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| Pronunciation |
|
 (met
oh kloe PRA
mide) |
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| Brand Names |
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| Reglan® |
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| Foreign Brand
Names |
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| Apo-Metoclop® (Canada); Carnotprim
Primperan® (Mexico); Carnotprim Primperan® Retard
(Mexico); Maxeran® (Canada); Meclomid (Mexico); Plasil (Mexico);
Pramotil (Mexico) |
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| Therapeutic
Categories |
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|
Gastrointestinal Agent, Prokinetic |
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| Reasons not to take this
medicine |
|
|
- If you have an allergy to metoclopramide or any other part of the
medicine.
- If you have any of the following conditions: Blockage of the
gastrointestinal tract, hole in the gastrointestinal tract, bleeding in the
gastrointestinal tract, seizure history,
pheochromocytoma.
|
|
|
| What is this medicine used
for? |
|
|
- This medicine is used for the treatment of nighttime heartburn due to
gastroesophageal reflux in patients who do not respond to lifestyle changes,
antacids, and gastric acid reducing medicine. Lifestyle changes include avoiding
alcohol, quitting smoking, elevating the head of the bed, avoiding large meals
before bed, losing weight, avoiding fatty foods, chocolate, caffeine, or citrus.
- It can also be used in patients receiving tube feedings who have high
residuals, and in patients with gastroparesis, refractory constipation, and
nonulcer dyspepsia.
|
|
|
| How does it work? |
|
|
- Metoclopramide increases gastric emptying of solid and liquid food and
decreases symptoms of nausea, vomiting, heartburn, and
fullness.
|
|
|
| How is it best taken? |
|
|
- Take 15-30 minutes before meals and at bedtime.
- A liquid (solution, syrup) is available if you cannot swallow pills.
Those who have feeding tubes can also use the liquid. Flush the feeding tube
before and after medicine is given.
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|
| What do I do if I miss a
dose? |
|
|
- Take a missed dose as soon as possible if it is within 1 hour of
missing it.
- Otherwise, skip the missed one and return to your regular schedule.
- Do not take a double dose or extra doses. This can be very
dangerous.
|
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|
| What are the precautions when
taking this
medicine? |
|
|
- Avoid alcohol (includes wine, beer, and liquor). The medicine
increases alcohol's effect.
- Tell healthcare provider if you are allergic to any medicine. Make
sure to tell about the allergy and how it affected you. This includes telling
about rash; hives; itching; shortness of breath; wheezing; cough; swelling of
face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
pregnant.
- Do not use if you are
breast-feeding.
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| What are the common side effects
of this
medicine? |
|
|
- Belly pain and cramps.
- Constipation. More liquids, regular exercise, or a fiber-containing
diet may help. Talk with healthcare provider about a stool softener or laxative.
- Diarrhea.
- Headache. Mild pain medicine may
help.
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| What should I monitor? |
|
|
- Reflux symptoms. If not improved talk, with healthcare
provider.
|
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|
| Reasons to call healthcare
provider
immediately |
|
|
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Passing out, fainting, dizziness, lightheadedness, or irregular
heartbeat (pulse).
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| How should I store this
medicine? |
|
|
- Store in a tight, light-resistant container at room
temperature.
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| General statements |
|
|
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
vitamins).
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