Product image of Metoclopramide Accord (Metoclopramide Hydrochloride) supplied by GNH India

Metoclopramide Accord

Active Ingredient:
Metoclopramide Hydrochloride
Origin:
EU

Metoclopramide Accord (Metoclopramide Hydrochloride)

Metoclopramide, the active ingredient in Metoclopramide Accord, is a dopamine antagonist presented as an oral dosage form for oral use. It is employed to manage nausea, vomiting, gastroparesis, and related gastrointestinal disorders in adult patients.
GNH India supplies Metoclopramide Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Metoclopramide acts on the dopaminergic pathways and gastrointestinal motility to alleviate several conditions.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Gastroparesis: enhances gastric emptying and improves gastric motility.
  • Gastro‑oesophageal reflux disease (GERD): decreases reflux symptoms by promoting gastric clearance.
  • Pre‑ and post‑operative nausea: prevents nausea associated with surgical procedures and anesthesia.

How It Works

  • Metoclopramide competitively antagonizes dopamine D2 receptors in the chemoreceptor trigger zone and throughout the gastrointestinal tract, reducing nausea signals. It also exhibits 5‑HT3 antagonism and cholinergic activity, which together accelerate gastric emptying and improve upper gastrointestinal motility, facilitating faster transit of stomach contents.

Side Effects

Metoclopramide may cause a range of adverse reactions.

Common Side Effects

  • Drowsiness: mild sedation or sleepiness.
  • Restlessness: feelings of inner tension or agitation.
  • Diarrhea: increased bowel movements.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: involuntary muscle movements or tremor.
  • Tardive dyskinesia: persistent, potentially irreversible facial or limb movements.
  • Neuroleptic malignant syndrome: rare, life‑threatening reaction with fever and muscle rigidity.

Precautions & Warnings

Metoclopramide requires careful use in certain populations and clinical situations.

  • Renal function assessment: adjust use in patients with impaired kidney function.
  • Monitor for extrapyramidal symptoms: watch for involuntary movements, especially with prolonged therapy.
  • Avoid in seizure disorders: may lower seizure threshold.
  • Use caution in the elderly: increased sensitivity to central nervous system effects.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Metoclopramide can interact with several drug classes, influencing safety and efficacy.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of severe hypertension.
  • Central nervous system depressants: additive sedation.
  • Anticholinergic agents: may reduce prokinetic effect.

Moderate Interactions (Monitor Closely)

  • Selective serotonin reuptake inhibitors (SSRIs): potential for serotonin syndrome.
  • Antipsychotics: may diminish antiemetic benefit.
  • Digoxin: possible increase in serum levels.

Frequently Asked Questions

Metoclopramide Accord is prescribed to manage nausea and vomiting, gastroparesis, gastro‑oesophageal reflux disease, and pre‑ or post‑operative nausea. It works by blocking dopamine receptors that trigger nausea and by enhancing gastric motility, helping to relieve these gastrointestinal symptoms.

Metoclopramide exerts its effect by competitively antagonizing dopamine D2 receptors in the chemoreceptor trigger zone of the brain, reducing the sensation of nausea. It also blocks 5‑HT3 receptors and stimulates cholinergic pathways, which together promote faster gastric emptying and improve upper‑GI tract motility.

The appropriate dose of Metoclopramide Accord is determined by the prescribing clinician based on the patient’s condition, age, renal function, and response to therapy. Dosage regimens vary, and the prescriber will provide specific instructions tailored to each individual case.

Safety data for Metoclopramide Accord in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional after a careful risk‑benefit assessment.

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, and any necessary import documentation.

Metoclopramide differs from many antiemetics by combining dopamine D2 antagonism with prokinetic activity, which can be advantageous for patients with delayed gastric emptying. Other agents, such as ondansetron, act primarily on serotonin receptors and lack the gastric motility‑enhancing effect, making metoclopramide a preferred choice when both anti‑nausea and prokinetic actions are needed.

Metoclopramide Accord should be stored at ambient temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Metoclopramide Accord is administered orally, typically as a tablet taken with or without food as directed by the prescriber. The exact timing and frequency depend on the individual’s therapeutic needs and the clinician’s instructions.

Serious risks include extrapyramidal symptoms such as dystonia or tardive dyskinesia, neuroleptic malignant syndrome, and severe depression. Patients should be monitored for any abnormal movements, mood changes, or signs of muscle rigidity, and the medication should be discontinued promptly if these events occur.

Metoclopramide Accord is contraindicated in individuals with known hypersensitivity to metoclopramide, those with a history of seizure disorders, and patients taking monoamine oxidase inhibitors. Caution is also advised for patients with severe renal impairment, and it should be avoided in children under 18 years for long‑term use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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