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

Metoclopramide Accord

Active Ingredient:
Metoclopramide Hydrochloride Anhydrous
Origin:
EU

Metoclopramide Accord (Metoclopramide Hydrochloride Anhydrous)

Metoclopramide, the active ingredient in Metoclopramide Accord, is a dopamine D2 receptor antagonist presented as an oral dosage form for oral use. It is employed to relieve nausea and vomiting, to improve gastric emptying in gastroparesis, and to increase lower esophageal sphincter tone in gastro‑esophageal reflux disease.

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 acts on the dopaminergic pathways that trigger nausea, gastric motility and lower esophageal sphincter tone. It is indicated for several gastrointestinal and emetic conditions.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Gastroparesis: enhances gastric emptying and improves symptoms of delayed stomach emptying.
  • Gastro‑esophageal reflux disease (GERD): increases lower esophageal sphincter tone, helping to reduce reflux episodes.

How It Works

  • Metoclopramide antagonizes dopamine D2 receptors in the chemoreceptor trigger zone of the brain and in the gastrointestinal tract. This blockade diminishes the emetic signal, while peripheral actions stimulate acetylcholine release, promoting coordinated gastric contractions and accelerating gastric emptying. The combined central and peripheral effects also increase lower esophageal sphincter pressure, reducing reflux.

Side Effects

Metoclopramide may cause a range of adverse reactions, from mild to serious. Patients should be aware of both common and less frequent side effects.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Restlessness: a sense of inner tension or inability to stay still.
  • Diarrhea: loose, frequent stools.

Serious or Rare Side Effects

  • Tardive dyskinesia: involuntary, repetitive movements, potentially irreversible.
  • Neuroleptic malignant syndrome: high fever, muscle rigidity, autonomic instability.
  • Severe allergic reactions: rash, swelling, or difficulty breathing.
  • Hyperprolactinemia: elevated prolactin levels causing hormonal disturbances.

Precautions & Warnings

Before prescribing Metoclopramide, clinicians should consider several safety measures.

  • Assess renal function: dose adjustment may be needed in impaired clearance.
  • Monitor for extrapyramidal symptoms: watch for tremor, rigidity, or abnormal movements.
  • Use lowest effective dose: limit exposure to reduce risk of tardive dyskinesia.
  • Avoid in patients with known hypersensitivity to metoclopramide or similar compounds.
  • Use caution in the elderly: increased susceptibility to central nervous system effects.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • CNS depressants (e.g., benzodiazepines): may enhance sedation and respiratory depression.
  • Anticholinergic agents: can reduce pro‑kinetic effect and increase constipation risk.
  • MAO inhibitors: may potentiate hypertensive reactions.

Moderate Interactions (Monitor Closely)

  • Selective serotonin reuptake inhibitors (SSRIs): may increase risk of serotonin syndrome.
  • Tricyclic antidepressants: may augment anticholinergic side effects and affect cardiac conduction.

Frequently Asked Questions

Metoclopramide Accord is prescribed to manage nausea and vomiting, to treat gastroparesis by enhancing gastric emptying, and to help control gastro‑esophageal reflux disease by increasing lower esophageal sphincter tone. These uses stem from its ability to block dopamine receptors in the brain’s chemoreceptor trigger zone and stimulate gastrointestinal motility.

Metoclopramide works by antagonizing dopamine D2 receptors in the chemoreceptor trigger zone, which reduces the brain’s nausea signal. In the gastrointestinal tract, it promotes the release of acetylcholine, leading to coordinated smooth‑muscle contractions that speed gastric emptying and raise lower esophageal sphincter pressure, thereby reducing reflux.

The appropriate dose of Metoclopramide Accord is determined by the prescribing healthcare professional based on the patient’s condition, age, renal function, and response to therapy. Dosage regimens vary, and the prescriber will tailor the amount and frequency to achieve the desired therapeutic effect while minimizing risk.

Safety data for metoclopramide in pregnancy and lactation are limited, and the drug should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the risks and alternatives with their healthcare provider before starting therapy.

To place an order, visit the product page on gnhindia.com and submit an enquiry with 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 any cold‑chain requirements) and necessary import documentation.

Metoclopramide differs from many antiemetics such as 5‑HT3 antagonists by targeting dopamine D2 receptors and also offering pro‑kinetic activity that enhances gastric motility. This dual action makes it useful for conditions where delayed gastric emptying contributes to symptoms, whereas some alternatives focus solely on nausea pathways without affecting motility.

Metoclopramide Accord should be stored at room temperature, below 25 °C (77 °F). Keep the product in its original packaging, protect it from moisture, excessive heat and direct sunlight. Do not store in a refrigerator or freezer unless the label specifically indicates otherwise.

Metoclopramide Accord is taken orally, usually with a glass of water. The tablet should be swallowed whole and not chewed or crushed unless directed by a healthcare professional. Dosing times and frequency are set by the prescriber, who may advise taking the medication before meals to maximize its pro‑kinetic effect.

The most serious risks include the development of tardive dyskinesia, a potentially irreversible movement disorder, and neuroleptic malignant syndrome, a life‑threatening condition characterized by high fever, muscle rigidity and autonomic instability. Patients should be monitored for early signs of these reactions, especially with prolonged use or high doses.

Metoclopramide Accord should be avoided in individuals with known hypersensitivity to metoclopramide or any component of the formulation, in patients with pheochromocytoma, and in those who have experienced severe extrapyramidal reactions to dopamine antagonists. Caution is also advised for patients with gastrointestinal obstruction, perforation, or hemorrhage.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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