Metoclopramide is used for short-term treatment of gastroesophageal reflux disease (GERD) in particular patients who don't respond to other therapy. It is used as a treatment for symptoms of a certain digestive problem in diabetic patients (diabetic gastroparesis). Metoclopramide is a intestinal stimulant and antinauseant. It works by raising the movements of the abdomen and intestines to aid transfer foods and acidity away from the stomach more swiftly. Additionally, it functions in particular areas in the mind to decrease vomiting.
Use Metoclopramide as instructed by your doctor.
Unless directed otherwise by your physician simply take Metoclopramide by mouth thirty minutes before meals.
It may take a few days to weeks for Metoclopramide to function. Do not quit taking Metoclopramide without checking with your physician.
Go as as soon as you can, in case you skip a dose of Metoclopramide. When it is almost time for your next dose, skip the missed dose and go back to your typical dosing schedule. Do not take 2 doses at the same time.
Ask your physician any questions which might have about how to use Metoclopramide.
Don't use Metoclopramide if:
you are allergic to any ingredient in Metoclopramide
You might have seizures (eg, epilepsy); bleeding, blockage, or perforation in your stomach or intestines; or tumors on your adrenal gland (pheochromocytoma)
You're taking cabergoline or pergolide
You're using medications, for example phenothiazines (eg, chlorpromazine), that may cause extrapyramidal reactions (unusual, involuntary muscle movements of the head, neck, or limbs). Check with your physician if you are uncertain whether any of your medications might cause extrapyramidal reactions.
Contact your doctor or physician at once if any of these apply to you.
Some medical conditions may interact with Metoclopramide. If you have any medical conditions, particularly if any of the following apply to you tell your physician or druggist:
if you are pregnant, intending to get pregnant, or are breast feeding
In case you are using any prescription or nonprescription medicine, herbal preparation, or dietary supplement
When you are allergic to medications, foods, or other substances
if you have a background of psychological or mood problems (eg, depression) or suicidal feelings or actions
For those who have a history of asthma, heart failure, hypertension, diabetes, Parkinson disease, blood problems (eg, porphyria), kidney difficulties, liver problems (eg, cirrhosis), breast cancer, or low levels of an enzyme called methemoglobin reductase
Should you be using another form of metoclopramide (eg, syrup, orally disintegrating tablet).
Some medicines may interact with Metoclopramide. Inform your doctor if you're using any other medicines, particularly any of the following:
Monoamine oxidase inhibitors (MAOIs) (eg, phenelzine) because the risk of serious side effects (eg, hypertension, seizures) may be raised
Anticholinergic medicine (eg, hyoscyamine) or narcotic pain medicines (eg, codeine) since they may decrease Metoclopramide's effectiveness
Paracetamol, benzodiazepines (eg, diazepam), cyclosporine, insulin, levodopa, phenothiazines (eg, chlorpromazine), sedatives (eg, zolpidem), selective serotonin re-uptake inhibitors (SSRIs) (eg, fluoxetine), succinylcholine, or tetracycline because the risk of the side effects might be increased by Metoclopramide
Cabergoline, digoxin, or pergolide because their effectiveness can be decreased by Metoclopramide.
This may not be a complete list of all relationships that might occur. Ask your health care provider if Metoclopramide might interact with other medications that you take. Check with your health care provider before you begin, stop, or adjust the dose of any medication.
Essential safety tips:
Metoclopramide can cause sleepiness or lightheadedness. These effects might be worse for it with alcohol or specific medicines. Use Metoclopramide with care. Do not drive or perform other potential unsafe tasks until you know how you respond to it.
Don't consume alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Metoclopramide without first checking with your physician; it may add to their effects. Request your pharmacist if you have questions regarding which medicines can cause drowsiness.
Don't take much more than the suggested dose or use Metoclopramide for longer than 12 weeks without checking with your physician.
Diabetes patients - Metoclopramide might impact your blood sugar. Check blood sugar levels carefully. Ask your doctor before changing the dose of your diabetes medication.
Tell your doctor or dentist that you consider Metoclopramide before you obtain any medical or dental care, emergency care, or operation.
Neuroleptic malignant syndrome (NMS) is a potentially deadly syndrome which can result from Metoclopramide. Symptoms might include fever; stiff muscles; confusion; unusual thinking; fast or irregular pulse; and perspiration. Contact your physician at once if you have some of these signs.
Some patients who take Metoclopramide may create muscle movements they can't control. This is prone to happen in elderly patients, especially girls. The chance that this will definitely occur or that it is going to become permanent is higher in those who take Metoclopramide in higher dosages or for quite a while. Muscle problems may also occur after treatment with low dosages. Inform your doctor at once when you have muscle issues with your hands; legs; or your tongue, face, mouth, or jaw (eg, tongue sticking out, smoking of cheeks, mouth puckering, chewing movements) while taking Metoclopramide.
Patients who take Metoclopramide could possibly be at increased danger of new or worsening mental or mood changes (eg, depression) or suicidal thoughts or actions. Observe patients who take Metoclopramide carefully. Contact the doctor at the same time if new, worsened, or sudden symptoms like depressed mood or any unusual change in mood or behaviour occur. Contact the doctor immediately if any signs of suicidal thoughts or actions occur.
Metoclopramide may raise the quantity of a particular hormone (prolactin) in your blood. Symptoms can include enlarged breasts, missed menstrual period, decreased sexual ability, or nipple discharge. Contact your physician right away in the event you have these symptoms.
While you use Metoclopramide laboratory tests, including liver and kidney function tests, may be performed. These tests may be utilized to track your condition or check for side effects. Be sure to keep all doctor and laboratory appointments.
Use Metoclopramide with care in the elderly; they may be more sensitive to its effects, particularly sleepiness, distress, and uncontrolled muscle movements, including tardive dyskinesia.
Metoclopramide must be utilized with extreme caution in children; safety and effectiveness in children have not yet been confirmed. The chance of developing uncontrolled muscle movements could be greater in kids.
Pregnancy and breast feeding: In the event you become pregnant, contact your doctor. You will have to talk about the advantages and risks of using Metoclopramide when you are pregnant. Metoclopramide is located in breast milk. If you are or will be breast feeding while you use Metoclopramide, check with your doctor. Talk about any potential dangers to your infant.
A small number of patients have experienced withdrawal symptoms when preventing Metoclopramide. These symptoms may include anxiety, dizziness, and headaches.
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