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

Metoclopramide Accord

Active Ingredient:
Metoclopramide Hydrochloride
Origin:
EU

Metoclopramide Accord (Metoclopramide Hydrochloride)

Metoclopramide Hydrochloride, the active ingredient in Metoclopramide Accord, is a dopamine D2 receptor antagonist presented as an oral dosage form for oral use. It treats nausea and vomiting, gastroparesis, gastro‑oesophageal reflux disease and migraine‑associated nausea 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 B.V.

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Indications & Clinical Uses

  • Metoclopramide Accord acts on dopamine pathways and gastrointestinal motility to relieve several conditions.
  • Nausea and vomiting: reduces frequency and severity of episodes in postoperative, chemotherapy‑induced and other causes.
  • Gastroparesis: accelerates gastric emptying and improves related symptoms.
  • Gastro‑oesophageal reflux disease (GERD): enhances lower‑esophageal sphincter tone and gastric clearance.
  • Migraine‑associated nausea: alleviates nausea accompanying migraine attacks.

How It Works

  • Metoclopramide Hydrochloride antagonizes dopamine D2 receptors in the chemoreceptor trigger zone and throughout the gastrointestinal tract, which diminishes nausea signals and promotes gastric motility. It also exhibits weak antagonism of serotonin 5‑HT3 receptors and agonism of 5‑HT4 receptors, further supporting pro‑kinetic activity and anti‑emetic effects.

Side Effects

Common Side Effects

  • Drowsiness or fatigue
  • Restlessness or anxiety
  • Diarrhea or abdominal cramping
  • Dry mouth
  • Headache
  • Dizziness

Serious or Rare Side Effects

  • Extrapyramidal reactions such as dystonia, akathisia, or parkinsonism
  • Tardive dyskinesia with long‑term use
  • Neuroleptic malignant syndrome
  • Severe depression or suicidal thoughts
  • Seizures
  • Anaphylactic reactions

Precautions & Warnings

  • Precautions should be observed before initiating therapy.
  • Assess for history of movement disorders: avoid or use with caution in patients with Parkinson's disease or prior extrapyramidal reactions.
  • Monitor for depression or suicidal thoughts: discontinue if severe mood changes occur.
  • Use with caution in renal impairment: dose adjustment may be required.
  • Avoid concomitant use with other dopamine antagonists: increased risk of additive side effects.
  • Store at room temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Metoclopramide may interact with several medicines.

Major Interactions (Avoid)

  • Anticholinergic agents: may increase risk of extrapyramidal symptoms.
  • CYP2D6 inhibitors (e.g., fluoxetine): can raise plasma concentrations.
  • Other dopamine antagonists (e.g., phenothiazines): additive central effects.

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., alcohol, benzodiazepines): may enhance sedation.
  • Serotonergic agents (e.g., ondansetron): potential for serotonin syndrome.
  • Drugs affecting QT interval (e.g., quinidine): may increase cardiac risk.

Frequently Asked Questions

Metoclopramide Accord is prescribed to manage nausea and vomiting from various causes, to treat gastroparesis by enhancing gastric emptying, to aid patients with gastro‑oesophageal reflux disease, and to relieve nausea associated with migraine attacks.

The drug blocks dopamine D2 receptors in the brain's chemoreceptor trigger zone and throughout the gastrointestinal tract, which reduces nausea signals and stimulates gastric motility. It also weakly blocks serotonin 5‑HT3 receptors and activates 5‑HT4 receptors, further supporting its anti‑emetic and pro‑kinetic actions.

The appropriate dose is determined by the prescribing clinician based on the patient’s condition, age, renal function and response to therapy. Typical adult regimens range from 5 mg to 10 mg taken before meals, but exact dosing must be individualized by a healthcare professional.

Safety data in pregnancy and lactation are limited. The medication should be used only if the potential benefit justifies any possible risk to the fetus or infant, and it is generally prescribed after careful risk‑benefit assessment by the treating physician.

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 agents such as domperidone by acting centrally on dopamine receptors as well as peripherally on gastrointestinal motility. While both improve gastric emptying, metoclopramide’s central action makes it effective for chemotherapy‑induced nausea, but it carries a higher risk of extrapyramidal side effects.

Store the product at room temperature below 25 °C, in its original packaging, and protect it from moisture. Keep it out of reach of children and avoid exposure to direct sunlight or extreme heat.

Metoclopramide Accord is taken orally, usually with a glass of water. It is often administered 30 minutes before meals and at bedtime when prescribed for gastric motility disorders. Follow the prescribing clinician’s instructions regarding timing and whether it should be taken with food.

The most concerning adverse events include extrapyramidal reactions such as dystonia or parkinsonism, tardive dyskinesia with prolonged use, neuroleptic malignant syndrome, severe depression or suicidal thoughts, and rare anaphylactic reactions. Patients should be monitored closely for these signs.

Metoclopramide should be avoided in individuals with known hypersensitivity to the drug, in patients with Parkinson’s disease or other movement disorders, in those with uncontrolled epilepsy, and in patients who have experienced severe extrapyramidal reactions previously.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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