia[NCT02635828]Phase 440 participants (Actual)Interventional2009-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Nausea Verbal Numerical Rating Scale (0-10) at 10 Minutes Post Intervention

"Primary outcome is nausea and vomiting measured on a scale from 0 (no nausea) to 10 (worst nausea imaginable) Verbal Numerical Response Scale (VNRS) at 10 minutes post intervention." (NCT02092441)
Timeframe: 10 minutes post intervention

InterventionVNRS (Median)
Alcohol Prep Pad Group3
Normal Saline Prep Pad6

Satisfaction Measured on a 5-point Likert Scale

"Patient satisfaction of smelling prep pad to alleviate nausea on a scale from 1 (completely unsatisfied) to 5 (completely satisfied)" (NCT02092441)
Timeframe: 10 minutes post intervention

Intervention5 point Likert Scale (Median)
Alcohol Prep Pad Group4
Normal Saline Prep Pad2

Verbal Numerical Rating Scale Pain Score (0-10) at 10 Minutes Post Intervention

"Scale ranges from 0 (no pain) to 10 (worst pain imaginable)" (NCT02092441)
Timeframe: 10 minutes post intervention

InterventionVNRS (Median)
Alcohol Prep Pad Group6
Normal Saline Prep Pad6

Hospital Length of Stay

Anesthesia start time determined from anesthesia portion of the medical record. Time at which discharge order was placed will serve as time of discharge. (NCT01592708)
Timeframe: Anesthesia start time to placement of hospital discharge order - average 26 - 28 hours

Interventionhours (Median)
Intervention Cohort26.4
Comparison Cohort28.2

Post-discharge Nausea

To be assessed based on patient diary completed daily for 1 week following discharge to home from the hospital (NCT01592708)
Timeframe: 1 week from discharge from hospital

Interventionpercentage of subjects with PDN (Number)
Intervention Cohort72
Comparison Cohort60

Post-discharge Vomiting

(NCT01592708)
Timeframe: 1 week post discharge

Interventionpercentage of subjects with PDV (Number)
Intervention Cohort22
Comparison Cohort29

Post-operative Nausea

End of surgery time determined by anesthesia portion of the medical record. PONV to be assessed by review of surgeons' and nurses' notes in the medical record as well as through review of patient diaries. Vomiting constitutes a safety issue and, as such, associated adverse events will be noted. (NCT01592708)
Timeframe: End of surgery to discharge from hospital

Interventionpercentage of subjects with PON (Number)
Intervention Cohort24
Comparison Cohort70

Post-operative Vomiting

(NCT01592708)
Timeframe: End of surgery to discharge from hospital

Interventionpercentage of subjects with POV (Number)
Intervention Cohort11
Comparison Cohort28

Incidence of Subjects Significant QTc Changes in the EKG

The incidence of significant QTc prolongation was measured by comparing baseline EKG, 24 hours and 120 hours after surgery (NCT02635828)
Timeframe: 24 and 120 hours/discharge after end of surgery

Interventionparticipants (Number)
Triple Therapy PONV Prohylaxis0

PONV Incidence

The incidence of PONV (NCT02635828)
Timeframe: 24 hours after end of surgery

Interventionparticipants (Number)
Triple Therapy PONV Prohylaxis12

Reviews

1 review available for promethazine and Emesis, Postoperative

ArticleYear
The effectiveness of rescue antiemetics after failure of prophylaxis with ondansetron or droperidol: a preliminary report.
    Journal of clinical anesthesia, 2005, Volume: 17, Issue:1

    Topics: Adult; Aged; Ambulatory Surgical Procedures; Antiemetics; Dimenhydrinate; Droperidol; Female; Humans

2005

Trials

10 trials available for promethazine and Emesis, Postoperative

ArticleYear
A comparison of two differing doses of promethazine for the treatment of postoperative nausea and vomiting.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2015, Volume: 30, Issue:1

    Topics: Adult; Antiemetics; Dose-Response Relationship, Drug; Double-Blind Method; Female; Humans; Male; Mid

2015
Double-blind comparison of granisetron, promethazine, or a combination of both for the prevention of postoperative nausea and vomiting in females undergoing outpatient laparoscopies.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2009, Volume: 56, Issue:11

    Topics: Adult; Ambulatory Care; Anesthesia Recovery Period; Antiemetics; Double-Blind Method; Drug Therapy,

2009
Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV.
    AANA journal, 2009, Volume: 77, Issue:4

    Topics: 2-Propanol; Administration, Inhalation; Adult; Antiemetics; Clinical Nursing Research; Female; Hista

2009
Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV.
    AANA journal, 2009, Volume: 77, Issue:4

    Topics: 2-Propanol; Administration, Inhalation; Adult; Antiemetics; Clinical Nursing Research; Female; Hista

2009
Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV.
    AANA journal, 2009, Volume: 77, Issue:4

