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Vomina Syrup
Generic Name(s): Domperidone

Bahasa

Use How to use Dosage Precautions Side-effects Warnings Interactions

Contraindications Reviews

Why it's used

Vomina Syrup is used to relieve the symptoms of nausea and vomiting. It is a prescription medicine. This medicine
works by blocking the activity of a chemical in the brain that causes nausea and vomiting.

Dopamine-2 Receptor Antagonist

Vomina belongs to a class of medicines called Dopamine-2 Receptor Antagonist. Dopamine antagonist are medicines
used to treat bipolar disorder, schizophrenia, and stimulant psychosis. They work by blocking the activation of
Dopamine D2 receptors. 

How to use
Read the medicine guide provided by your pharmacist, your doctor, or the medicine company. If you have any questions
related to Vomina, ask your doctor or pharmacist. Use Vomina Syrup as per the instructions provided by your doctor.

Vomina is consumed before food. The absorption of the Vomina is delayed if taken after the meal. Take this medicine
15 to 30 minutes before meals. If needed, this medicine should be taken before going to bed.

The typical dose of Vomina for adults is 10 mg thrice a day followed by maximum dose of 30 mg per day. The usual
dose for children is 0.25 mg/kg (0.11 mg/lb) thrice a day followed by maximum dose of 0.75mg/kg/day (0.34
mg/lb/day) in oral suspension. The maximum dose for adult patients of Vomina is 30 mg/day per day. This medicine is
generally used for a period of 3-4 days for symptoms of nausea or vomiting. Vomina is commonly used at the same
time every day. This medicine is not known to be addictive or habit-forming.

This medicine should be used on an as-needed basis.

Discuss with your doctor if you develop new symptoms. Discuss with your doctor if swelling of the hands, swelling of
the feet, swelling in the ankles, swelling of the face, swelling of the lips, swelling in the throat, itching, hives, abnormal
movements in eye, tongue, twisted neck, di culty in muscle movements (muscle stiffness), seizures, and abnormal
heartbeat. If you have any kidney disease, the daily dose of Vomina tablets should be reduced to once or twice daily
depending on the severe conditions of functioning of the kidney. Consult with your doctor before stopping the use of
Vomina.

Your doctor may prescribe a lower starting dose of this medicine to understand the impact on the body. Please follow
your doctor's recommendations.

If you are giving Vomina Syrup to a child, be sure to use a product that is for use in children. Use the child's weight or
age to nd the right dose from the product package or medicine label. You can also read the dosage section of this
page to know the correct dose for your child. Else, consult with your doctor and follow their recommendation.

If using the liquid form of this medicine, measure the dose using the provided measuring cup, spoon, or dropper. Before
pouring the medicine into the measuring device, you should check the measurement markings carefully. Then, pour the
dose amount into the device. After use, clean and store the measuring device in a safe place for your next use. You
should not use a tablespoon or teaspoon as the dose measuring devices since it can result in an incorrect dose. If
indicated on the product package, shake the medicine before use.

Medicines may be recommended for uses other than those listed in the medicine guide. You should not use Vomina
Syrup for conditions or symptoms for which it was not prescribed. Do not give Vomina Syrup to other people, even if
they have the same conditions or symptoms that you have. The use of this medicine without the advice of a doctor may
cause harm.

Follow storage instructions on the product package if available. Store Vomina Syrup do not store above 25°C (77°F).
Store this medicine away from children and pets.

Read more: What are the uses of Vomina?

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How to take Vomina

The dose and frequency of using Vomina will depend on the following factors:
age of the patient
the weight of the patient
patient's health
the health of the patient's liver
the health of the patient's kidneys
response to the medicine

Vomina Dosage
Dosage for symptoms of nausea and vomiting
Adult (adults and children (12 years and older and weighing 35 kg (16 lb) or more))
Recommended: 10 mg thrice a day
Maximum: 30 mg per day

Children (children under 12 years and weighing less than 35 kg (16 lb))
Recommended: 0.25 mg/kg (0.11 mg/lb) thrice a day (for oral suspension)
Maximum: 0.75 mg/kg/day (0.34 mg/lb/day)

Dosage calculation for children

To calculate the dosage for children please use the weight based dose calculator to calculate the appropriate dosage
as per the weight of your child.

Forms
Tablet
Strength: 10 mg

Oral suspension
Strength: 1 mg/ml

Special Instructions
Oral suspension
Shake the medicine bottle before opening it. Insert the bottle adaptor into the open bottle. Draw up the required dose of
medicine using the oral syringe. Put the tip of the oral syringe inside the child’s mouth. Gently push the plunger to insert
small amounts of the drug into child’s mouth. Allow the child to swallow before you push the plunger again. After giving
the whole dose, wash and rinse the syringe in soapy water and do not clean the oral syringe in the dishwasher.

Missed Dose
A missed dose should be taken with food as soon as you remember it. Avoid taking a double dose to make up for a
missed dose.

