Metoclopramide

This page contains recent news articles, when available, and an overview of Metoclopramide but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Metoclopramide
(when available)

Pharmacology and use:
Metoclopramide, although chemically related to procainamide, does not possess local anesthetic or antiarrhythmic properties. Metoclopramide is used to enhance GI motility, to treat diabetic gastroparesis, as an antinauseant, and to facilitate intubation of the small bowel during radiologic examination. Metoclopramide may be used to treat chemotherapy-induced emesis and as a radiosensitizing agents in the treatment of non-small cell lung carcinoma and glioblastomas in the future. For the treatment of gastroesophageal reflux disease (GERD)

Mechanism Of Action:
Metoclopramide inhibits gastric smooth muscle relaxation produced by dopamine, therefore increasing cholinergic response of the gastrointestinal smooth muscle. It accelerates intestinal transit and gastric emptying by preventing relaxation of gastric body and increasing the phasic activity of antrum. Simultaneously, this action is accompanied by relaxation of the upper small intestine, resulting in an improved coordination between the body and antrum of the stomach and the upper small intestine. Metoclopramide also decreases reflux into the esophagus by increasing the resting pressure of the lower esophageal sphincter and improves acid clearance from the esophagus by increasing amplitude of esophageal peristaltic contractions. Metoclopramide's dopamine antagonist action raises the threshold of activity in the chemoreceptor trigger zone and decreases the input from afferent visceral nerves. Studies have also shown that high doses of metoclopramide can antagonize 5-hydroxytryptamine (5-HT) receptors in the peripheral nervous system in animals.

News Articles on Metoclopramide

FDA requires black box warning-Reglan may cause permanent injury!  -  ‎Apr 14, 2009‎
Metoclopramide has been linked to tardive dyskinesia a rarely curable condition which causes constant involuntary repetitive movements of the extremities, NewYorkInjuryNews

Motion Filed to Consolidate Reglan Tardive Dyskinesia Lawsuits  -  ‎Apr 8, 2009‎
The plaintiffs in all of the known tardive dyskinesia lawsuits filed against the makers of Reglan and other Metoclopramide-containing drugs, AboutLawsuits.com

Black Box Warning for Reglan | InjuryBoard Philadelphia  -  ‎Mar 31, 2009‎
Reglan is one of a group of drugs containing metoclopramide, which is used to treat gastrointestinal disorders. According to the FDA, except for rare cases, InjuryBoard.com

The Banality of Marijuana in Medical Education  -  ‎Mar 30, 2009‎
Another anti-vomiting drug, metoclopramide, can lead to tardive dyskinesia (Parkinsonism). Scopalamine, yet another, features a whole slew of Culture11

Drug-Induced Dementia and Delirium Common in Seniors But Often ...  -  ‎Apr 1, 2009‎
...metoclopramide (Reglan); and drugs in the benzodiazepine category such as popular sleeping pills Ambien (zolpidem) and Lunesta (eszopiclone). Common Dreams (press release)

Infant Formula  -  ‎Apr 1, 2009‎
Craig WR, Hanlon-Dearman A, Sinclair C, Taback S, Moffatt M. Metoclopramide, thickened feedings, and positioning for gastro-oesophageal reflux in children AAFP News Now

Life Sciences: Competition & Antitrust Update  -  ‎Apr 1, 2009‎
...and Barr’s generic: 1) metoclopramide HCl tablets; 2) cyclosporine liquid; 3) cyclosporine capsules; 4) desmopressin acetate tablets; 5) epop; Linex Legal

FDA Requires Boxed Warning for Metoclopramide Products  -  ‎Mar 11, 2009‎
By News Staff The FDA is requiring manufacturers of metoclopramide products to add a boxed warning to their product labels about the risk of long-term or AAFP News Now

FDA Requires Boxed Warning For Metoclopramide Drugs  -  ‎Feb 26, 2009‎
By Jennifer Corbett Dooren WASHINGTON -(Dow Jones)- The US Food and Drug Administration said Thursday it was requiring manufacturers of metoclopramide, CNNMoney.com

