GI Cocktail

In emergency medicine, a GI cocktail (gastrointestinal cocktail) is a generic term for a mixture of liquid antacid, viscous lidocaine, and an anticholinergic. It is primarily used to treat dyspepsia. It is also useful as part of the diagnostic protocol for patients complaining of chest pain, to help differentiate the causal factor of the pain as gastric versus potentially cardiac-related.

There is a wide variety of GI cocktail recipes in use today. A very popular one is a mixture of Maalox, Donnatal, and Xylocaine, in equal parts. The efficacy of this mixture for the treatment of dyspepsia is generally considered superior to treatment with only any one of its components, due to their varied mechanisms of relief.

"GI Cocktail" Another Emergency Mixture- (5ML) One teaspoonful Belladonna Alk W PB Elixi, (30 ML) Two Tablespoons Maalox, (20ML) Four teaspoons lidocaine 2% viscous; Mix four times daily for 7 days. Then four times daily as needed for abdominal pain.


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