Overdose
What to do if you overdose on Vomina?
No speci c antidote is available for an overdose of Vomina. However, the treatment according to the symptoms should
be given immediately. The harmful effects can be reduced by inducing gastric lavage (cleaning out the harmful
substances of the stomach) as well as the use of activated charcoal. Electrocardiography (ECG) monitoring should be
performed because of the abnormal heartbeat (QT interval prolongation), and in this case, supportive therapy should be
recommended. Anticholinergics and antiparkinson drugs may be used to control drug-induced movement disorders.

Symptoms of an overdose of Vomina

If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases,
symptoms of an overdose may include:
agitation
altered consciousness
convulsions
disorientation
drowsiness
drug-induced movement disorders

If you think you have overdosed on Vomina Syrup, call a poison control center immediately. You can look up the poison
control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Vomina

Before you use Vomina Syrup, discuss with your doctor if you are allergic to it or its ingredients. Your doctor may
prescribe an alternative medicine and update your medical records to record this information.

Before you use Vomina, tell your doctor of your medical and health history including the following: abnormal functioning
of the liver and kidney, electrolyte disturbances such as low or high potassium level, and low magnesium level, heart
disease, hormone (prolactin)-releasing pituitary tumour (prolactinoma), reduced or absent activity of lactase (galactose
intolerance, glucose/galactose metabolic disorder), build up of galactose in the blood (galactosemia), stomach or
intestinal bleeding (gastrointestinal haemorrhage), stomach or intestinal obstruction, or slow heart rate (bradycardia).
The use of Vomina in the patients with heart disease such as congestive heart failure, slow heart rate, and electrolyte
disturbances may see an increased risk of existing irregular heartbeat and heart attack. Vomina may be unsuitable for
patients with galactosemia, lactose intolerance, or glucose/galactose metabolic disorder. The use of Vomina in the
patient with abnormal functioning of the kidney may decrease the level of Vomina in the blood and increase the drug
excretion in the patient with abnormal functioning of the liver.

The use of Vomina Syrup may change blood prolactin level. The use of Vomina may increase the level of prolactin in the
blood. The blood prolactin level should be monitored during the therapy of Vomina.

The use of this medicine may change abnormal heartbeat (QT interval prolongation). The use of Vomina may increase
the risk of abnormal heartbeat (QT interval prolongation). Electrocardiography (ECG) should be monitored during the
therapy of Vomina.

Vomina Syrup can make you feel sleepy. Be careful when using any machinery, driving a vehicle, or doing any other
activity that needs you to be fully alert. The consumption of alcohol with Vomina Syrup can worsen the sleepiness.
Vomina Syrup may cause rarely seizures in some people. If you perform any activities where a loss of consciousness
may cause harm to you (or others), you should discuss with your doctor.

The use of Vomina Syrup during pregnancy should only be when required. This medicine should be used during
pregnancy only if the potential bene t justi es the potential risk to the fetus. The use of Vomina Syrup Vomina Syrup
while breastfeeding should only be when required. Vomina may pass into breast milk in a small amount and cause
harmful effect on the heart such as an abnormal heartbeat (QT prolongation) in breastfeeding children. Consult with
your doctor on the use of Vomina Syrup, if you are trying to conceive.

Vomina Syrup may cause increased incidence of side-effects in older patients. Elderly patients may see an increased
risk of irregular heartbeat, and sudden heart attack.

Vomina may cause an increased risk of side-effects in children. Children using this medicine may see an increased risk
of convulsion, agitation, drowsiness, drug-induced movement disorders, irregular eye movements, confusion, unusual
eye movements, unusual movements of the tongue, abnormal posture such as a twisted neck, trembling and muscle
stiffness, and irritation.

Read more: What precautions should be taken during Pregnancy and Nursing, and administering Vomina to Children or
the Older Adults?

Vomina Side-effects
The following side-effects may commonly occur when using Vomina Syrup. If any of these side-effects worsen or last
for a long time, you should consult with your doctor:
dry mouth

The following side-effects may commonly occur in children when using Vomina Syrup. Discuss with your doctor if any
of these side-effects last for a long time or are severe:
abnormal posture
agitation
confusion
convulsion
drowsiness
drug-induced movement disorders
irregular eye movements
irritation
muscle stiffness
trembling
twisted neck
unusual movements of the tongue
unusual movements of the tongue

Rarely, the use of Vomina Syrup may cause the following side-effects:
anxiety
breast pain
breast tenderness
diarrhea
drowsiness
excessive or inappropriate production of milk
headache
hives
involuntary eye muscle contractions due to certain drugs (oculogyric crisis)
lack of energy
loss of interest in sex (loss of libido)
nervousness
rash
severe itching of the skin
swollen male breast tissue

The following severe side-effects may also occur when using Vomina Syrup:
skin disorder
Symptoms: swelling of the lower layer of skin

heart disorders
Symptoms: irregular heartbeat, abnormal heart rhythms (QTc prolongation), rapid heartbeat (Torsade de pointes)
sudden loss of functioning of the heart (sudden cardiac death)

nervous system disorders

Symptoms: drug-induced movement disorders convulsions

mental disorder
Symptoms: state of extreme anxiety (agitation)

immune system disorder

Symptoms: life-threatening allergic reaction (anaphylactic shock), swelling of the lower layer of skin allergic reaction

Your doctor has prescribed this Vomina because they have judged that the bene ts outweigh the risks posed by side-
effects. Many people using this medicine do not have serious side-effects. This is not a complete list of possible side-
effects for Vomina.

