Product image of Metoclopramida Labesfal (Metoclopramide Hydrochloride Monohydrate) supplied by GNH India

Metoclopramida Labesfal

Active Ingredient:
Metoclopramide Hydrochloride Monohydrate
Origin:
EU

Metoclopramida Labesfal (Metoclopramide Hydrochloride Monohydrate)

Metoclopramide, the active ingredient in Metoclopramida Labesfal, is a dopamine antagonist presented as an injectable solution for intramuscular and intravenous use. It is employed to treat nausea and vomiting, including postoperative and chemotherapy‑induced cases, as well as gastroparesis.
GNH India supplies Metoclopramida Labesfal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Labesfal Laboratorios Almiro, S.A.

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Indications & Clinical Uses

Metoclopramide acts on the dopaminergic pathways that trigger nausea and delayed gastric emptying.

  • Nausea and vomiting: reduces the frequency and severity of acute episodes.
  • Postoperative nausea and vomiting: lowers incidence after surgical procedures.
  • Gastroparesis: enhances gastric motility and improves stomach emptying.
  • Chemotherapy‑induced nausea and vomiting: alleviates symptoms associated with anticancer treatment.

How It Works

  • Metoclopramide selectively blocks dopamine D2 receptors in the chemoreceptor trigger zone and gastrointestinal tract, which enhances gastric motility and promotes coordinated peristalsis. It also antagonizes peripheral 5‑HT3 receptors, contributing to its antiemetic effect, while central serotonergic activity further supports nausea control.

Side Effects

Metoclopramide may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Drowsiness: mild sedation or fatigue.
  • Restlessness: feeling of inner tension or agitation.
  • Diarrhea: increased bowel movements.
  • Extrapyramidal symptoms: muscle stiffness or tremor.
  • Headache: mild to moderate pain.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Tardive dyskinesia: involuntary, repetitive movements.
  • Neuroleptic malignant syndrome: high fever, muscle rigidity.
  • Severe allergic reaction: rash, itching, swelling, or difficulty breathing.
  • Cardiac arrhythmia: irregular heart rhythm.
  • Hyperprolactinemia: elevated prolactin causing galactorrhea.

Precautions & Warnings

Metoclopramide requires careful consideration of patient history and monitoring.

  • Contraindication: avoid in patients with known hypersensitivity to the drug.
  • Caution: use with care in individuals with Parkinson's disease or seizure disorders.
  • Monitoring: assess for signs of extrapyramidal reactions, especially with prolonged therapy.
  • Pregnancy: safety not established; weigh potential benefits against risks.
  • Breastfeeding: unknown excretion; consider alternatives.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metoclopramide can alter the effects of several concomitant medications.

Major Interactions (Avoid)

  • Antipsychotics: may increase risk of extrapyramidal symptoms.
  • MAO inhibitors: can potentiate hypertensive reactions.
  • CYP2D6 substrates: may affect metabolism of drugs like codeine.

Moderate Interactions (Monitor Closely)

  • Opioids: enhanced sedation and respiratory depression.
  • Anticholinergics: may reduce prokinetic efficacy.
  • SSRIs: potential for additive serotonergic effects.

Frequently Asked Questions

Metoclopramida Labesfal is indicated for the treatment of nausea and vomiting, prevention of postoperative nausea and vomiting, management of gastroparesis, and relief of chemotherapy‑induced nausea and vomiting. It is administered by injection to patients who require rapid antiemetic control.

Metoclopramide works by blocking dopamine D2 receptors in the chemoreceptor trigger zone and gastrointestinal tract, which enhances gastric motility. It also antagonizes peripheral 5‑HT3 receptors, contributing to its antiemetic effect, and modulates central serotonergic pathways to further reduce nausea.

The specific dose and dosing schedule of Metoclopramida Labesfal are determined by the prescribing clinician based on the patient’s condition, age, weight, and response to therapy. Healthcare professionals should follow local prescribing guidelines and adjust the regimen as needed.

Safety data for Metoclopramida Labesfal in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and clinicians should consider alternative therapies when possible.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required), and import documentation.

Metoclopramida Labesfal differs from other antiemetics such as ondansetron by primarily acting as a dopamine D2 antagonist with additional 5‑HT3 antagonism. It is especially useful when both dopamine‑mediated and serotonergic pathways contribute to nausea, whereas drugs like ondansetron target only serotonin receptors.

Metoclopramida Labesfal should be stored at 2‑8 °C in a refrigerator. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution to maintain stability.

The product is supplied as an injectable solution for intramuscular or intravenous administration. Healthcare professionals should follow aseptic technique, dilute if required by the protocol, and administer the dose over the recommended time period.

Serious risks include the development of tardive dyskinesia, neuroleptic malignant syndrome, severe allergic reactions, and cardiac arrhythmias. Patients should be monitored for these events, especially during prolonged therapy or high‑dose regimens.

Metoclopramida Labesfal is contraindicated in individuals with known hypersensitivity to metoclopramide or any component of the formulation. Caution is advised for patients with Parkinson’s disease, seizure disorders, or a history of extrapyramidal reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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