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Wed Feb 11 10:57:24 GMT 2009

I use Erythromycin frequently in the ICU, I don't like metoclopramide anymore. I have had a pretty good success with the Emycin.

Robert Schulze MD FACS
SUNY Downstate/Kings County Hospital 

>>> <Krin135 at aol.com> 2/10/2009 1:44 PM >>>
do you ever use Erythromycin as a prokinetic?

I've had a number of patients with somatic dyskinesia from  
metoclopramide...and yes, most of them also react to the phenothiazines in a  similar way.

ck
Charles S. Krin, DO

In a message dated 2/10/2009 12:25:24 Central Standard Time,  
dr.tchardcastle at absamail.co.za writes:

Yes, if  I need to. First check that there is no mechanical obstruction,
correct all  electrolyte abnormalities, stop all constipating drugs, then
try all other  types of prokinetics. If all else fails - Neostigmine. Use
in standard dose  mg/kg alone, in ICU on full monitoring - risk of
dysrhythmia. If no  response - try one more time. If that does not work you
may need to try  other options.

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