If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You
may also report side-effects to your local food and drug administration authority. You can look up the drug authority
contact information from the Drug Authority Finder at TabletWise.com.

Read more: Side-effects and Allergic Reactions of Vomina by Severity and Frequency

Warnings
Patients taking the daily dose of more than 30 mg
Such patients are at an increased risk when using this medicine. These patients are at an increased risk of irregular
heartbeat and sudden loss of heart function. Discontinue the treatment with Vomina if any signs or symptoms
associated with increased and decreased heartbeat occurs. Patients are advised to report any heart symptoms
immediately.

Patients with existing conditions of abnormal heartbeat (QT prolongation)

The patients with existing heart conditions such as abnormal heartbeat (QT prolongation), congestive heart failure are
at an increased risk when using Vomina. Use of Vomina is not recommended in such patients.

Patients taking apomorphine

Such patients are at increased risk when using this medicine. Use of apomorphine may potentiate the high blood
pressure conditions of Vomina. Apomorphine can only be used if its bene t outweighs the risks with Vomina. Patients
undergoing apomorphine therapy should start using Vomina at least 2 days before the treatment. The dose of Vomina
should be adjusted to the lowest effective dose and to be discontinued shortly. Before starting combined treatment of
Vomina with apomorphine, patients should be assessed for the risk factors such as abnormal heartbeats (QT
prolongation), heart failure, abnormal function of the liver or signi cant electrolyte disturbance.

Patients with the reduced or absent activity of lactase (lactose intolerance,

glucose/galactose metabolic disorder), and build of galactose in the blood
(galactosemia)
Due to the presence of lactose in Vomina, the patients with these problems are at an increased risk when using this
medicine. Take necessary precautions while using Vomina in such patients.

Use of Vomina in the children

Children are at an increased risk when using this medicine. Younger children are at an increased risk of neurological
side effects such as extreme emotional disturbance (agitation), seizure, and sleeplessness than infants when using
Vomina. Children taking more than the recommended dose may experience drug-induced movement (extrapyramidal)
symptoms when using Vomina. Precaution should be taken while using this medicine in younger children.

Abnormal functioning of the kidney

Patients with abnormal functioning of the kidney are at an increased risk when using Vomina. These patients may have
increased elimination time when using Vomina. The dose of Vomina should be reduced to once or twice daily
depending on the severe conditions of the kidney.

Patients with electrolyte disturbances or low heart rate

The patients with electrolyte disturbances such as increase or decrease in potassium and magnesium levels or low
heartbeat are at an increased risk when using Vomina. Such patients are at increased risk of existing irregular heartbeat
risk. The use of Vomina is not recommended in such patients.

Elderly patients above 60 years, taking CYP3A4 inhibitors, and QT-prolonging drugs
Such patients are at an increased risk when using this medicine. These patients may develop an increased risk of
irregular heartbeat and sudden loss of heart function. Discontinue the treatment with Vomina if any signs or symptoms
associated with increased and decreased heartbeat occurs. Patients are advised to report any heart symptoms
immediately.

Interactions with Vomina

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-
effects. In medical terms, this is called as a Drug Interaction.

Vomina Syrup interacts with antidepressants (citalopram, escitalopram), which are used to treat depression. Use of
Vomina with antidepressants may lead to an increased risk of abnormal heartbeat (QT-interval prolongation). Avoid the
combined use of Vomina and antidepressants.

There may be an interaction of Vomina with antipsychotics (haloperidol, pimozide, sertindole), which are used to treat
mental disorders. When Vomina is used with antipsychotics drugs, patients are at increased risk of abnormal heartbeat
(QT-interval prolongation). The combined use of Vomina with antipsychotic drugs is not recommended.

Vomina Syrup may interact with anti-arrhythmics (disopyramide, quinidine, amiodarone, dofetilide, dronedarone,
ibutilide, sotalol), which are used to treat high blood pressure or heart problems. When Vomina is used with anti-
arrthymics drugs, patients are at increased risk of abnormal heartbeat (QT-interval prolongation). Patients should avoid
taking Vomina in combination with anti-arrhythmics.

Special instructions need to be followed while taking this medicine along with antibiotics, antifungal agents and
antimalarial agents (erythromycin, levo oxacin, moxi oxacin, spiramycin, pentamidine, halofantrine and lumefantrine),
which are used to treat bacterial infections, fungal infections and malaria. The combined use of Vomina with antifungal
agents, antibiotics, and antimalarial drugs may lead to an increased risk of abnormal heartbeat (QT-interval
prolongation). The combined of Vomina with these agents is not recommended.

