GI cocktail

[1][2] The GI cocktail is commonly prescribed in the hospital or emergency department, and has been used to help distinguish chest pain as either gastrointestinal or cardiac.

Anticholinergics work to ease symptoms that accompany dyspepsia including nausea, vomiting, and abdominal cramping.

[5][6] Dyspepsia can additionally be contributed to medications such as potassium supplements, NSAIDs, digitalis, iron, glucocorticoids, and colchicine, as well as lifestyle factors such as diet, stress, and cigarette smoking.

They include: Viscous lidocaine:[7] Antacid:[8] Anticholinergic:[9] Prior studies regarding the GI cocktail for management of dyspepsia in the emergency department have varied in quality of methodology and have demonstrated mixed results.

A 1990 single-blind study performed by Welling and Watson[4] compared 30 mL of antacid with or without the addition of 15 mL of viscous lidocaine and concluded that the addition of viscous lidocaine provided a significantly greater degree of immediate pain relief than antacids alone in patients with dyspepsia.