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All medications listed below are used off-label for PBH in the UK and should be initiated and monitored by specialists: Acarbose : An alpha-glucosidase inhibitor that delays carbohydrate absorption

Start slow and drink plenty of water to avoid bloating or stomach issues

Splitting the dose prematurely may prevent the natural adaptation process from occurring

Selective 5-HT3 Receptor Antagonist FDA-Approved Uses: Cancer chemotherapy-induced nausea and/or vomiting Postoperative nausea and/or vomiting Radiotherapy-associated nausea and/or vomiting Common Off-Label Uses: Nausea and/or vomiting, acute, severe Pregnancy-associated nausea and/or vomiting Vertigo-associated nausea and/or vomiting Typical Adult Dosing: Nausea and/or vomiting, acute, severe: Take Ondansetron 4 mg (1 tablet) by mouth EVERY 4 to 8 HOURS, as needed for nausea or vomiting**Do not exceed 16 mg (4 tablets) in a 24-hour period Pregnancy: Pregnancy Risk Category B (see Appendix A)