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 antagonist (antiemetic) presented as an oral dosage form for oral use. It is employed to control nausea and vomiting and to promote gastric motility in adults and pediatric patients when indicated.

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 export to EU and other markets, ensuring reliable supply chains and timely delivery.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Metoclopramide is an antiemetic and gastro‑prokinetic that acts on dopamine pathways to relieve several gastrointestinal disorders.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Post‑operative nausea and vomiting: prevents and treats nausea after surgical procedures.
  • Chemotherapy‑induced nausea and vomiting: controls acute and delayed vomiting associated with cytotoxic drugs.
  • Gastroparesis: accelerates gastric emptying and improves symptoms of delayed stomach emptying.
  • Gastro‑oesophageal reflux disease (GERD) adjunct: enhances gastric motility when used alongside standard reflux therapy.

How It Works

  • Metoclopramide exerts its effect by competitively antagonising dopamine D2 receptors in the chemoreceptor trigger zone of the brain, thereby suppressing the vomiting reflex. In the gastrointestinal tract it blocks D2 receptors on smooth muscle, increasing acetylcholine release and enhancing coordinated gastric contractions, which speeds gastric emptying and promotes intestinal transit. The combined central and peripheral actions result in both anti‑emetic and pro‑kinetic benefits.

Side Effects

Metoclopramide may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Drowsiness
  • Fatigue
  • Restlessness or agitation
  • Diarrhoea
  • Headache
  • Insomnia

Serious or Rare Side Effects

  • Extrapyramidal symptoms (e.g., dystonia, akathisia)
  • Tardive dyskinesia with prolonged use
  • Neuroleptic malignant syndrome
  • Severe depression or suicidal thoughts
  • Seizures
  • Anaphylactic or severe allergic reactions

Precautions & Warnings

Before prescribing Metoclopramide, clinicians should evaluate several safety considerations.

  • Assess renal function: adjust dosing in severe impairment.
  • Monitor for extrapyramidal symptoms: watch for involuntary movements or muscle rigidity.
  • Avoid in patients with known hypersensitivity: discontinue if allergic reaction occurs.
  • Use caution in pregnancy: limited data, benefits must outweigh potential risks.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Anticholinergic agents: may increase risk of extrapyramidal symptoms.
  • Strong CYP2D6 inhibitors: raise plasma concentrations of metoclopramide.
  • Monoamine oxidase (MAO) inhibitors: risk of hypertensive crisis.

Moderate Interactions (Monitor Closely)

  • Opioid analgesics: additive central nervous system depression.
  • Antihistamines with sedative properties: may enhance drowsiness.
  • Alcohol: can increase sedation and impair coordination.

Frequently Asked Questions

Metoclopramide Accord is prescribed to treat nausea and vomiting from various causes, including postoperative and chemotherapy‑induced episodes, and to improve gastric emptying in conditions such as gastroparesis. It may also be used as an adjunct in gastro‑oesophageal reflux disease to enhance motility.

Metoclopramide works by blocking dopamine D2 receptors in the brain’s chemoreceptor trigger zone, which suppresses the vomiting reflex. In the gastrointestinal tract it also blocks D2 receptors on smooth muscle, increasing acetylcholine release and promoting coordinated stomach contractions that speed gastric emptying.

The appropriate dose of Metoclopramide Accord is determined by the prescribing clinician based on the patient’s age, condition, and response to therapy. Dosage regimens may differ for acute nausea, postoperative use, or chronic gastroparesis, and should follow the prescriber’s instructions.

Safety data for metoclopramide in pregnancy and lactation are limited. It should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Metoclopramide Accord, submit an enquiry on the product page at gnhindia.com 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 and any necessary import documentation.

Metoclopramide differs from many antiemetics by offering both central anti‑vomiting activity and peripheral pro‑kinetic effects. Unlike serotonin antagonists, it primarily targets dopamine receptors, making it useful when nausea is related to delayed gastric emptying, but it may carry a higher risk of extrapyramidal side effects.

Metoclopramide Accord should be stored at room temperature, below 25 °C, in its original packaging. Keep the container tightly closed, protect it from moisture and direct light, and discard any tablets that appear discoloured or damaged.

Metoclopramide Accord is taken orally, usually with a glass of water. It may be administered with or without food, depending on the prescriber’s guidance, and the tablets should be swallowed whole, not crushed or chewed, unless otherwise instructed.

Serious risks include extrapyramidal reactions such as dystonia, tardive dyskinesia with long‑term use, neuroleptic malignant syndrome, severe depression or suicidal thoughts, seizures, and life‑threatening allergic reactions. Patients should seek immediate medical attention if they experience muscle rigidity, uncontrolled movements, fever, or severe mood changes.

Metoclopramide should be avoided in individuals with known hypersensitivity to the drug, those with a history of severe extrapyramidal disorders, patients taking MAO inhibitors, and anyone for whom the risk outweighs the benefit, such as certain pregnant or lactating women without specialist advice.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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