Your doctor's guidelines may need to be followed while taking this medicine along with apomorphine, which is used to
treat Parkinson's disease. Use of apomorphine may potentiate the high blood pressure conditions of Vomina.
Apomorphine can only be used if its bene t outweighs the risks with Vomina. Patients undergoing apomorphine
therapy should start using Vomina at least 2 days before the treatment. The dose of Vomina should be adjusted to the
lowest effective dose and to be discontinued shortly. Before starting combined treatment of Vomina with apomorphine,
patients should be assessed for the risk factors such as abnormal heartbeats (QT prolongation), heart failure, abnormal
function of the liver or signi cant electrolyte disturbance.

Vomina Syrup interacts with anticancer drugs (toremifene, vandetanib, vincamine), which are used to treat cancer.
Patients who are using anti-cancer drugs along with Vomina are at increased risk of abnormal heartbeat (QT-interval
prolongation). Such patients should not take Vomina with anti-cancer drugs.

Special instructions need to be followed while taking this medicine along with bepridil, diphemanil, and methadone,
which are used to treat chest pain, stomach ulcer and severe pain due to cancer respectively. When Vomina is used
with bepridil, diphemanil or methadone, patients are at increased risk of abnormal heartbeat (QT interval prolongation).
The combined use of Vomina with these drugs should be avoided.

There may be an interaction of Vomina with antihistaminics (mequitazine, mizolastine), which are used to treat allergic
conditions. Antihistaminics with Vomina may lead to an increased risk of abnormal heartbeat (QT-interval
prolongation). Patients should avoid this combination of Vomina with antihistaminics.

Vomina Syrup may interact with stomach or intestinal medicines (cisapride, dolasetron, prucalopride), which are used
to treat stomach or intestinal disorders. When Vomina is used with stomach or intestinal medicines, patients are at
increased risk of abnormal heartbeat (QT-interval prolongation). Such patients should avoid the combined use of
Vomina with stomach or intestinal medicines.

Vomina Syrup may interact with Potent CYP3A4 inhibitors such as protease inhibitors, systemic azole antifungals
( uconazole or voriconazole), macrolides (erythromycin, clarithromycin, and telithromycin), which are used to treat viral,
fungal and bacterial infections respectively. When Vomina is used with potent CYP3A4 inhibitors, may increase the level
of Vomina in blood. The combined use of Vomina with potent CYP3A4 inhibitors should be avoided.

Special instructions need to be followed while taking this medicine along with ketoconazole, which is used to treat
fungal infections. The combined use of ketoconazole with Vomina, may decrease the metabolism of Vomina and
further leads to the abnormal heartbeat (QT prolongation). Take necessary precautions while using the combination of
ketoconazole with Vomina.

Vomina Syrup interacts with azithromycin and roxithromycin, which are used to treat bacterial infections. When Vomina
is used with anti-bacterial drugs, patients may experience an increased risk of abnormal heartbeat (QT-interval
prolongation). The use of this combination may cause low blood pressure and low levels of potassium in the blood. Use
of roxithromycin with Vomina may also increase the level of Vomina in the blood. Precaution should take necessary
precautions while using Vomina with anti-bacterial drugs.

There may be an interaction of Vomina with moderate CYP3A4 inhibitors such as diltiazem, verapamil, and macrolides
which are used to treat high blood pressure and bacterial infections. The combined use of Vomina with moderate
CYP3A4 inhibitors may increase the level of Vomina in the blood. Such patients are at an increased risk of abnormal
heartbeat (QT-interval prolongation). Such patients should avoid the combined use of Vomina with these moderate
CYP3A4 inhibitors.

This page does not contain all the possible interactions of Vomina Syrup. Share a list of all medicines that you use with
your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your
doctor.

Read more: Interactions of Vomina by Severity

Traveling With Medication

Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to
store your medicines is in the carry on baggage. However, while ying, if carrying liquid medicines, make sure you do
not go over the limits imposed for carry-on liquids.
While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination
country. One way to ensure this is by checking with your destination country's embassy or website.
Make sure that you carry each of your medicines in their original packaging, which should typically include your name
and address, and the details of the prescribing doctor.
If your travel involves crossing time zones, and you are required to take your medicine as per a xed schedule, make
sure that you adjust for the change in time.

Expired Medication
Taking a single dose of expired Vomina is unlikely to cause a side-effect. However, please discuss with your doctor or
pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed
conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a
fresh supply of unexpired medicines.

Safe Disposal of Medication

If there are disposal instructions on the package, please follow the instructions.
If there are medicine take-back programs in your country, you should contact the respective authority to arrange for
the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National
Prescription Drug Take-Back events.
If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the
plastic bag in your household trash. Separately, remove all personal information including the prescription label from
the medicine packaging and then dispose off the container.
If speci cally indicated on the medicine package that it needs to be ushed down the toilet when no longer needed,
perform the required step.

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Nausea and Vomiting Stomach Disorders Indigestion Digestive Diseases

Nausea is an uneasy or unsettled Your stomach is an organ between Nearly everyone has had When you eat, your body breaks
feeling in the stomach together ... your esophagus and small ... indigestion at one time. It's a food down to a form it can use to ...
feeling ...
 

