Nausea nonpharmacologic

Nonpharmacologic approaches to treating nausea and vomiting include dietary, physical, and psychological changes. 

A variety of effective pharmacologic treatments exist for nausea and vomiting, but they all have unwanted adverse treatment effects. For this reason, nonpharmacologic treatment options may be considered in selected patients. 

Recommend nonpharmacologic therapy for the following disorders when they occur during pregnancy or lactation nausea and vomiting, constipation, heartburn, pain, and cough and cold. 

Mazzotta P, Magee LA. A risk-benefit assessment of pharmacological and nonpharmacological treatments for nausea and vomiting of pregnancy. Drugs 2000 59(4) 781-800. 

Hint Vomiting and nausea during the first trimester of pregnancy should be treated nonpharmacologically. 

King CR. Nonpharmacologic management of chemotherapy-induced nausea and vomiting. Oncol Nurs Forum 1997 24 S41-S48. 

SAD can present in children of preschool to elementary school age. If the disorder is not treated, it can persist into adulthood and increase the risk of depression and substance abuse. CBT and social skills training are effective nonpharmacological therapies in children. Pharmacological evidence is limited to case studies or open-label trials. SSRIs are considered first-line therapy because of tolerability and effectiveness. Fluoxetine, fluvoxamine, sertraline, and paroxetine were effective in children with SAD. Headache, nausea, drowsiness, insomnia, jitteriness, and stomach aches were reported in children receiving SSRIs. 

Nausea and vomiting that occur during the first trimester of pregnancy should be treated with nonpharmacologic remedies since amtimetics can cause possible harm to the fetus. 

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