DIGESTINE
METOCLOPRAMIDE RESINATE · by CONTINENTAL PHARMA
Composition
Cap 40 mg: Metoclopramide resinate 40 mg.
Indications & Dosage
Nausea and vomiting: Adults: 1 cap daily. Children: Not recommended.
Contraindications
Parkinsons disease, pyloric stenosis, dystonia, GI obstruction, recent GI surgery, perforation or haemorrhage, prolactin-dependent breast carcinoma, phaeochromocytoma,
Precautions
Metoclopramide should only be prescribed for short term use (up to 5 days) because of the risk of neurological effects (MHRA/CHM Advice). Caution for patients with porphyria, renal or hepatic impairment, asthma, atopic allergy, bradycardia, cardiac conduction disturbances, children, elderly, epilepsy.
Interactions
Anticholinergics, tetrabenazine, levodopa, Bromocriptine phenothiazines, butyrophenones, pergolide, narcotic analgesic, aspirin, paracetamol.
Pregnancy
Caution advised
Lactation
Caution advised
Side Effects
Neurological effects such as extra-pyramidal disorders and tardive dyskinesia, extra-pyramidal reactions, raised serum prolactin leading to galactorrhoea, gynaecomastia, hyperprolactinaemia, menstrual changes, anxiety, confusion, diarrhoea, dizziness, drowsiness, dyspnea, hypotension, oedema, pruritus, rash, restlessness, tardive dyskinesia on prolonged administration, tremor, urticaria, visual disturbances. Rare: Depression .methaemoglobinaemia (more severe in G6PD deficiency), neuroleptic malignant syndrome.