Metocol1mg/ml
Rx- Generic:
- Metoclopramide Hydrochloride
- Company:
- Opsonin Pharma Limited
- Dosage form:
- Syrup
- Pack size:
- 15ml bot
৳ 10.63/unit
Pack: ৳ 10.63
At a glance
Metoclopramide Hydrochloride — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Metoclopramide Hydrochloride is a prescription medicine used to treat nausea, vomiting, and prevent the feeling of fullness during or shortly after a meal. It also treats stomach discomfort, or heartburn caused by the flow of the stomach contents back into your food pipe. Metoclopramide Hydrochloride is taken before meals preferably at bedtime in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should take this medicine until your doctor tells you to stop. Let your doctor know about all other medications you are taking as some may affect, or be affected by this medicine. The most common side effects are restlessness, fatigue, and lack of energy. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It also causes drowsiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness. This medicine may also cause diarrhea, so it is better to take plenty of fluids while taking this medicine as it may help to prevent dehydration. Before taking this medicine, you should let your doctor know if you have liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor. Metoclopramide Hydrochloride is a prokinetic. It works on the region in the brain that controls vomiting. It also acts on the upper digestive tract to increase the movement of the stomach and intestines, allowing food to move more easily through the stomach.
Indications
• Nausea • Vomiting • Indigestion
Mechanism of action
Metoclopramide enhances the motility of the upper GI tract and increases gastric emptying without affecting gastric, biliary or pancreatic secretions. It increases duodenal peristalsis which decreases intestinal transit time, and increases lower oesophageal sphincter tone. It is also a potent central dopamine-receptor antagonist and may also have serotonin-receptor (5-HT3) antagonist properties.
Dosage
Adult Dose: Oral Diabetic gastric stasis Adult: 10 mg 4 times daily for 2-8 wk. Nausea and vomiting associated with cancer chemotherapy or radiotherapy Adult: 10 mg, up to tid. Max duration: 5 days. Gastro-oesophageal reflux disease Adult: 10-15 mg 4 times daily, depending on severity of symptoms. If symptoms are intermittent, may give single doses of 20 mg prior to provoking situation. Max duration: 12 wk. Elderly: 5 mg/dose. Parenteral Diabetic gastric stasis Adult: 10 mg 4 times daily by IM inj or slow IV inj over 1-2 min for up to 10 days. Convert to oral admin when symptoms subside sufficiently. Intravenous Prophylaxis of chemotherapy-induced nausea and vomiting Adult: For highly emetogenic drugs/regimens: Initially, 2 mg/kg by slow inj over at least 15 min, 30 min before chemotherapy. Repeat 2 hrly for 2 doses, then 3 hrly for 3 doses. For less emetogenic drugs/regimens: 1 mg/kg may be used. Max duration: 5 days. Premedication for radiologic examination of the upper gastrointestinal tract; Intubation of the small intestine Adult: 10 mg as a single dose by slow inj over 1-2 min. Parenteral Prophylaxis of postoperative nausea and vomiting Adult: 10 mg as a single dose by IM or slow IV inj over at least 3 min. Hepatic impairment: Severe: Reduce dose by 50%. Child Dose: Small Bowel Intubation/Radiologic Examination of Upper GI Tract 14 years old: 10 mg IV over 1-2 minutes Gastroesophageal Reflux Disease Neonate: 0.15 mg/kg IV q6hr Infant: 0.1 mg/kg IV/IM/PO q6-8hr 30 minutes before meals and at bedtime Not to exceed 0.3-0.75 mg/kg/day Diabetic Gastroparesis 6 years old: 0.5 mg/kg/day PO divided q8hr Postoperative Nausea & Vomiting 0.1-2 mg/kg IV q6-8hr PRN Chemotherapy-Induced Nausea & Vomiting 1-2 mg/kg IV (infused over at least 15 minutes) 30 minutes before chemotherapy; repeat q2-4hr; pretreatment with diphenhydramine decreases risk of extrapyramidal adverse effects Renal Dose: Renal impairment: CrCl <40 mL/min, decrease dose by 50%; CrCl <10 mL/min, decrease dose by 75%
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metoclopramide Hydrochloride is to be taken empty stomach.