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Vomina Syrup
Generic Name(s): Domperidone

Bahasa

Use How to use Dosage Precautions Side-effects Warnings Interactions

Contraindications Reviews

Why it's used

Vomina Syrup is used to relieve the symptoms of nausea and vomiting. It is a prescription medicine. This medicine
works by blocking the activity of a chemical in the brain that causes nausea and vomiting.

Dopamine-2 Receptor Antagonist

Vomina belongs to a class of medicines called Dopamine-2 Receptor Antagonist. Dopamine antagonist are medicines
used to treat bipolar disorder, schizophrenia, and stimulant psychosis. They work by blocking the activation of
Dopamine D2 receptors.

How to use
Read the medicine guide provided by your pharmacist, your doctor, or the medicine company. If you have any questions
related to Vomina, ask your doctor or pharmacist. Use Vomina Syrup as per the instructions provided by your doctor.

Vomina is consumed before food. The absorption of the Vomina is delayed if taken after the meal. Take this medicine
15 to 30 minutes before meals. If needed, this medicine should be taken before going to bed.

The typical dose of Vomina for adults is 10 mg thrice a day followed by maximum dose of 30 mg per day. The usual
dose for children is 0.25 mg/kg (0.11 mg/lb) thrice a day followed by maximum dose of 0.75mg/kg/day (0.34
mg/lb/day) in oral suspension. The maximum dose for adult patients of Vomina is 30 mg/day per day. This medicine is
generally used for a period of 3-4 days for symptoms of nausea or vomiting. Vomina is commonly used at the same
time every day. This medicine is not known to be addictive or habit-forming.

This medicine should be used on an as-needed basis.

Discuss with your doctor if you develop new symptoms. Discuss with your doctor if swelling of the hands, swelling of
the feet, swelling in the ankles, swelling of the face, swelling of the lips, swelling in the throat, itching, hives, abnormal
movements in eye, tongue, twisted neck, di culty in muscle movements (muscle stiffness), seizures, and abnormal
heartbeat. If you have any kidney disease, the daily dose of Vomina tablets should be reduced to once or twice daily
depending on the severe conditions of functioning of the kidney. Consult with your doctor before stopping the use of
Vomina.

Your doctor may prescribe a lower starting dose of this medicine to understand the impact on the body. Please follow
your doctor's recommendations.

If you are giving Vomina Syrup to a child, be sure to use a product that is for use in children. Use the child's weight or
age to nd the right dose from the product package or medicine label. You can also read the dosage section of this
page to know the correct dose for your child. Else, consult with your doctor and follow their recommendation.

If using the liquid form of this medicine, measure the dose using the provided measuring cup, spoon, or dropper. Before
pouring the medicine into the measuring device, you should check the measurement markings carefully. Then, pour the
dose amount into the device. After use, clean and store the measuring device in a safe place for your next use. You
should not use a tablespoon or teaspoon as the dose measuring devices since it can result in an incorrect dose. If
indicated on the product package, shake the medicine before use.

Medicines may be recommended for uses other than those listed in the medicine guide. You should not use Vomina
Syrup for conditions or symptoms for which it was not prescribed. Do not give Vomina Syrup to other people, even if
they have the same conditions or symptoms that you have. The use of this medicine without the advice of a doctor may
cause harm.

Follow storage instructions on the product package if available. Store Vomina Syrup do not store above 25°C (77°F).
Store this medicine away from children and pets.

Read more: What are the uses of Vomina?

Build a Better Tomorrow

 Thousands of classes by global health experts to help you become a better you.

Get Started Now

How to take Vomina

The dose and frequency of using Vomina will depend on the following factors:
age of the patient
the weight of the patient
patient's health
the health of the patient's liver
the health of the patient's kidneys
response to the medicine

Vomina Dosage
Dosage for symptoms of nausea and vomiting
Adult (adults and children (12 years and older and weighing 35 kg (16 lb) or more))
Recommended: 10 mg thrice a day
Maximum: 30 mg per day

Children (children under 12 years and weighing less than 35 kg (16 lb))
Recommended: 0.25 mg/kg (0.11 mg/lb) thrice a day (for oral suspension)
Maximum: 0.75 mg/kg/day (0.34 mg/lb/day)

Dosage calculation for children

To calculate the dosage for children please use the weight based dose calculator to calculate the appropriate dosage
as per the weight of your child.

Forms
Tablet
Strength: 10 mg

Oral suspension
Strength: 1 mg/ml

Special Instructions
Oral suspension
Shake the medicine bottle before opening it. Insert the bottle adaptor into the open bottle. Draw up the required dose of
medicine using the oral syringe. Put the tip of the oral syringe inside the child’s mouth. Gently push the plunger to insert
small amounts of the drug into child’s mouth. Allow the child to swallow before you push the plunger again. After giving
the whole dose, wash and rinse the syringe in soapy water and do not clean the oral syringe in the dishwasher.

