Antiemetic (serotonin 5-HT3 antagonist)

  • OCD
  • Reduces binge drinking
  • Alcohol
  • Binge Eating

Dosing

4 mg qd (some need 8mg). Can give ODT ($6/mth at costplusdrugs.com)

Management

Main SE constipation. No major warnings or interactions. Rarely covered as $30 day supply so patient will need to pay out of pocket but real cheap (costplusdrugs.com, goodrx). Use for real OCD, not obsessional anxiety that is due to GAD or depressive rumination. QTc prolongation risk

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