Metoclopramide In Heartburn Drug Reglan: Risk of Tardive ...  -  ‎Mar 3, 2009‎
FDA is putting a black box warning (the strongest FDA warning) on all drugs containing the pharmaceutical ingredient metoclopramide (Reglan), which is used US Recall News (press release)

Gastrointestinal drug gets 'black box' warning  -  ‎Mar 6, 2009‎
By Jill U. Adams Late last month, the Food and Drug Administration ruled that makers of the drug metoclopramide must put the strongest so-called black-box Los Angeles Times

Metozolv Needs REMS, Black Box Warning, FDA Says  -  ‎Mar 13, 2009‎
The agency sent its complete response letter to Wilmington a day after announcing it would require all makers of drugs containing metoclopramide to have a FDA news (subscription)

Migraines in the Emergency Department: Which Therapy Is Best?  -  ‎Mar 12, 2009‎
Randomized, placebo-controlled evaluation of prochlorperazine versus metoclopramide for emergency department treatment of migraine headache. Ann Emerg Med. Medscape

Salix announces FDA complete response letter for Metozolv ODT  -  ‎Feb 27, 2009‎
Also, in a separate action, the FDA issued a class-wide requirement for all manufacturers of metoclopramide in the US to provide a risk evaluation and Trading Markets (press release)

Morning, noon and night sickness  -  ‎Mar 16, 2009‎
Allan was prescribed metoclopramide and Cyclizine (also known as Valoid). “I took Valoid, 50mgs three a day from 25 weeks through to the day she was born. Irish Times

Blackbox Warning Recommended for Class of Stomach Drugs  -  ‎Feb 27, 2009‎
The drugs contain an ingredient called metoclopramide which is believed to be the cause of the condition. Regulators say that people taking the class of HealthKnowItAll

Courts, Post-Conte, Decline to Recognize Innovator Liability Theory  -  ‎Mar 17, 2009‎
...brand manufacturers could still be held liable for allegedly failing to adequately warn doctors about the risks associated with generic metoclopramide. Mondaq News Alerts (registration)

Upsetting your Stomach-diabetes and the GI system Part 1  -  ‎Mar 5, 2009‎
The two most commonly used are called Metoclopramide and Erythromycin. All who want gastroparesis raise your hand! No takers? Hmm, I thought so. Searchlight Newspaper

Salix Pharmaceuticals Reports 4Q2008 and FY2008 Results  -  ‎Mar 11, 2009‎
...“We believe total Company product revenue for 2009 will be $230 million to $235 million, not including revenue from METOZOLV™ (metoclopramide) ODT, PharmaLive.com (press release)

Skipping antiemetic medication on day 2 improves outcome  -  ‎Mar 10, 2009‎
Starting on day 2, all patients received metoclopramide 10 mg po every 8 hours (days 2, 3, and 4), dexamethasone 8 mg daily (days 2 and 3), and ranitidine American Journal of Hemotology and Oncology

California Appeals Court Ruling May Lead to Direct Liability for ...  -  ‎Mar 5, 2009‎
...developed tardive dyskinesia, an incurable and de- bilitating neurological disorder, as a result of taking metoclopramide for a period of four years. Linex Legal

Treatment of restless legs syndrome with iron infusion therapy  -  ‎Mar 9, 2009‎
Ask also about substances or medications that can aggravate restless legs symptoms, such as nicotine, caffeine, SSRIs, TCAs, metoclopramide, Journal of the American Academy of Physician Assistants

10-K: SALIX PHARMACEUTICALS LTD  -  ‎Mar 11, 2009‎
...(metoclopramide) Gastroparesis and refractory Complete response gastroesophageal reflux letter received February 26, 2009 Crofelemer HIV-associated diarrhea MarketWatch (press release)

Amicus halts trial enrollment; FDA wants more Televancin data;  -  ‎Feb 27, 2009‎
Report > FDA is slapping a black-box warning on Reglan (metoclopramide) drugs, widely used by patients with chronic heartburn and other gastrointestinal FierceBiotech