Missed Dose
A missed dose should be taken with food as soon as you remember it. Avoid taking a double dose to make up for a
missed dose.

Overdose
What to do if you overdose on Vomina?
No speci c antidote is available for an overdose of Vomina. However, the treatment according to the symptoms should
be given immediately. The harmful effects can be reduced by inducing gastric lavage (cleaning out the harmful
substances of the stomach) as well as the use of activated charcoal. Electrocardiography (ECG) monitoring should be
performed because of the abnormal heartbeat (QT interval prolongation), and in this case, supportive therapy should be
recommended. Anticholinergics and antiparkinson drugs may be used to control drug-induced movement disorders.

Symptoms of an overdose of Vomina

If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases,
symptoms of an overdose may include:
agitation
altered consciousness
convulsions
disorientation
drowsiness
drug-induced movement disorders

If you think you have overdosed on Vomina Syrup, call a poison control center immediately. You can look up the poison
control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Vomina

Before you use Vomina Syrup, discuss with your doctor if you are allergic to it or its ingredients. Your doctor may
prescribe an alternative medicine and update your medical records to record this information.

Before you use Vomina, tell your doctor of your medical and health history including the following: abnormal functioning
of the liver and kidney, electrolyte disturbances such as low or high potassium level, and low magnesium level, heart
disease, hormone (prolactin)-releasing pituitary tumour (prolactinoma), reduced or absent activity of lactase (galactose
intolerance, glucose/galactose metabolic disorder), build up of galactose in the blood (galactosemia), stomach or
intestinal bleeding (gastrointestinal haemorrhage), stomach or intestinal obstruction, or slow heart rate (bradycardia).
The use of Vomina in the patients with heart disease such as congestive heart failure, slow heart rate, and electrolyte
disturbances may see an increased risk of existing irregular heartbeat and heart attack. Vomina may be unsuitable for
patients with galactosemia, lactose intolerance, or glucose/galactose metabolic disorder. The use of Vomina in the
patient with abnormal functioning of the kidney may decrease the level of Vomina in the blood and increase the drug
excretion in the patient with abnormal functioning of the liver.

The use of Vomina Syrup may change blood prolactin level. The use of Vomina may increase the level of prolactin in the
blood. The blood prolactin level should be monitored during the therapy of Vomina.

The use of this medicine may change abnormal heartbeat (QT interval prolongation). The use of Vomina may increase
the risk of abnormal heartbeat (QT interval prolongation). Electrocardiography (ECG) should be monitored during the
therapy of Vomina.

Vomina Syrup can make you feel sleepy. Be careful when using any machinery, driving a vehicle, or doing any other
activity that needs you to be fully alert. The consumption of alcohol with Vomina Syrup can worsen the sleepiness.
Vomina Syrup may cause rarely seizures in some people. If you perform any activities where a loss of consciousness
may cause harm to you (or others), you should discuss with your doctor.

The use of Vomina Syrup during pregnancy should only be when required. This medicine should be used during
pregnancy only if the potential bene t justi es the potential risk to the fetus. The use of Vomina Syrup Vomina Syrup
while breastfeeding should only be when required. Vomina may pass into breast milk in a small amount and cause
harmful effect on the heart such as an abnormal heartbeat (QT prolongation) in breastfeeding children. Consult with
your doctor on the use of Vomina Syrup, if you are trying to conceive.

Vomina Syrup may cause increased incidence of side-effects in older patients. Elderly patients may see an increased
risk of irregular heartbeat, and sudden heart attack.

Vomina may cause an increased risk of side-effects in children. Children using this medicine may see an increased risk
of convulsion, agitation, drowsiness, drug-induced movement disorders, irregular eye movements, confusion, unusual
eye movements, unusual movements of the tongue, abnormal posture such as a twisted neck, trembling and muscle
stiffness, and irritation.

Read more: What precautions should be taken during Pregnancy and Nursing, and administering Vomina to Children or
the Older Adults?

Vomina Side-effects
The following side-effects may commonly occur when using Vomina Syrup. If any of these side-effects worsen or last
for a long time, you should consult with your doctor:
dry mouth

The following side-effects may commonly occur in children when using Vomina Syrup. Discuss with your doctor if any
of these side-effects last for a long time or are severe:
abnormal posture
agitation
confusion
convulsion
drowsiness
drug-induced movement disorders
irregular eye movements
irritation
muscle stiffness
trembling
twisted neck
unusual movements of the tongue
unusual movements of the tongue

Rarely, the use of Vomina Syrup may cause the following side-effects:
anxiety
breast pain
breast tenderness
diarrhea
drowsiness
excessive or inappropriate production of milk
headache
hives
involuntary eye muscle contractions due to certain drugs (oculogyric crisis)
lack of energy
loss of interest in sex (loss of libido)
nervousness
rash
severe itching of the skin
swollen male breast tissue

The following severe side-effects may also occur when using Vomina Syrup:
skin disorder
Symptoms: swelling of the lower layer of skin
heart disorders
Symptoms: irregular heartbeat, abnormal heart rhythms (QTc prolongation), rapid heartbeat (Torsade de pointes)
sudden loss of functioning of the heart (sudden cardiac death)
nervous system disorders
Symptoms: drug-induced movement disorders convulsions
mental disorder
Symptoms: state of extreme anxiety (agitation)

immune system disorder

Symptoms: life-threatening allergic reaction (anaphylactic shock), swelling of the lower layer of skin allergic reaction

Your doctor has prescribed this Vomina because they have judged that the bene ts outweigh the risks posed by side-
effects. Many people using this medicine do not have serious side-effects. This is not a complete list of possible side-
effects for Vomina.

