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 tablet for oral use. It is employed to relieve nausea and vomiting and to promote gastric emptying in adults and pediatric patients when indicated, and is listed in the European Medicines Agency database.

GNH India supplies Metoclopramide Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for each batch.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Metoclopramide is an antiemetic and gastro‑prokinetic used to manage conditions involving nausea, vomiting, and delayed gastric emptying.

  • Nausea and vomiting: reduces frequency and severity of symptoms in acute and chronic settings.
  • Post‑operative nausea and vomiting: helps prevent and treat nausea after surgery.
  • Chemotherapy‑induced nausea and vomiting: improves control of nausea associated with anticancer drugs.
  • Gastroparesis: enhances gastric emptying in patients with delayed stomach motility.
  • Reflux disease: aids in reducing reflux episodes by promoting gastric clearance.

How It Works

  • Metoclopramide acts as a competitive antagonist at dopamine D2 receptors in the chemoreceptor trigger zone and throughout the gastrointestinal tract, diminishing the central vomiting stimulus. It also blocks 5‑HT3 receptors and stimulates acetylcholine release, which accelerates gastric emptying and improves upper‑GI motility, thereby reducing nausea and vomiting.

Side Effects

Metoclopramide may cause a range of adverse reactions, which vary in frequency and severity.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Fatigue: reduced energy levels during daily activities.
  • Restlessness: a sense of inner tension or inability to stay still.
  • Diarrhea: loose, frequent stools.

Serious or Rare Side Effects

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

Precautions & Warnings

Before prescribing Metoclopramide, clinicians should consider several safety factors.

  • Assess renal function: adjust use in patients with severe impairment.
  • Monitor for extrapyramidal symptoms: observe for involuntary movements or rigidity.
  • Avoid in patients with known hypersensitivity: discontinue if allergic reaction occurs.
  • Use with caution in pregnancy: evaluate risk‑benefit, especially in the first trimester.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Metoclopramide can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): increased risk of extrapyramidal symptoms.
  • CYP2D6 inhibitors (e.g., fluoxetine): elevated metoclopramide plasma levels.
  • Monoamine oxidase inhibitors: potential for hypertensive crisis.

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., benzodiazepines): additive sedation.
  • Anticholinergics: may reduce pro‑kinetic effect.
  • Diabetes medications: possible alteration of glucose control.

Frequently Asked Questions

Metoclopramide Accord is prescribed to treat nausea and vomiting of various origins, including postoperative and chemotherapy‑induced episodes, as well as to improve gastric emptying in gastroparesis and to aid in managing reflux disease by enhancing upper‑GI motility.

Metoclopramide blocks dopamine D2 receptors in the brain’s chemoreceptor trigger zone and the gastrointestinal tract, reducing the vomiting reflex. It also antagonizes 5‑HT3 receptors and stimulates acetylcholine release, which together accelerate gastric emptying and improve gastrointestinal motility.

The appropriate dose of Metoclopramide Accord is determined by the prescribing healthcare professional based on the patient’s age, condition, and response to therapy. Dosage regimens are individualized and should follow the prescriber’s instructions and local labeling.

Metoclopramide is classified as pregnancy category B, indicating no evidence of risk in animal studies but a lack of well‑controlled human data. It may be used during pregnancy only if the potential benefit justifies the potential risk. Caution is advised during breastfeeding, and a clinician should assess safety.

To request Metoclopramide Accord, 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 antagonism with pro‑kinetic activity, making it effective for both nausea control and gastric motility. Other agents, such as ondansetron, act primarily on serotonin receptors and lack pro‑kinetic effects, so the choice depends on the clinical scenario.

Metoclopramide Accord should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain its stability and potency.

Metoclopramide Accord is taken orally, usually as a tablet, with or without food as directed by the prescriber. The exact timing and frequency depend on the indication and the individual patient’s treatment plan.

Serious risks include extrapyramidal reactions such as dystonia, tardive dyskinesia, and the rare but life‑threatening neuroleptic malignant syndrome. Patients should be monitored for any involuntary movements, muscle rigidity, fever, or changes in mental status, and the drug should be discontinued if such symptoms appear.

Metoclopramide Accord is contraindicated in individuals with known hypersensitivity to metoclopramide or any component of the formulation, and in patients with a history of seizure disorders, pheochromocytoma, or severe gastrointestinal obstruction. Caution is also advised for those with Parkinson’s disease or other movement disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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