Motilon 10 mg/2 ml (Injection)

2 ml ampoule: ৳ 3.77 (10's pack: ৳ 37.70)

Medicine Details

Title

  • Metoclopramide Product

Categories

  • Medicine
  • Pharmaceuticals

Description

  • Metoclopramide is a medication used to treat symptoms such as nausea and vomiting, as well as diabetic gastroparesis. It comes in various forms including nasal spray, tablets, and injections.

Indications

  • Relief of symptoms in adults with acute and recurrent diabetic gastroparesis
  • Treatment of symptomatic, documented gastroesophageal reflux in adults
  • Prevention of nausea and vomiting associated with emetogenic cancer chemotherapy
  • Facilitates small bowel intubation in adults and pediatric patients

Pharmacology

  • Blocks dopamine receptors
  • Blocks serotonin receptors in the chemoreceptor trigger zone of the CNS
  • Enhances the response to acetylcholine of tissue in the upper GI tract
  • Accelerates gastric emptying without stimulating gastric, biliary, or pancreatic secretions
  • Increases lower esophageal sphincter tone

Dosage & Administration

  • Recommended dosage for adults under 65 years of age is 1 spray (15 mg) in one nostril, 30 minutes before each meal and at bedtime (maximum of 4 sprays daily) for 2 to 8 weeks
  • For gastroesophageal reflux, administer 10 to 15 mg, 30 minutes before each meal and at bedtime (maximum of 60 mg per day) for 4 to 12 weeks
  • For diabetic gastroparesis, administer 10 mg, 30 minutes before each meal and at bedtime (maximum of 40 mg per day) for 2 to 8 weeks
  • Dosage for prevention of nausea and vomiting associated with emetogenic cancer chemotherapy and postoperative nausea and vomiting varies based on the emetogenicity of the drugs and the patient's condition

Contraindications

  • History of tardive dyskinesia or dystonic reaction to metoclopramide
  • Stimulation of gastrointestinal motility might be dangerous such as in the presence of gastrointestinal hemorrhage, mechanical obstruction, or perforation
  • Patients with pheochromocytoma or other catecholamine-releasing paragangliomas
  • Patients with epilepsy
  • Hypersensitivity to metoclopramide

Side Effects

  • Dysgeusia
  • Headache
  • Fatigue

Pregnancy & Lactation

  • Pregnancy Category B
  • Caution advised when administered to a nursing mother

Precautions & Warnings

  • Avoid concomitant use of other drugs known to cause Tardive Dyskinesia (TD), Other Extrapyramidal Symptoms (EPS), and Neuroleptic Malignant Syndrome (NMS)
  • Avoid use in patients with Parkinson’s Disease
  • Discontinue if symptoms occur and seek immediate medical attention
  • Avoid use in cases of depression and suicidal ideation/suicide

Therapeutic Class

  • Anti-emetic drugs
  • Prokinetic drugs

Storage Conditions

  • Store between 20-25°C
  • Protect from light

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