23 . November , 2017 - Thursday
Check todays hot topics or new products

Find a Drug: Advanced

Please Sign in or Register

All about: Apo-Metoclop

Big Image

Some commonly used brand names are:

In the U.S.—

  • Reglan

In Canada—

  • Apo-Metoclop
  • Metoclopramide omega
  • Nu-Metoclopramide
  • PMS-Metoclopramide

Generic name product may be available in the U.S.

Category

  • Dopaminergic blocking agent
  • Gastrointestinal emptying (delayed) adjunct
  • Peristaltic stimulant
  • Antiemetic

Description

Metoclopramide (met-oh-kloe-PRA-mide) is a medicine that increases the movements or contractions of the stomach and intestines. When given by injection, it is used to help diagnose certain problems of the stomach and/or intestines. It is also used by injection to prevent the nausea and vomiting that may occur after treatment with anticancer medicines. Another medicine may be used with metoclopramide to prevent side effects that may occur when metoclopramide is used with anticancer medicines.

When taken by mouth, metoclopramide is used to treat the symptoms of a certain type of stomach problem called diabetic gastroparesis. It relieves symptoms such as nausea, vomiting, continued feeling of fullness after meals, and loss of appetite. Metoclopramide is also used, for a short time, to treat symptoms such as heartburn in patients who suffer esophageal injury from a backward flow of gastric acid into the esophagus.

Metoclopramide may also be used for other conditions as determined by your doctor.

Metoclopramide is available only with your doctor's prescription. It is available in the following dosage forms:

  • Oral
  • Tablets (U.S. and Canada)
  • Oral Concentrate (U.S.)
  • Oral Solution (U.S. and Canada)
  • Parenteral
  • Injection (U.S. and Canada)

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For metoclopramide, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to metoclopramide, procaine, or procainamide. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Not enough studies have been done in humans to determine metoclopramide's safety during pregnancy. However, metoclopramide has not been shown to cause birth defects or other problems in animal studies.

Breast-feeding—Metoclopramide passes into the breast milk and may cause unwanted effects in nursing babies. Be sure you have discussed the risks and benefits of the medicine with your doctor.

Children—Muscle spasms, especially of jaw, neck, and back, and tic-like (jerky) movements of head and face may be especially likely to occur in children, who are usually more sensitive than adults to the effects of metoclopramide. Premature and full-term infants may develop blood problems if given high doses of metoclopramide.

Older adults—Shuffling walk and trembling and shaking of hands may be especially likely to occur in elderly patients after they have taken metoclopramide over a long time.

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking metoclopramide, it is especially important that your health care professional know if you are taking the following:

  • Central nervous system (CNS) depressants (medicine that causes drowsiness)—Use with metoclopramide may cause severe drowsiness

Other medical problems—The presence of other medical problems may affect the use of metoclopramide. Make sure you tell your doctor if you have any other medical problems, especially:

  • Abdominal or stomach bleeding or
  • Asthma or
  • Cirrhosis (liver disease) or
  • Congestive heart failure or
  • High blood pressure or
  • Intestinal blockage or
  • Mental depression or
  • Parkinson's disease or
  • Pheochromocytoma (catecholamine-producing tumor)—Metoclopramide may make these conditions worse
  • Epilepsy—Metoclopramide may increase the risk of having a seizure
  • Kidney disease (severe)—Higher blood levels of metoclopramide may result, possibly increasing the chance of side effects
  • Nicotinamide adenine dinucleotide (NADH) methemoglobin reductase deficiency—Metoclopramide may increase your chance of side effects affecting the blood.

Proper Use of This Medicine

Take this medicine 30 minutes before meals and at bedtime , unless otherwise directed by your doctor.

Take metoclopramide only as directed . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

To take metoclopramide oral concentrate : This medicine should be mixed with another liquid, such as water, juices, soda or soda-like beverages, or with a semi-solid food, such as applesauce or pudding.

