Paul- You are right, I have been using promethazine gel topically with great results- dosed just like Phenergan supp. only more "user friendly". I don't think my nurses have inserted a Phenergan suppository in a couple of years and they are thrilled. The preparation is usually made in a 25 mg per ml TB syringe and can be titrated to the wt. appropriate dose. These same compounding pharmacies have done great things with several other medications that are absorbed topically. I have an 8 yr. old patient with autism and a seizure disorder who is given trazadone and lorazapam topically. This has improved this little boy's lifestyle tremendously because there isn't a fight at every dosing time. Blood levels of these meds have been therapeutic. Regards- Kim Burlingham, MD Winnsboro, TX -----Original Message----- From: <> To: 'Dogwood Ridge' <>; <> Date: Friday, February 25, 2000 12:01 PM Subject: Re: Vistaril in the office >If you have a compounding pharmacy nearby (ie, MedShop), or a >pharmacist willing to compound, try Phenergan Cream. It can be mixed >at any strength. A quarter-sized amount rubbed into the skin (I tell >parents to rub it on the abdomen) works WONDERS for vomiting. > >P Prescott MD > > >