Product image of Metoclopramide Cloridrato Noridem (Metoclopramide Hydrochloride Monohydrate) supplied by GNH India

Metoclopramide Cloridrato Noridem

Active Ingredient:
Metoclopramide Hydrochloride Monohydrate
Origin:
EU

Metoclopramide Cloridrato Noridem (Metoclopramide Hydrochloride Monohydrate)

Metoclopramide Hydrochloride, the active ingredient in Metoclopramide Cloridrato Noridem, is a dopamine antagonist / antiemetic presented as an injectable solution for intramuscular and intravenous use. It treats nausea and vomiting, including postoperative, chemotherapy‑induced, and gastroparesis, in adult patients.

GNH India supplies Metoclopramide Cloridrato Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metoclopramide acts on the dopaminergic and serotonergic pathways that trigger nausea and delayed gastric emptying.

  • Nausea and vomiting: reduces frequency and severity of episodes.
  • Post‑operative nausea and vomiting: prevents and treats symptoms after surgery.
  • Chemotherapy‑induced nausea: alleviates acute and delayed nausea associated with cancer treatment.
  • Gastroparesis: enhances gastric motility to improve stomach emptying.

How It Works

  • Metoclopramide competitively antagonizes dopamine D2 receptors in the chemoreceptor trigger zone and throughout the gastrointestinal tract, which diminishes nausea signaling and stimulates gastric muscle contraction. It also blocks peripheral 5‑HT3 receptors, contributing to its antiemetic and pro‑kinetic actions.

Side Effects

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

Common Side Effects

  • Drowsiness: mild sedation experienced after administration.
  • Fatigue: reduced energy levels.
  • Restlessness: feeling of inner tension or agitation.
  • Diarrhea: loose, frequent stools.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: involuntary muscle movements such as dystonia.
  • Tardive dyskinesia: persistent facial or tongue movements after prolonged use.
  • Neuroleptic malignant syndrome: high fever, muscle rigidity, and autonomic instability.

Precautions & Warnings

Before using Metoclopramide, consider the following safety measures.

  • Renal or hepatic impairment: assess organ function prior to initiation.
  • History of movement disorders: monitor closely for extrapyramidal signs.
  • Depression or suicidal thoughts: evaluate mental health risk.
  • Elderly patients: consider lower initial doses.
  • Known hypersensitivity: avoid use if allergic to the drug.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Metoclopramide can interact with several medication classes.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): increased risk of extrapyramidal symptoms.
  • CYP2D6 inhibitors (e.g., fluoxetine): elevated plasma concentrations of metoclopramide.
  • QT‑prolonging drugs: additive risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Opioids: may enhance anti‑nausea effect but increase sedation.
  • Sedatives (e.g., benzodiazepines): heightened drowsiness.
  • Anticholinergics: possible reduction of pro‑kinetic activity.

Frequently Asked Questions

Metoclopramide Cloridrato Noridem is prescribed to manage nausea and vomiting, including postoperative nausea, chemotherapy‑induced nausea, and symptoms of gastroparesis. It works by improving gastric motility and blocking signals that trigger the vomiting reflex.

The drug blocks dopamine D2 receptors in the brain’s chemoreceptor trigger zone and the gastrointestinal tract, reducing nausea signals. It also antagonizes peripheral 5‑HT3 receptors and stimulates gastric muscle activity, which together promote faster stomach emptying.

The specific dose and administration schedule are determined by the prescribing clinician based on the patient’s condition, age, weight, and renal or hepatic function. Healthcare professionals tailor the regimen to achieve optimal therapeutic effect while minimizing risk.

Safety data for Metoclopramide in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

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 (including cold‑chain handling if needed), and 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, primarily block serotonin receptors without enhancing gastric emptying, so the choice depends on the clinical scenario.

The injectable solution should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the container to maintain product stability.

Metoclopramide is given by intramuscular or intravenous injection, as directed by a healthcare professional. The route, rate of infusion, and duration are selected based on the indication and patient’s clinical status.

Serious adverse events include extrapyramidal symptoms such as dystonia, tardive dyskinesia with long‑term use, and neuroleptic malignant syndrome, a life‑threatening condition characterized by high fever and muscle rigidity. Prompt medical attention is required if these occur.

Patients with known hypersensitivity to metoclopramide or any component of the formulation should avoid the drug. Caution is also advised for individuals with a history of seizure disorders, severe depression, or uncontrolled movement disorders, and it is contraindicated in those with pheochromocytoma.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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