Dosing—The dose of metoclopramide will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of metoclopramide. If your dose is different, do not change it unless your doctor tells you to do so.

The number of tablets or teaspoonfuls of solution that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking metoclopramide .

  • For oral dosage forms (concentrate, solution, or tablets):
    • To treat the symptoms of a stomach problem called diabetic gastroparesis:
      • Adults and teenagers—10 milligrams (mg) thirty minutes before symptoms are likely to begin or before each meal and at bedtime. The dose may be taken up to four times a day. However, most people usually will not take more than 500 micrograms (mcg) per kilogram (kg) (227 mcg per pound) of body weight a day.
      • Children—Dose must be determined by your doctor.
    • For heartburn:
      • Adults and teenagers—10 to 15 mg thirty minutes before symptoms are likely to begin or before each meal and at bedtime. The dose may be taken up to four times a day. However, most people usually will not take more than 500 mcg per kg (227 mcg per pound) of body weight a day.
      • Children—Dose must be determined by your doctor.
    • To increase movements or contractions of the stomach and intestines:
      • Children 5 to 14 years of age—2.5 to 5 mg three times a day, thirty minutes before meals.
  • For injection dosage form:
    • To increase movements or contractions of the stomach and intestine:
      • Adults and teenagers—10 mg injected into a vein.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 1 mg per kilogram (kg) (0.45 mg per pound) of body weight injected into a vein. Your doctor may repeat this dose after sixty minutes if needed.
    • To prevent nausea and vomiting caused by anticancer medicines:
      • Adults and teenagers—Dose is based on body weight and must be determined by your doctor. The usual dose is 1 to 2 mg per kg (0.45 to 0.9 mg per pound) of body weight, injected slowly into a vein, thirty minutes before you take your anticancer medicine. Your doctor may repeat this dose every two or three hours if needed. Some people may need a larger dose to start.
      • Children—1 mg per kg (0.45 mg per pound) of body weight injected into a vein. Your doctor may repeat this dose after sixty minutes if needed.
    • To prevent vomiting after surgery:
      • Adults and teenagers—10 to 20 mg injected into a muscle near the end of surgery.
      • Children—Dose must be determined by your doctor.

Missed dose—If you miss a dose of this medicine, 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 dosing schedule. Do not double doses.

Storage—To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store the tablet form of this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Keep the concentrate and solution forms of this medicine from freezing.
  • Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

This medicine will add to the effects of alcohol and other CNS depressants (medicines that cause drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine .

This medicine may cause some people to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert .

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Rare

Abdominal pain or tenderness; chills; clay colored stools; convulsions; dark urine; difficulty in breathing; difficulty in speaking or swallowing; dizziness or fainting; fast or irregular heartbeat; fever; general feeling of tiredness or weakness; headache (severe or continuing); inability to move eyes; increase in blood pressure; increased sweating; itching; lip smacking or puckering; loss of appetite; loss of balance control; loss of bladder control; mask-like face; muscle spasms of face, neck, and back; nausea and vomiting; puffing of cheeks; rapid or worm-like movements of tongue; shuffling walk; skin rash; sore throat; stiffness of arms or legs; swelling of feet or lower legs; trembling and shaking of hands and fingers; tic-like or twitching movements; twisting movements of body; uncontrolled chewing movements; uncontrolled movements of arms and legs; unusually pale skin; weakness of arms and legs; yellow eyes or skin

With high doses—may occur within minutes of receiving a dose of metoclopramide and last for 2 to 24 hours

Aching or discomfort in lower legs; panic-like sensation; sensation of crawling in legs; unusual nervousness, restlessness, or irritability

Symptoms of overdose—may also occur rarely with usual doses, especially in children and young adults, and with high doses used to treat the nausea and vomiting caused by anticancer medicines

Confusion; convulsions (seizures); drowsiness (severe)

