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 Hydrochloride Anhydrous, the active ingredient in Metoclopramide Accord, is a dopamine antagonist presented as an oral tablet for oral administration. Approved in the European Union, it is prescribed to manage 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, providing the product to hospitals, pharmacies, and clinics across global markets while adhering to stringent quality and regulatory standards and ensuring reliable delivery through efficient logistics.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Metoclopramide is an antiemetic and prokinetic agent that acts on the gastrointestinal tract and the chemoreceptor trigger zone.
  • Nausea and vomiting: reduces frequency and severity of episodes.
  • Gastroparesis: accelerates gastric emptying and improves related symptoms.
  • Gastro‑oesophageal reflux disease: decreases reflux episodes and associated discomfort.
  • Migraine‑associated nausea: controls nausea accompanying migraine attacks.

How It Works

  • Metoclopramide antagonizes dopamine D2 receptors in the chemoreceptor trigger zone, diminishing the central stimulus for nausea and vomiting. In the gastrointestinal tract it blocks D2 receptors on smooth muscle, enhancing acetylcholine release, which increases gastric motility and promotes coordinated peristalsis, thereby facilitating gastric emptying. It also exhibits weak antagonism at serotonin 5‑HT3 receptors and agonist activity at 5‑HT4 receptors, contributing to its pro‑kinetic effect.

Side Effects

Metoclopramide may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Drowsiness: feeling of sleepiness or reduced alertness.
  • Fatigue: general tiredness.
  • Restlessness: inner sense of unease or agitation.
  • Diarrhea: loose or frequent stools.

Serious or Rare Side Effects

  • Extrapyramidal reactions: acute dystonia, akathisia, or parkinsonism.
  • Tardive dyskinesia: irreversible involuntary movements with long‑term use.
  • Neuroleptic malignant syndrome: life‑threatening hyperthermia and muscle rigidity.
  • Severe depression or suicidal thoughts: marked mood changes.

Precautions & Warnings

  • Before prescribing Metoclopramide, clinicians should consider several safety measures.
  • Renal function assessment: adjust use in patients with severe renal impairment.
  • Elderly monitoring: watch for increased risk of extrapyramidal symptoms.
  • Hypersensitivity: discontinue if allergic reactions occur.
  • Concurrent CNS depressants: use cautiously as additive sedation may occur.
  • Pregnancy category B1: consider risk‑benefit, use only if clearly needed.
  • Store at room temperature: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Metoclopramide can interact with other medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): additive dopamine blockade may precipitate severe extrapyramidal effects.
  • Monoamine oxidase inhibitors: risk of hypertensive crisis and serotonin syndrome.
  • CNS depressants (opioids, benzodiazepines): enhanced sedation and respiratory depression.
  • Strong CYP2D6 inhibitors (e.g., fluoxetine): increase metoclopramide plasma levels.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: may reduce pro‑kinetic efficacy.
  • Selective serotonin reuptake inhibitors: potential for serotonin syndrome, monitor symptoms.
  • Tricyclic antidepressants: may increase risk of cardiac effects.
  • Digoxin: possible alteration of serum levels.

Frequently Asked Questions

Metoclopramide Accord is a prescription oral tablet that functions as an antiemetic and pro‑kinetic agent. It is used to relieve nausea and vomiting, improve gastric emptying in gastroparesis, reduce symptoms of gastro‑oesophageal reflux disease, and control nausea associated with migraine attacks.

The drug blocks dopamine D2 receptors in the brain's chemoreceptor trigger zone, which reduces the signal that triggers nausea and vomiting. In the gastrointestinal tract it also blocks D2 receptors, increasing acetylcholine release and enhancing motility, while modestly affecting serotonin receptors to further support its pro‑kinetic action.

The appropriate dose of Metoclopramide Accord is determined by the prescribing clinician based on the patient’s condition, age, renal function and other clinical factors. Healthcare professionals should follow local prescribing guidelines and adjust the regimen as needed for each individual.

Metoclopramide is classified as pregnancy category B1, indicating that animal studies have not shown risk and there are no adequate human studies. It may be used during pregnancy only if the potential benefit justifies the potential risk. Limited data are available for breastfeeding, and a risk‑benefit assessment should be performed by the prescriber.

To place an order, submit an enquiry on the Metoclopramide Accord 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.

Compared with other antiemetics such as ondansetron or antihistamines, Metoclopramide offers both anti‑nausea and pro‑kinetic effects, making it useful for conditions involving delayed gastric emptying. However, it carries a higher risk of extrapyramidal side effects, so clinicians often reserve it for patients who need both actions or who do not respond to alternatives.

Metoclopramide Accord tablets should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources.

The medication is taken orally, usually with a glass of water. It may be taken with or without food, depending on the prescriber’s instructions. Patients should follow the dosing schedule provided by their healthcare professional and should not crush or chew the tablets unless specifically advised.

Serious adverse reactions include extrapyramidal symptoms such as acute dystonia, tardive dyskinesia with long‑term use, and neuroleptic malignant syndrome. Patients should be instructed to seek immediate medical attention if they experience muscle rigidity, high fever, severe agitation, uncontrolled movements or any signs of an allergic reaction.

Metoclopramide should be avoided in individuals with known hypersensitivity to the drug, those with pheochromocytoma, seizure disorders, or severe depression. It is also contraindicated in patients taking antipsychotics that block dopamine receptors, as the combination can increase the risk of serious neurological side effects.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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