Metoclopramide

Metoclopramide is a treatment to prevent nausea (feeling sick) and vomiting (being sick). It is particularly used to treat nausea and vomiting following chemotherapy and radiotherapy, and in individuals who suffer from migraine headaches.

Can I get Metoclopramide online?

The doctors at The Online Clinic can prescribe Metoclopramide online in certain circumstances for patients with migraines. Please complete a consultation form to begin.

What is Metoclopramide?

Metoclopramide is an antiemetic, meaning it is effective in preventing nausea and vomiting. It does this by inhibiting the action of natural chemicals called dopamine and serotonin in the brain. It is also a prokinetic agent, as it increases the rate at which your stomach empties and moves food through your intestine, which help to relieve symptoms of nausea, vomiting, and heartburn.

How to use Metoclopramide

Take Metoclopramide exactly as your doctor has told you to. Metoclopramide is available as tablets, an oral solution, and as an injection. The injection is given into a vein or muscle by a doctor or nurse. Your prescription detailing how much, when, and how often to take your medicine will consider your condition. A reduction in the dose may be required for older people with any kidney, liver, or overall health problems and for adults with any liver problems.

Tablets may be broken along a score line for people who have difficulty swallowing tablets whole. To avoid an overdose, each dose of Metoclopramide must be taken at least 6 hours apart, even if you vomit or reject the medicine. You should avoid alcohol consumption, as it will enhance the drowsiness caused by Metoclopramide and may increase the expected levels of alcohol in your blood.

If you forget to take your medicine, take the forgotten dose as soon as you remember but do not take it if it is almost time for your next dose. Never make up for the missed dose by doubling the next dose. Get help from your doctor immediately if you take too much medicine as you may experience side effects that may require treatment.

Who can use Metoclopramide?

Adults, children over the age of 1 year, and elderly people can use Metoclopramide. Children younger than 1 year should not be given this medicine as they may experience uncontrollable movements.

You cannot take Metoclopramide if you are allergic to it. Additionally, Metoclopramide preparations can contain other ingredients to which you may be allergic or intolerant, including sugar, so tell your doctor about any concerns that you may have. You must also not take Metoclopramide if you have bleeding, a tear or an obstruction in your stomach; an adrenal gland tumour (pheochromocytoma), muscle spasms after taking medicines, epilepsy, Parkinson's disease, abnormal levels of blood pigment (methaemoglobinemia) or an enzyme involved in its production (NADH cytochrome b5), or taking medicines called dopaminergic agonists including Levodopa. Before taking Metoclopramide, also advise your doctor about any heart problems you have or have had and any medicines that you take that can affect heartbeat, problems with blood salt levels (e.g., sodium, potassium, and magnesium), or problems with your nervous system, liver or kidneys.

Metaclopramide can interact with other medicines affecting how they work and vice versa. Detail all your medicines to your doctor, especially treatments for Parkinson's disease (levodopa), stomach cramps or spasms (anticholinergics), muscle relaxants (mivacurium and suxamethonium), sedatives, severe pain (morphine), mental health problems including depression (fluoxetine and paroxetine), heart failure (digoxin), and the immune system (ciclosporin).

Metoclopramide side effects

Treatment must be stopped and medical attention sought immediately if you have uncontrollable movements, neuroleptic malignant syndrome, or an allergic reaction. Uncontrollable movements may involve the head or neck, occur in children or adolescents, occur at the start of treatment, and particularly with high Metoclopramide doses, but will stop with treatment. Neuroleptic malignant syndrome is indicated by a raised temperature, sweating, high blood pressure, salivation, and convulsions. Classical signs of an allergic reaction are itching, skin rash, breathing difficulties, and swelling of the face, lips or throat.

It is very common to feel drowsy, but uncommon to have uncontrollable movements (e.g., tics and shaking), muscle contraction (e.g., tremor and rigidity). Weakness, low blood pressure, and diarrhoea are quite common. Sometimes hallucinations, reduced consciousness and slow heartbeat are experienced, women have irregular periods, and men and non-breastfeeding women produce breastmilk, while rarely individuals report confusion and convulsions. Changes in skin colour, fainting, and heart attack have also been reported rarely.