Missed dose
If you miss a dose of Metoclopramide Hydrochloride, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Side effects
Common: • Restlessness • Sleepiness • Fatigue
Precautions & warnings
[UNSAFE] Metoclopramide Hydrochloride may cause side effects which could affect your ability to drive. Metoclopramide Hydrochloride may cause drowsiness, dizziness, dyskinesia and dystonias which could affect the vision and may interfere with the ability to drive. Metoclopramide Hydrochloride helps relieve nausea and vomiting. It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you. Avoid consuming alcohol when taking Metoclopramide Hydrochloride as it may cause excessive drowsiness. Inform your doctor if you get watery diarrhea, fever, or stomach pain that does not go away.
Contraindications
GI haemorrhage, mechanical obstruction or GI perforation; confirmed or suspected pheochromocytoma; history of neuroleptic or metoclopramide-induced tardive dyskinesia; epilepsy, Parkinson's disease; history of methaemoglobinaemia w/ metoclopramide or of NADH cytochrome-b5 deficiency. Concomitant use w/ levodopa or dopaminergic agonists.
Drug interactions
Increased sedative effects with CNS depressants. GI effects antagonised by antimuscarinics and opioids. Reduces absorption of digoxin. Increases absorption of ciclosporin, levodopa, aspirin, paracetamol. Interferes with hypoprolactinaemic effect of bromocriptine. Inhibits serum cholinesterase and prolongs neuromuscular blockade produced by suxamethonium and mivacurium. Potentially Fatal: Serotonin syndrome with sertraline (SSRI).
Food interactions
[UNSAFE] It is unsafe to consume alcohol with Metoclopramide Hydrochloride.
Use in pregnancy
[SAFE IF PRESCRIBED] Metoclopramide Hydrochloride is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
Use in lactation
[CONSULT YOUR DOCTOR] Metoclopramide Hydrochloride is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Renal / hepatic impairment
[CAUTION] Metoclopramide Hydrochloride should be used with caution in patients with kidney disease. Dose adjustment of Metoclopramide Hydrochloride may be needed. Please consult your doctor. [SAFE IF PRESCRIBED] Metoclopramide Hydrochloride is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Metoclopramide Hydrochloride may not be needed in these patients. Please consult your doctor.
Common questions
To stop Vomiting in Road Travel Tab Perinorm 1 tab at least 2 hour before travel advise Medicine for gastroparises Try tab perinorm thrice daily first I delivered child lastmonth i haven't sufficient milIk to feeding my child pls help me You can take Perinorm tablets thrice a day to increase milk supply Management of Hyperemesis gravid I have taken diloxamine succinate but no control U can take perinorm too or emset sos I'm a breastfeeding mother. But my milk production is insufficient. How can I increase it? My baby is about 4 months old Take more milk around 2-3 glasses a day.If that doesn't help, take perinorm tablets My wife is 13 week pregnent her docter change her tablet from mvista to doxynate plus me I know the reason is both tablet aee same. Docter asked to taje doxynate plus 2 tablet at bed time.please suggest. Doxynate is tablet to stop vomiting dear. It is ok to take them at bed time. It is widely recommended to take for nausea and vomiting of pregnancy. I'm a lactating mother and my baby is 45days old now suddenly my milk production has reduced and baby is not getting enough milk. So is there any way i can increase it. I am following a good vegetable diet and having plenty of milk and water. Previously the pediatric doctor in my place has advice to feed the baby once in every 3hrs. The baby used to feel hungry after 2hrs we used to console the baby and give after another hr. During this time the excess milk used to come out during this time even the baby is not feeding. And after 2 weeks now the milk production is reduced and the baby is still hungry after feeding due to this. Pls advise and help Thankful to u Start with Tab Perinorm 5 mg 1 tab thrice a day x 3 days and let me know the status HB low, indigestion ,vomitings Take emcet tablet twice a day for vomiting. Do not worry, these are common symptoms of early pregnancy