I'm taking 200mg quetiapine daily. Should I use another antiemetic in addition to this for sn method?

[Hope:-)]

I plan to use the sn method. I take 200mg quetiapine daily anyway. I personally don't think it's a very good antiemetic for me as I have almost been sick on it before. I therefore wonder whether I should still take the meto,but I've heard 2 antiemetics can cause serotonin syndrome. I am sensitive to that, having had serotonin syndrome several times. How should I manage another antiemetic around the quetiapine? Should I not take the quetiapine for a while and if so how long? Anyone else in this position ie taking an antiemetic and unsure whether it will be effective enough?
Thanks.

 

[befree]

I would not take it in addition. I would choose another antiemetic, such as Domperidone which is known to have fewer side effects.
And I would not combine 2 antiemetics. You never know if there are any other unknown interactions, other than already mentioned.

 

[Hope:-)]

Thanks for answering my boring question! Is Domperidone available over the counter in the UK like meto is? Why is meto is a bad idea here? My worst nightmare is choking on my own vomit so it's essential I get this
part completely right.
Thanks for your help.

 

[befree]

Is Domperidone available over the counter in the UK like meto is? Why is meto is a bad idea here?

Yes, it´s available without a prescription in the UK, when you know the source. Why not Meto ? As I said: "such as Domperidone which is known to have fewer side effects." But you can use either one. Your decision.

 

[Ethereal Knight]

sometimes quetiapine can be combined with ondansetron 8mg, which is an anti-nausea drug that works by blocking the 5-HT3 receptor, but don't do this if you have heart problems or are dehydrated.

 

[Hope:-)]

I think I'm just gonna stop taking the quetiapine. I think stans guide sayd not to do that, but I really need to know that the antiemetic will work and apparently meto is the best.
I think I'm just gonna stop taking the quetiapine. I think stans guide sayd not to do that, but I really need to know that the antiemetic will work and apparently meto is the best.

 

[Ethereal Knight]

I think I'm just gonna stop taking the quetiapine. I think stans guide sayd not to do that, but I really need to know that the antiemetic will work and apparently meto is the best.
I think I'm just gonna stop taking the quetiapine. I think stans guide sayd not to do that, but I really need to know that the antiemetic will work and apparently meto is the best.

metoclopramide is very effective as an anti-emetic, but comes with risks of some adverse effects, like extrapyramidal reactions and, more rarely, even tardive dyskinesia.