This awful burning sensation  -  ‎Mar 4, 2009‎
Motility stimulants like metoclopramide (Apo-Metoclop) make the stomach empty faster and in the right direction - downwards. They also help the ring of Jamaica Gleaner

Is botulinum toxin injection of the pylorus during Ivor–Lewis ...  -  ‎Mar 11, 2009‎
Metoclopramide (Reglan, Baxter Pharmaceutical), erythromycin, and esomeprazol (Nexium, AstraZeneca Pharmaceuticals) were started on the day of the operation The Journal of Thoracic and Cardiovascular Surgery

Doctor's advice: Migraine misery  -  ‎Feb 20, 2009‎
In addition, if you also take a tablet called metoclopramide, that will help delay the shutdown of the stomach. QI am an 18-year-old woman and I started Jamaica Gleaner

Reglan Side Effects "Frightening"  -  ‎Mar 3, 2009‎
About one year ago she began to develop facial tics without realizing they were metoclopramide side effects. "I had gastric bypass surgery on July 31, Lawyers and Settlements

The Mulligan Law Firm Is Now Evaluating Potential Reglan® Injury Cases  -  ‎Feb 28, 2009‎
Reglan® (which has the generic name of metoclopramide) is a prescription drug that is intended for short-term use for the treatment of gastroesophageal Emediawire (press release)

Ciprofloxacin Teva  -  ‎Mar 2, 2009‎
Caution: CYP1A2 substrates, phenytoin, oral anticoagulants, NSAIDs, ciclosporin, glibenclamide, mexiletine, probenecid, metoclopramide, benzodiazepine, Irish Medical Times

One single fibre can be fatal  -  ‎Mar 4, 2009‎
He takes painkillers and two kinds of morphine to numb the pain; folic acid tablets to maintain his appetite; tamizipan to help him sleep; metoclopramide to Tribune

腸胃病藥æ??致肌肉失調  -  ‎Mar 1, 2009‎
...美國食å“?暨藥物管ç?†å±€æ˜¨è¦?求, 凡å?«æœ‰Metoclopramide æˆ?分的腸胃疾病用藥, 應在包è£?加註最嚴格的警語, æ??醒長期或高劑é‡?用藥, æ??導致é?²ç™¼æ€§é?‹å‹•失調, å?³èº«é«”出ç?¾ 壹蘋果生活網

消化異常用藥易引起é?‹å‹•障礙  -  ‎Feb 27, 2009‎
...美國食å“?暨藥物管ç?†å±€ï¼ˆFDA):昨日公布,長期或高劑é‡?使用å?«Metoclopramideæˆ?分藥å“?,å?¯èƒ½å°Žè‡´å‡ºç?¾é?žè‡ªä¸»æ€§ã€?或é‡?複性的肌肉é?‹å‹•障礙,甚至å?œè—¥å¾Œä»?有該症狀,è¦?求該 聯合新聞網

美 ‘메토í?´ë¡œí”„ë?¼ë¯¸ë“œâ€™ 블랙박스 경고  -  ‎Feb 26, 2009‎
...미국ì—?서 ì†?쓰림약 '메토í?´ë¡œí”„ë?¼ë¯¸ë“œ'(metoclopramide)ê°€ 지연발ìƒ? ìš´ë?™ì?´ìƒ?ì¦? 위험ì—? 대한 블랙박스 경고를 받게 ë??다. FDA는 메토í?´ë¡œí”„ë?¼ë¯¸ë“œì—? 대해 고용량 ë˜?는 디지틀보사

FDA, 소화제 '멕소롱' 부작용 경고  -  ‎Feb 26, 2009‎
...[메디컬투�� 곽�� 기�] 백스터 �터내셔�사를 비롯한 여러 회사�서 제조하는 '메토�로프�마�드(metoclopramide)' 성분� 함유한 알약, 시럽, Medical Today

