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Nausea and vomiting: Ginger tablets (50 mg) three times a day, Emetrol ® , Bonine ® , Vitamin B6 10-25 mg 3-4 times per day, Unisom (Doxylamine) mg 3-4 times per day, nausea wrist bands. Eat six small meals per day rather than three large meals. Decrease fiber and fat and increase carbohydrates in your diet. Do not recline until at least two hours after eating.
Indigestion and heartburn : Riopan ® , Maalox ® , Mylanta ® , TUMS ® , Gaviscon ® , Pepcid ® AC, Zantac 75 ® , or Zantac 150 ® may be used. Eat smaller meals. Do not recline until at least two hours after eating.
More advanced disease warrants the use of an ototopical that includes an antimicrobial agent ( Table 1 ) . Regardless of the ototopical selected, penetration to the epithelium is mandatory; any obstruction should be cleared. Warming the ototopical to body temperature (., by placing it in a shirt pocket or a warm room) before application helps the patient avoid the dizziness from caloric stimulation that cold liquid can incite. Instructing the patient to lie on his or her side with the affected ear up for a few minutes after the administration of ear drops aids migration to the medial canal. Having the patient or someone else pump the tragus a few times improves this process. There is wide variability in the self-administered dosing of ear drops, and relying on another person to place the drops or to perform the pump maneuver better standardizes the process. 8 , 9 , 21 , 23