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common

Diarrhea—with high doses; drowsiness; restlessness

Less common or rare

Breast tenderness and swelling; changes in menstruation; constipation; decreased interest in sexual intercourse; inability to have or keep an erection; increased flow of breast milk; increased need to urinate; loss in sexual ability, desire, drive, or performance; mental depression; nausea; passing urine more often; skin rash; trouble in sleeping; unusual dryness of mouth; unusual irritability

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Additional Information

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, metoclopramide is used in certain patients with the following medical conditions:

  • Failure of the stomach to empty its contents
  • Nausea and vomiting caused by other medicines
  • Persistent hiccups
  • Prevention of aspirating fluid into the lungs during surgery
  • Vascular headaches

Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.

Revised: 04/02/2004

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.

Recent Drug Updates at DrugIndexOnline:





Aricept ODT Aricept ODT
Some commonly used brand names are: In the U.S.— Aricept Aricept ODT Another commonly used name is E2020 . Category Dementia symptoms treatment adjunct Description Donepezil (doe-NEP-ah-zil) is used to treat the symptoms of mild to moderate Alzheimer's disease. Donepezil will not more...

Drospirenone And Ethinyl Estradiol Drospirenone And Ethinyl Estradiol
Some commonly used brand names are: In the U.S.— Yasmin *† Not commercially available in the U.S. and Canada. Category Contraceptive, female Description Drospirenone and Ethinyl Estradiol(draw-SPEER-a-none and ETH-in-il es-tra-DYE-ole) This medicine is known also as the Pi more...

Finac Topical Finac Topical
Some commonly used brand names are: In the U.S.— Cuticura Ointment Finac Fostex Regular Strength Medicated Cover-Up Fostril Lotion Lotio Alsulfa Sulpho-Lac In Canada— Fostex CM Fostril Cream Generic name product may be available in the U.S. and Canada. Category Antiacne agent more...

Fostex Bar 10% Fostex Bar 10%
Generic Name: benzoyl peroxide topical (BEN zoe ill per OX ide) Brand Names: Acne Treatment, Acne-10, Acne-Clear, Ben-Aqua, Benoxyl 10, Benoxyl 5, Benzac, Benzac AC, Benzac W, Benzagel Wash, Benzagel-10, Benzagel-5, Benzashave 10, Benzashave 5, Benziq, Benziq LS, Benziq Wash, Brevoxyl, Br more...

Liquihistine DM Liquihistine DM
Generic Name: brompheniramine/dextromethorphan/phenylpropanolamine (brome fen IR a meen/dex troe meth OR fan/fen ill proe pa NOLE a meen) Brand Names: Delhistine DM, Dimetapp Cold and Cough Liquigel, Dimetapp DM, DM Cold and Cough, Histinex DM, Iohist DM, Liquihistine DM, Poly DM, Poly Hi more...

lubiprostone lubiprostone
Generic Name: lubiprostone (loo bee PROS tone) Brand Names: Amitiza What is lubiprostone? Lubiprostone increases the secretion of fluid in your intestines to help make it easier to pass stools (bowel movements). Lubiprostone is used to treat chronic constipation. Lubiprostone may also be more...

Molindone Hydrochloride Molindone Hydrochloride
Pronouncation: (moe-LIN-dohn HIGH-droe-KLOR-ide) Class: Dihydroindolone derivative Trade Names: Moban - Tablets 5 mg - Tablets 10 mg - Tablets 25 mg - Tablets 50 mg Mechanism of Action Pharmacology Unknown. Exerts its effect on ascending reticular activating system. Pharmacokinetics Absorption Moli more...

Phenelzine Sulfate Phenelzine Sulfate
Pronouncation: (FEN-uhl-zeen SULL-fate) Class: MAO inhibitor Trade Names: Nardil - Tablets 15 mg (as sulfate) Mechanism of Action Pharmacology Phenelzine blocks activity of enzyme MAO, thereby increasing monoamine (eg, epinephrine, norepinephrine, serotonin) concentrations in CNS. Pharmacokinetics more...