Anyone still using inapsine?

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Hey


Just wondering if anyone is still using this drug and at what doses?

Is there any concern about the black box label etc?
 
Hey


Just wondering if anyone is still using this drug and at what doses?

Is there any concern about the black box label etc?

It's difficult to justify using it because although we all know that it's not more dangerous than the other neuroleptics or serotonin inhibitors, if you give it to a patient who dies three years later of a an ingrwon toe nail there will be a lawyer out there that will be able to connect your "negligent actions" to this patient's death.

The same goes for cox2 inhibitors and many other drugs that the FDA declared war on.
This is the same agency that keep us 10 years behind the rest of the world when it comes to new medications and technologies.
 
Droperidol is probably considered a second line antiemetic secondary to the black box warning. If given, the pt needs to be on a cardiac monitor for at least (I think) three hours. So this can still be done for most inpts. It is interesting that many drugs that we use including anzemet also prolong the Q-T interval.
 
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