Meclid 10 mg/2 ml (Injection)

2 ml ampoule: ৳ 3.77 (2 x 5: ৳ 37.70)

Medicine Details

Indications

  • Relief of symptoms in adults with acute and recurrent diabetic gastroparesis
  • Treatment of symptomatic, documented gastroesophageal reflux in adults who fail to respond to conventional therapy
  • Prevention of nausea and vomiting associated with emetogenic cancer chemotherapy
  • Relief of symptoms associated with acute and recurrent diabetic gastric stasis

Pharmacology

  • Metoclopramide blocks dopamine receptors
  • It 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 of 1 spray (15 mg) in one nostril for adults less than 65 years of age
  • Maximum of 4 sprays daily for 2 to 8 weeks, depending on symptomatic response
  • Administer 10 to 15 mg continuously or intermittently for gastroesophageal reflux
  • Administer 10 mg for acute and recurrent diabetic gastroparesis
  • Dosage for prevention of nausea and vomiting associated with emetogenic cancer chemotherapy
  • Usual adult dose for prevention of postoperative nausea and vomiting is 10 mg
  • Intravenous infusions should be made slowly over a period of not less than 15 minutes for cancer chemotherapy

Contraindications

  • Patients with a history of tardive dyskinesia (TD) or a dystonic reaction to metoclopramide
  • Stimulation of gastrointestinal motility might be dangerous in the presence of gastrointestinal hemorrhage, mechanical obstruction, or perforation
  • Patients with pheochromocytoma or other catecholamine-releasing paragangliomas
  • Patients with epilepsy
  • Patients with hypersensitivity to metoclopramide

Side Effects

  • Dysgeusia
  • Headache
  • Fatigue

Pregnancy & Lactation

  • Pregnancy Category B
  • Reproduction studies performed in rats, mice and rabbits have demonstrated no impairment of fertility or significant harm to the fetus due to metoclopramide
  • No adequate and well-controlled studies in pregnant women
  • The drug should be used during pregnancy only if clearly needed
  • Metoclopramide is excreted in human milk
  • Caution should be exercised when metoclopramide is administered to a nursing mother

Precautions & Warnings

  • Avoid concomitant use of other drugs known to cause TD/EPS/NMS
  • Depression and suicidal ideation/suicide: Avoid use

Therapeutic Class

  • Anti-emetic drugs
  • Prokinetic drugs

Storage Conditions

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

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