    Topics: 2-Propanol; Administration, Inhalation; Adult; Antiemetics; Clinical Nursing Research; Female; Hista

2009
Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV.
    AANA journal, 2009, Volume: 77, Issue:4

    Topics: 2-Propanol; Administration, Inhalation; Adult; Antiemetics; Clinical Nursing Research; Female; Hista

2009
Examination of the effectiveness of peppermint aromatherapy on nausea in women post C-section.
    Journal of holistic nursing : official journal of the American Holistic Nurses' Association, 2012, Volume: 30, Issue:2

    Topics: Administration, Inhalation; Adult; Antiemetics; Aromatherapy; Cesarean Section; Female; Holistic Hea

2012
Aprepitant versus ondansetron in preoperative triple-therapy treatment of nausea and vomiting in neurosurgery patients: study protocol for a randomized controlled trial.
    Trials, 2012, Aug-03, Volume: 13

    Topics: Antiemetics; Aprepitant; Dexamethasone; Double-Blind Method; Drug Therapy, Combination; Humans; Morp

2012
Effect of combining naloxone and morphine for intravenous patient-controlled analgesia.
    Anesthesiology, 2003, Volume: 99, Issue:1

    Topics: Adult; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthesia, General; Antiemetics; Drug The

2003
The effect of promethazine on postoperative pain: a comparison of preoperative, postoperative, and placebo administration in patients following total abdominal hysterectomy.
    Acta anaesthesiologica Scandinavica, 2004, Volume: 48, Issue:5

    Topics: Adult; Analgesics, Opioid; Double-Blind Method; Drug Administration Schedule; Female; Histamine H1 A

2004
Post discharge nausea and vomiting after ambulatory laparoscopy is not reduced by promethazine prophylaxis.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1999, Volume: 46, Issue:8

    Topics: Adult; Ambulatory Surgical Procedures; Antiemetics; Cholecystectomy; Double-Blind Method; Female; Gy

1999
Ondansetron/promethazine combination or promethazine alone reduces nausea and vomiting after middle ear surgery.
    Journal of clinical anesthesia, 1999, Volume: 11, Issue:7

    Topics: Adolescent; Adult; Aged; Ambulatory Surgical Procedures; Analgesics, Opioid; Anesthesia Recovery Per

1999
Small-dose droperidol effectively reduces nausea in a general surgical adult patient population.
    Anesthesia and analgesia, 2000, Volume: 91, Issue:5

    Topics: Anesthesia, General; Antiemetics; Double-Blind Method; Droperidol; Female; Humans; Male; Middle Aged

2000

Other Studies

7 other studies available for promethazine and Emesis, Postoperative

ArticleYear
Comparison of metoclopramide and promethazine for the treatment of postoperative nausea and vomiting in the post-anesthesia care unit: A retrospective database analysis.
    Journal of clinical anesthesia, 2020, Volume: 60

    Topics: Anesthesia; Antiemetics; Double-Blind Method; Humans; Metoclopramide; Ondansetron; Postoperative Nau

2020
Is Promethazine 6.25 mg Intravenous Dose Really Ideal to Treat Postoperative Nausea and Vomiting?
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2015, Volume: 30, Issue:4

    Topics: Antiemetics; Double-Blind Method; Humans; Nausea; Postoperative Complications; Postoperative Nausea

2015
Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as high risk for developing PONV.
    AANA journal, 2009, Volume: 77, Issue:6

    Topics: 2-Propanol; Antiemetics; Humans; Ondansetron; Postoperative Nausea and Vomiting; Preanesthetic Medic

2009
Clinical evaluation of promethazine for prevention of postoperative vomiting.
    American practitioner and digest of treatment, 1957, Volume: 8, Issue:10

    Topics: Humans; Postoperative Nausea and Vomiting; Promethazine; Vomiting

1957
Postoperative nausea and vomiting. III. Evaluation of the antiemetic drugs fluphenazine (prolixin) and promethazine (phenergan) and comparison with triflupromazine, (vesprin) and cyclizine (marezine).
    Journal of the American Medical Association, 1960, Apr-02, Volume: 172

    Topics: Antiemetics; Cyclizine; Fluphenazine; Humans; Postoperative Nausea and Vomiting; Promethazine; Surgi

1960
A comparison of ondansetron with promethazine for treating postoperative nausea and vomiting in patients who received prophylaxis with ondansetron: a retrospective database analysis.
    Anesthesia and analgesia, 2007, Volume: 104, Issue:3

    Topics: Adult; Anesthesia, General; Antiemetics; Antipruritics; Female; Humans; Male; Medical Records; Middl

2007
Extravasation of i.v. promethazine.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 1999, Sep-01, Volume: 56, Issue:17

    Topics: Adult; Antipruritics; Extravasation of Diagnostic and Therapeutic Materials; Female; Humans; Postope

1999