If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You
may also report side-effects to your local food and drug administration authority. You can look up the drug authority
contact information from the Drug Authority Finder at TabletWise.com.

Read more: Side-effects and Allergic Reactions of Vomina by Severity and Frequency

Warnings
Patients taking the daily dose of more than 30 mg
Such patients are at an increased risk when using this medicine. These patients are at an increased risk of irregular
heartbeat and sudden loss of heart function. Discontinue the treatment with Vomina if any signs or symptoms
associated with increased and decreased heartbeat occurs. Patients are advised to report any heart symptoms
immediately.

Patients with existing conditions of abnormal heartbeat (QT prolongation)

The patients with existing heart conditions such as abnormal heartbeat (QT prolongation), congestive heart failure are
at an increased risk when using Vomina. Use of Vomina is not recommended in such patients.

Patients taking apomorphine

Such patients are at increased risk when using this medicine. Use of apomorphine may potentiate the high blood
pressure conditions of Vomina. Apomorphine can only be used if its bene t outweighs the risks with Vomina. Patients
undergoing apomorphine therapy should start using Vomina at least 2 days before the treatment. The dose of Vomina
should be adjusted to the lowest effective dose and to be discontinued shortly. Before starting combined treatment of
Vomina with apomorphine, patients should be assessed for the risk factors such as abnormal heartbeats (QT
prolongation), heart failure, abnormal function of the liver or signi cant electrolyte disturbance.

Patients with the reduced or absent activity of lactase (lactose intolerance,

glucose/galactose metabolic disorder), and build of galactose in the blood
(galactosemia)
Due to the presence of lactose in Vomina, the patients with these problems are at an increased risk when using this
medicine. Take necessary precautions while using Vomina in such patients.

Use of Vomina in the children

Children are at an increased risk when using this medicine. Younger children are at an increased risk of neurological
side effects such as extreme emotional disturbance (agitation), seizure, and sleeplessness than infants when using
Vomina. Children taking more than the recommended dose may experience drug-induced movement (extrapyramidal)
symptoms when using Vomina. Precaution should be taken while using this medicine in younger children.

Abnormal functioning of the kidney

Patients with abnormal functioning of the kidney are at an increased risk when using Vomina. These patients may have
increased elimination time when using Vomina. The dose of Vomina should be reduced to once or twice daily
depending on the severe conditions of the kidney.

Patients with electrolyte disturbances or low heart rate

The patients with electrolyte disturbances such as increase or decrease in potassium and magnesium levels or low
heartbeat are at an increased risk when using Vomina. Such patients are at increased risk of existing irregular heartbeat
risk. The use of Vomina is not recommended in such patients.

Elderly patients above 60 years, taking CYP3A4 inhibitors, and QT-prolonging drugs
Such patients are at an increased risk when using this medicine. These patients may develop an increased risk of
irregular heartbeat and sudden loss of heart function. Discontinue the treatment with Vomina if any signs or symptoms
associated with increased and decreased heartbeat occurs. Patients are advised to report any heart symptoms
immediately.

Interactions with Vomina

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-
effects. In medical terms, this is called as a Drug Interaction.

Vomina Syrup interacts with antidepressants (citalopram, escitalopram), which are used to treat depression. Use of
Vomina with antidepressants may lead to an increased risk of abnormal heartbeat (QT-interval prolongation). Avoid the
combined use of Vomina and antidepressants.

There may be an interaction of Vomina with antipsychotics (haloperidol, pimozide, sertindole), which are used to treat
mental disorders. When Vomina is used with antipsychotics drugs, patients are at increased risk of abnormal heartbeat
(QT-interval prolongation). The combined use of Vomina with antipsychotic drugs is not recommended.

Vomina Syrup may interact with anti-arrhythmics (disopyramide, quinidine, amiodarone, dofetilide, dronedarone,
ibutilide, sotalol), which are used to treat high blood pressure or heart problems. When Vomina is used with anti-
arrthymics drugs, patients are at increased risk of abnormal heartbeat (QT-interval prolongation). Patients should avoid
taking Vomina in combination with anti-arrhythmics.

Special instructions need to be followed while taking this medicine along with antibiotics, antifungal agents and
antimalarial agents (erythromycin, levo oxacin, moxi oxacin, spiramycin, pentamidine, halofantrine and lumefantrine),
which are used to treat bacterial infections, fungal infections and malaria. The combined use of Vomina with antifungal
agents, antibiotics, and antimalarial drugs may lead to an increased risk of abnormal heartbeat (QT-interval
prolongation). The combined of Vomina with these agents is not recommended.