타는듯한 ì†?쓰림 ì‹?사습관 ê³ ì³?ë?¼  -  ‎Mar 9, 2009‎
FDAì—?서는 최근 미국 ë‚´ 200만명ì?´ 사용하는 메토í?´ë¡œí”„ë?¼ë§ˆì?´ë“œ(metoclopramide) 성분ì?´ 들어 있는 치료제ì—? 대해 새로운 경고 조치를 내렸다. 미주 한국일보

Bolivia pierde donación de fármacos VIH|sida  -  ‎Feb 19, 2009‎
Algunos de los medicamentos que expiraron son solución ringer lactato (suero), retrovir (antirretroviral), metoclopramide (anti emético que evita los Los Tiempos

Langzeitanwendung: FDA warnt vor Spätdyskinesie unter Metoclopramid  -  ‎Mar 3, 2009‎
FDA Requires Boxed Warning and Risk Mitigation Strategy for Metoclopramide-Containing Drugs. 26. Februar 2009. Foto: FDA. Apotheker Zeitung

When Is a Headache Over?  -  Feb 2, 2009
A randomized controlled trial of prochlorperazine versus metoclopramide for treatment of acute migraine. Ann Emerg Med. 2008;52:399-406. Medscape

Metoclopramide for severe nausea and vomiting in early pregnancy  -  Jan 21, 2009
We haven't reviewed the studies of metoclopramide (brand name Maxolan) to the same scientific standards that we use to judge studies of other treatments. guardian.co.uk,

Wyeth Held Liable in Case Where Patient Never Took the Company’s Drug  -  Jan 22, 2009
She developed tardive dyskinesia, a debilitating and incurable neurological disorder, after taking generic metoclopramide for almost four years between BNET,

What's the evidence for ergotamine drugs?  -  Jan 21, 2009
One small study of 250 people compared ergotamine plus caffeine with aspirin plus a drug to stop you feeling sick (called metoclopramide). guardian.co.uk,

Court Rules That Generic Drug Manufacturer Cannotb Use "Preemption ...  -  Jan 15, 2009
Public Justice represents Ethel Kellogg, who was prescribed metoclopramide to remedy her gastroesophageal reflux disease. The drug caused her to suffer InjuryBoard.com,

Treatments for migraine attacks in children  -  Jan 21, 2009
You can also get metoclopramide combined with the painkiller paracetamol. Its brand name is Paramax. It's only recommended for children and teenagers over guardian.co.uk,

Promoting Medication Adherence in the Oral Age  -  Jan 29, 2009
Other commonly used medications, including metoclopramide, proton pump inhibitors, antacids, and selective serotonin reuptake inhibitors may also impact Oncology Nursing News,

Calif. Supreme Court OKs lawsuit against Wyeth  -  Jan 23, 2009
Wyeth and there generic drug manufacturers of failing to warn doctors about the drug's possible side effects of Reglan, also known as metoclopramide. Legal News Line,

What treatments work for GORD?  -  Jan 21, 2009
They are sometimes used for GORD. The most common ones are domperidone (Motilium) and metoclopramide (Maxolon). More guardian.co.uk,

What's the evidence for aspirin?  -  Jan 21, 2009
In general, aspirin on its own, or combined with a drug that stops you feeling sick (metoclopramide), worked better than a placebo in giving people relief guardian.co.uk,

Woman jailed for forging prescriptions  -  Jan 16, 2009
On December 6 she used another false name to obtain Amoxicillin Metoclopramide from Malton Hospital, and then presented a prescription at Beecham pharmacy Bridlington Today,

32 Ulmer & Berne LLP Attorneys Chosen as Ohio Super Lawyers for ...  -  Jan 26, 2009
Recent national counsel engagements have included ADHD, antidepressant, hormone-replacement-therapy, metoclopramide, ephedra, and fen/phen litigations, MarketWatch (press release)

She's neither a doctor nor a woman, now she's under arrest  -  Jan 14, 2009
Cappellucci said she obtained Metoclopramide and Proxicam at a local Wal-Mart pharmacy, and she still has the containers to prove it. Press of Atlantic City,

