Phenergan v Benadryl, opposite sides of the planet..
Posted 19 February 2012 - 10:46 PM
In the U.S. the guidelines that I was trained on and have been exposed to call for Benadryl for allergic reactions, and Phenergan (Promethazine) for nausea and vomiting.
Though when in Afg working with Aussies, and here in PNG, the combination is reversed.
Is one pairing superior to the other? Why?
Posted 19 February 2012 - 11:05 PM
My personal bias is for the use of diphenhydramine. In addition, I grew quite fond of using IV dimenhydrinate for nausea and vomiting when I worked overseas. I believe an oral form exists in the United States called Dramamine.
Posted 19 February 2012 - 11:31 PM
Personally, I believe if you are giving an H1 blocker, you should be giving an H2 blocker as well.
Posted 20 February 2012 - 12:04 AM
Edit: Added "one" to differentiate the two warnings.
Edited by chbare, 20 February 2012 - 12:06 AM.
Posted 20 February 2012 - 04:18 AM
Posted 20 February 2012 - 07:03 AM
I've also, and this may get me a bashing, used it a lot for pain in patients. In Afg where we only had morphine I'd push 12.5mg prior and very often people wouldn't need narcs. I'm sure that's bad, as I don't think that I've ever had a protocol indicating it for pain, but it seemed to work really well, seemed to give them a decent buzz without losing them beneath it if careful, (For the students: You won't get into 'decent buzz' or 'losing them under it' until way, way advanced learning.) and I don't recall any adverse reactions. Though of course I'm not discounting chbare's reports of distonic reactions, it's just not been my experience.
I guess I'm wondering, if we asked the people that created the U.S. protocols that say Phen = N/V, Ben = Allergy, how would they defend that decision over the reverse? And the same question to the upside down people...
Why need we carry both? It seems that Phenergan (fin- Errrrrrrrrrrr-gin) for the Aussies, doesn't have the pregnancy warnings of Benadryl, and would realistically do both jobs, wouldn't it?
I'm guessing that the question is rhetorical, as the whole world seems to carry them both, I'm just not sure when I would use one that the other would be contraindicated, absolute or relatively?
Posted 20 February 2012 - 07:08 AM
man they had me talking to sky elephants and pink dogs and all sorts on that shit
Edited by kiwimedic, 20 February 2012 - 07:08 AM.
Posted 20 February 2012 - 07:51 AM
Posted 23 February 2012 - 04:49 AM
Posted 23 February 2012 - 05:06 AM
Cause. Excessive use of Benadryl.
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