My current drug regimen is causing frequent bouts with nausea and vomiting. What do you prescribe - without discontinuing the meds - to alleviate these side effects? Is one antiemetic better than another? What do you offer as the best regimen that doesn't include nausea and vomiting side effects? Thank you.

First, I would want to make sure the nausea and vomiting are not due to some other cause, such as an intercurrent illness or a more serious side effect of the medications (such as liver toxicity or pancreatitis). Once these things have been ruled out, I start with over the counter medications (such as Gravol) taken on a regular basis until the symptoms resolve or we decide to change the medications. I find all the over-the-counter antiemetics to be similar in efficacy, and they can all make you a bt drowsy, so it is important to be careful. I only go to prescription antiemetics if I have no other choice.