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All right, so the drug of the day today is scopolamine and specifically transdermal scopolamine.

Now this is classified as an anticholonergic medication, and its primary use is the

prevention of nausean vomiting, and that could be due to a couple of reasons.

Most common reason I've seen this medication used in clinical practice

is for motion sickness, but it can also be used for nausea and vomiting associated with

anesthesia or general surgery. Now, how does this medication work?

Again, being an anticholinergic medication, it's going to block muscarinic receptors, possibly also has some an antihistamine-type activity, and it's going to block the action of acetylene, which can ultimately cause some drying up of secretions,

slow down the gut, and potentially provide some relief for nausea and vomiting,

which is what we're going to primarily use this medication for.

Adverse effect profile. So let's talk about this a little bit, because this gives me the

perfect example of explaining the prescribing cascade.

So adverse effects, knowing that it's an anti-colonergic medication,

what you're going to see is dry mouth, dry eyes, potentially constipation,

and urinary retention.

In addition, there might be some sedation, confusion, fall risk.

That's more so probably in our geriatric population. So let's talk about that prescribing cascade.

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