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Dosing should be determined by your prescriber based on your individual needs and clinical circumstances Alternative antiemetics : Other options may include: Cyclizine: May be considered as an alternative Proton pump inhibitors : Medications like omeprazole may help if acid reflux contributes to nausea If gastrointestinal symptoms persist despite these measures, your prescriber may consider delaying dose escalation, stepping back to the previous tolerated dose, or temporarily interrupting treatment