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- $Unique_ID{BRK03233}
- $Pretitle{}
- $Title{metoclopramide}
- $Subject{Clopra Quantum Maxolon Beecham Reglan Robins Dopamine antagonist
- antiemetic metoclopramide diabetic gastric stasis gastric reflux nausea
- vomiting center brain stomach movement intestines}
- $Volume{}
- $Log{
- Reglan*0323301.scf}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- metoclopramide
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- Clopra (Quantum)
- Maxolon (Beecham)
- metoclopramide (various manufacturers)
- Reglan (Robins)
-
- TYPE OF DRUG
-
- Dopamine antagonist and antiemetic
-
- INGREDIENT
-
- metoclopramide
-
- DOSAGE FORMS
-
- Tablets (5 mg and 10 mg)
- Oral syrup (5 mg per 5-ml spoonful)
-
- STORAGE
-
- Metoclopramide tablets and oral syrup should be stored at room
- temperature in tightly closed containers. Do not freeze the syrup form of
- this medication.
-
- USES
-
- This medication is used to relieve the symptoms associated with diabetic
- gastric stasis or gastric reflux and to prevent nausea and vomiting.
- Metoclopramide acts directly on the vomiting center in the brain to prevent
- nausea and vomiting. It also increases the movement of the stomach and
- intestines.
-
- TREATMENT
-
- To obtain the best results from treatment, you should take metoclopramide
- tablets or syrup 30 minutes before a meal and at bedtime.
- Each dose of the syrup should be measured carefully with a specially
- designed 5-ml measuring spoon. An ordinary kitchen teaspoon is not accurate
- enough.
- If you miss a dose of this medication, take the missed dose as soon as
- possible, unless it is almost time for the next dose. In that case, do not
- take the missed dose at all; just return to your regular dosing schedule. Do
- not double the next dose.
-
- SIDE EFFECTS
-
- Minor.
-
- Diarrhea, dizziness, drowsiness, dry mouth, fatigue, headache, insomnia,
- nausea, restlessness, or weakness. These side effects should disappear as
- your body adjusts to the medication.
- If you feel dizzy or light-headed, sit or lie down for a while; get up
- slowly from a sitting or reclining position, and be careful on stairs.
- To relieve mouth dryness, chew sugarless gum or suck on ice chips or a
- piece of hard candy.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- anxiety; confusion; depression; disorientation; involuntary movements of the
- eyes, face, or limbs; muscle spasms; rash; or trembling of the hands.
-
- INTERACTIONS
-
- Metoclopramide interacts with several types of drugs:
- 1. Concurrent use of metoclopramide with other central nervous system
- depressants (such as alcohol, antihistamines, barbiturates, muscle relaxants,
- narcotics, pain medications, phenothiazine tranquilizers, benzodiazepine
- tranquilizers, and sleeping medications) or with tricyclic antidepressants can
- cause extreme drowsiness.
- 2. Narcotic analgesics may block the effectiveness of metoclopramide.
- 3. Metoclopramide can block the effectiveness of bromocriptine. It can
- also decrease the absorption of cimetidine and digoxin from the
- gastrointestinal tract, decreasing their effectiveness.
- 4. Metoclopramide can increase the absorption of acetaminophen,
- tetracycline, levodopa, and alcohol.
- 5. Diabetic patients should know that dosage requirements of insulin may
- change when metoclopramide is being taken.
- Before starting to take metoclopramide, BE SURE TO TELL YOUR DOCTOR about
- any medications you are currently taking, especially any of those listed
- above.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to metoclopramide, procaine, or procainamide.
- * Before starting to take metoclopramide, be sure to tell your doctor if
- you now have or if you have ever had epilepsy, kidney disease, liver disease,
- intestinal bleeding or blockage, Parkinson's disease, or pheochromocytoma.
- * If this drug makes you dizzy or drowsy, do not take part in any
- activities that require alertness, such as driving a car or operating
- potentially dangerous machinery.
- * Be sure to tell your doctor if you are pregnant. Extensive studies in
- women during pregnancy have not been conducted. Also, tell your doctor if you
- are breast-feeding an infant. Metoclopramide passes into breast milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-