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At a glance

Domperidone is a prokinetic medication used for the treatment of nausea, vomiting, and indigestion.

Indications
  • Dyspeptic symptom complex (fullness, bloating, heartburn)
  • Nausea and vomiting
  • Non-ulcer dyspepsia
  • Dopamine-agonist-induced nausea and vomiting in Parkinson's disease
Pharmacology

Domperidone is a dopamine antagonist that principally blocks the dopamine receptors located in the Chemoreceptor Trigger Zone (CTZ) and stomach. Its gastroprokinetic action is based on its blocking effect of dopamine receptors that have an influence on the motility of the gastrointestinal tract.

Dosage

Adult (Nausea/Vomiting): 10-20 mg every 4-8 hours (max 80 mg/day).
Adult (Dyspepsia): 10 mg 3-4 times daily (max 20 mg 3-4 times daily, last dose at bedtime).
Child: 0.2-0.4 mg/kg every 4-8 hours.

Side effects

Common: Headache, dry mouth, stomach pain, diarrhea.
Rare: Transient intestinal cramps, extrapyramidal reactions (in children), hyperprolactinemia (galactorrhea, gynecomastia), allergic reactions.

Use in pregnancy

Pregnancy Category C. Use during pregnancy only if clearly needed and under medical advice.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

May affect driving ability (drowsiness, dizziness). Avoid alcohol. Do not use in GI hemorrhage, obstruction, or perforation. Do not use for longer than 7 days without consulting your doctor. Caution in liver and kidney disease.

Overdose effects

Overdose may cause drowsiness, disorientation, extrapyramidal reactions (especially in children); activated charcoal and observation; anticholinergic drugs may be helpful.

Storage conditions

Keep below 30°C temperature, away from light & moisture.

Domperidone — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.