A bad taste over mouth irritation  -  Dec 21, 2008
I do take Nexium and metoclopramide for bile and digestive problems. I have tried eliminating these, but it does not seem to help at all. Chicago Daily Herald,

FTC Intervenes in Teva Pharmaceutical Industries’ Proposed $8.9 ...  -  Dec 20, 2008
The consent agreement also requires the companies to assign and divest to Watson all of Barr’s rights and assets for generic: 1) metoclopramide HCl tablets; 7thSpace Interactive (press release),

Steps taken to recover costs of substandard drugs- Healthcare and ...  -  Dec 22, 2008
Metoclopramide 500 mg tablet, Ceturoxime injection 750 mg, Ferrous sulphate 200 mg tablet, Ibuprofen 200 mg tablets, Paracetamol 500 mg tablets, Ceylon Daily News,

Reader is left with a bad taste  -  Dec 22, 2008
I do take Nexium and metoclopramide for bile and digestive problems. You are currently not logged into this site. Please log in or register for a FREE ONE Times and Transcript,

Salix In-Licenses Crofelemer from Napo Pharmaceuticals  -  Dec 10, 2008
METOZOLVâ„¢ ODT (metoclopramide), balsalazide tablet, vapreotide acetate and rifaximin for additional indications are under development. WELT ONLINE,

Brand Names/Synonyms:
Metoclopramide is also known by the following brand names and/or synonymsApo-Metoclop; CHEMBANK734; Cerucal; Clopra; Clopra-Yellow; Clopromate; DEL; DEL 1267; DEL-1267; Duraclamid; Elieten; Emetid; Emperal; Eucil; Gastrese; Gastro-Timelets; Gastrobid; Gastromax; Gastronerton; Gastrosil; Gastrotablinen; Gastrotem; Imperan; M0763; M117; Maxeran; Maxolon; Meclopran; Metaclopramide; Metaclopromide; Metamide; Methochlopramide; Methoclopramide; Metochlopramide; Metoclol; Metoclopramida [Inn-Spanish]; Metoclopramide; Metoclopramide Hcl; Metoclopramide Hydrochloride; Metoclopramide Intensol; Metoclopramide Omega; Metoclopramidum [Inn-Latin]; Metocobil; Metramid; Moriperan; Mygdalon; Neu-Sensamide; Nu-Metoclopramide; Octamide; Parmid; Paspertin; Peraprin; Plasil; Pms-Metoclopramide; Pramiel; Pramin; Primperan; Reclomide; Reglan; Reliveran; Terperan

Drug Category:
Metoclopramide is categorized under the following by the FDA: Antiemetics; Prokinetic Agents; Dopamine Antagonists; ATC:A03FA01

Dosage Forms:
LIQUID; SYRUP; TABLET

Absorption:
Rapidly and well absorbed (oral bioavailability 80±15.5%).

Interactions:
DRUG INTERACTIONS The effects of metoclopramide on gastrointestinal motility are antagonized by anticholinergic drugs and narcotic analgesics. Additive sedative effects can occur when metoclopramide is given with alcohol, sedatives, hypnotics, narcotics, or tranquilizers. The finding that metoclopramide releases catecholamines in patients with essential hypertension suggests that it should be used cautiously, if at all, in patients receiving monoamine oxi-dase inhibitors. Absorption of drugs from the stomach may be diminished (e.g., digoxin) by metoclopramide, whereas the rate and/or extent of absorption of drugs from the small bowel may be increased (e.g., acetaminophen, tetracycline, levodopa, ethanol, cyclosporine). Gastroparesis (gastric stasis) may be responsible for poor diabetic control in some patients. Exogenously administered insulin may begin to act before food has left the stomach and lead to hypoglycemia. Because the action of metoclopramide will influence the delivery of food to the intestines and thus the rate of absorption, insulin dosage or timing of dosage may require adjustment.



Chemical IUPAC Name:
4-amino-5-chloro-N-(2-diethylaminoethyl)-2-methoxy-benzamide

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