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Waikato DHB Palliative Care Guidelines9. HiccoughsCauses- Metabolic disease e.g. uraemia.
- Vagus nerve stimulation e.g. thoracic and/or abdominal disease.
- Neurological e.g. brain stem infarct, encephalitis, medullary infarct.
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Management- Pharyngeal stimulation with iced water, saline nebuliser.
- Metoclopramide or domperidone tds/qid for delayed gastric emptying.
- Trial of steroids if hepatomegaly is present.
- Haloperidol 0.5mg-1.5mg nocte/bd.
- Clonazepam 0.25-1mg nocte.
- Nifedipine 10mg tds.
- Baclofen – useful prophylactically in refractory cases – 5mg tds – sedation and nausea are side effects.
- Sometimes sedation with Chlorpromazine or midazolam is needed.
Information last reviewed: June 2009
| Please foward any enquiries about this document to
haggars@waikatodhb.govt.nz | | Next review date: July 2010 | For Palliative Care advice, please call 8691 or the specialist on-call. |
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