DIMENHYDRINATE

(Gravol)

Standard Prescription

dimenhydrinate__mg IV/PO Q__H PRN___  (__mg/kg/24hr)

Dosages

Children < 12 years old:
0.5-1.25 mg/kg/dose PO/IV/IM/PR Q6H PRN

Maximum PO Dose:
2-6 years old: 75 mg/24 hr.
6-12 years old: 150 mg/24 hr.

Maximum IM/IV Dose:
300 mg/24 hr.

Adults:
25-50 mg/dose PO/IV/IM Q4-6H PRN.

Mechanism of Action

Antihistamine, used as antiemetic and mild sedative

Forms Supplied

tablet:  50 mg
chewable tablet:
15 mg
syrup: 
3 mg/mL
suppository: 
25 mg, 50 mg, 100 mg
injection: 
10 mg/mL (IV), 50 mg/mL (IM)

Comments

Drowsiness, dizziness, dry mouth.

Irritation at injection site - rotate sites.

Paradoxical excitement may occur in young children.

References

1, 44, 516, 517

Gouin S, Vo TT, Roy M et al. Oral dimenhydrinate versus placebo in children with gastroenteritis: a randomized controlled trial. Pediatric 2012;129:1050-5

Kranke P, Morin M, Roewer N et al. Dimenhydrinate for prophylaxis of postoperative nausea and vomiting: a meta-analysis of randomized controlled trials. Acta Scand 2002;46:238-44.

Last Edited

2021-12-03 09:22:05