Your doctor's guidelines may need to be followed while taking this medicine along with apomorphine, which is used to
treat Parkinson's disease. Use of apomorphine may potentiate the high blood pressure conditions of Vomina.
Apomorphine can only be used if its bene t outweighs the risks with Vomina. Patients undergoing apomorphine
therapy should start using Vomina at least 2 days before the treatment. The dose of Vomina should be adjusted to the
lowest effective dose and to be discontinued shortly. Before starting combined treatment of Vomina with apomorphine,
patients should be assessed for the risk factors such as abnormal heartbeats (QT prolongation), heart failure, abnormal
function of the liver or signi cant electrolyte disturbance.

Vomina Syrup interacts with anticancer drugs (toremifene, vandetanib, vincamine), which are used to treat cancer.
Patients who are using anti-cancer drugs along with Vomina are at increased risk of abnormal heartbeat (QT-interval
prolongation). Such patients should not take Vomina with anti-cancer drugs.

Special instructions need to be followed while taking this medicine along with bepridil, diphemanil, and methadone,
which are used to treat chest pain, stomach ulcer and severe pain due to cancer respectively. When Vomina is used
with bepridil, diphemanil or methadone, patients are at increased risk of abnormal heartbeat (QT interval prolongation).
The combined use of Vomina with these drugs should be avoided.

There may be an interaction of Vomina with antihistaminics (mequitazine, mizolastine), which are used to treat allergic
conditions. Antihistaminics with Vomina may lead to an increased risk of abnormal heartbeat (QT-interval
prolongation). Patients should avoid this combination of Vomina with antihistaminics.

Vomina Syrup may interact with stomach or intestinal medicines (cisapride, dolasetron, prucalopride), which are used
to treat stomach or intestinal disorders. When Vomina is used with stomach or intestinal medicines, patients are at
increased risk of abnormal heartbeat (QT-interval prolongation). Such patients should avoid the combined use of
Vomina with stomach or intestinal medicines.

Vomina Syrup may interact with Potent CYP3A4 inhibitors such as protease inhibitors, systemic azole antifungals
( uconazole or voriconazole), macrolides (erythromycin, clarithromycin, and telithromycin), which are used to treat viral,
fungal and bacterial infections respectively. When Vomina is used with potent CYP3A4 inhibitors, may increase the level
of Vomina in blood. The combined use of Vomina with potent CYP3A4 inhibitors should be avoided.

Special instructions need to be followed while taking this medicine along with ketoconazole, which is used to treat
fungal infections. The combined use of ketoconazole with Vomina, may decrease the metabolism of Vomina and
further leads to the abnormal heartbeat (QT prolongation). Take necessary precautions while using the combination of
ketoconazole with Vomina.

Vomina Syrup interacts with azithromycin and roxithromycin, which are used to treat bacterial infections. When Vomina
is used with anti-bacterial drugs, patients may experience an increased risk of abnormal heartbeat (QT-interval
prolongation). The use of this combination may cause low blood pressure and low levels of potassium in the blood. Use
of roxithromycin with Vomina may also increase the level of Vomina in the blood. Precaution should take necessary
precautions while using Vomina with anti-bacterial drugs.

There may be an interaction of Vomina with moderate CYP3A4 inhibitors such as diltiazem, verapamil, and macrolides
which are used to treat high blood pressure and bacterial infections. The combined use of Vomina with moderate
CYP3A4 inhibitors may increase the level of Vomina in the blood. Such patients are at an increased risk of abnormal
heartbeat (QT-interval prolongation). Such patients should avoid the combined use of Vomina with these moderate
CYP3A4 inhibitors.

This page does not contain all the possible interactions of Vomina Syrup. Share a list of all medicines that you use with
your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your
doctor.

Read more: Interactions of Vomina by Severity

Traveling With Medication

Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to
store your medicines is in the carry on baggage. However, while ying, if carrying liquid medicines, make sure you do
not go over the limits imposed for carry-on liquids.
While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination
country. One way to ensure this is by checking with your destination country's embassy or website.
Make sure that you carry each of your medicines in their original packaging, which should typically include your name
and address, and the details of the prescribing doctor.
If your travel involves crossing time zones, and you are required to take your medicine as per a xed schedule, make
sure that you adjust for the change in time.

Expired Medication
Taking a single dose of expired Vomina is unlikely to cause a side-effect. However, please discuss with your doctor or
pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed
conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a
fresh supply of unexpired medicines.

Safe Disposal of Medication

If there are disposal instructions on the package, please follow the instructions.
If there are medicine take-back programs in your country, you should contact the respective authority to arrange for
the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National
Prescription Drug Take-Back events.
If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the
plastic bag in your household trash. Separately, remove all personal information including the prescription label from
the medicine packaging and then dispose off the container.
If speci cally indicated on the medicine package that it needs to be ushed down the toilet when no longer needed,
perform the required step.

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