MRCEM Notes

Metoclopramide

Metoclopramide is a D2 receptor antagonist mainly used in the management of nausea. Other uses include:
  • gastro-oesophageal reflux disease
  • prokinetic action is useful in gastroparesis secondary to diabetic neuropathy
  • often combined with analgesics for the treatment of migraine (migraine attacks result in gastroparesis, slowing the absorption of analgesics)

Adverse effects
  • extrapyramidal effects: oculogyric crisis. This is particularly a problem in children and young adults
  • hyperprolactinaemia
  • tardive dyskinesia
  • parkinsonism
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