Product image of Metoclopramide G.L. Pharma (Metoclopramide Hydrochloride) supplied by GNH India

Metoclopramide G.L. Pharma

Active Ingredient:
Metoclopramide Hydrochloride
Origin:
EU

Metoclopramide G.L. Pharma (Metoclopramide Hydrochloride)

Metoclopramide, the active ingredient in Metoclopramide G.L. Pharma, is a dopamine antagonist presented as an injectable solution for intravenous use. It is employed to control nausea and vomiting and to enhance gastrointestinal motility in patients with gastroparesis or migraine‑associated nausea.

GNH India supplies Metoclopramide G.L. Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our global distribution network ensures reliable delivery, regulatory compliance and support where required, meeting the needs of healthcare providers across Europe, Asia, Africa and the Americas.

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Metoclopramide acts on dopaminergic pathways to reduce nausea and improve gastric motility.

  • Nausea and vomiting: provides rapid relief of acute, postoperative or chemotherapy‑induced nausea.
  • Gastroparesis: accelerates gastric emptying and alleviates related dyspeptic symptoms.
  • Migraine‑associated nausea: reduces nausea accompanying migraine attacks.
  • Post‑operative nausea and vomiting: helps prevent and treat nausea after surgical procedures.
  • Chemotherapy‑induced nausea and vomiting: improves patient tolerance to anti‑cancer regimens.

How It Works

  • Metoclopramide antagonizes peripheral and central dopamine D2 receptors, which removes inhibitory tone on gastrointestinal smooth muscle. It also blocks 5‑HT3 receptors and stimulates 5‑HT4 receptors, enhancing acetylcholine release. These combined actions increase lower esophageal sphincter tone, promote coordinated gastric contractions, and suppress the chemoreceptor trigger zone, thereby reducing nausea and vomiting.

Side Effects

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

Common Side Effects

  • Drowsiness or fatigue
  • Restlessness or akathisia
  • Diarrhea or abdominal cramping
  • Headache or dizziness
  • Dry mouth
  • Mild extrapyramidal movements

Serious or Rare Side Effects

  • Tardive dyskinesia with long‑term use
  • Neuroleptic malignant syndrome
  • Severe depression or suicidal thoughts
  • Seizures
  • Anaphylactic or severe allergic reactions
  • Hyperprolactinemia with galactorrhea

Precautions & Warnings

Use of Metoclopramide requires careful assessment of patient‑specific factors and monitoring for known risks.

  • Renal impairment: dose adjustment may be required.
  • Hepatic impairment: use with caution and monitor liver function.
  • History of extrapyramidal disorders: avoid or limit use.
  • Pregnancy: category B1; weigh maternal benefit against potential fetal risk.
  • Concomitant CNS depressants: monitor for enhanced sedation.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Metoclopramide can interact with several drug classes, influencing efficacy or safety.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • Other dopamine antagonists (antipsychotics): additive extrapyramidal effects.
  • Strong CNS depressants (benzodiazepines, opioids): increased sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • Anticholinergics: may reduce pro‑kinetic effect.
  • SSRIs or other serotonergic agents: potential serotonin syndrome.
  • Digoxin: possible increase in serum levels.
  • Alcohol: may enhance central nervous system depression.

Frequently Asked Questions

Metoclopramide G.L. Pharma is used to treat nausea and vomiting of various origins, to improve gastric emptying in gastroparesis, and to relieve nausea associated with migraine attacks. It is administered intravenously under the direction of a qualified prescriber.

Metoclopramide works by blocking dopamine D2 receptors in the chemoreceptor trigger zone and the gastrointestinal tract, which reduces nausea signals. It also antagonizes 5‑HT3 receptors and stimulates 5‑HT4 receptors, enhancing acetylcholine release and promoting coordinated gastric motility.

The appropriate dose of Metoclopramide is determined by the prescribing clinician based on the patient’s condition, age, renal and hepatic function, and other individual factors. Dosage regimens are not standardized in this description and must follow the prescriber’s order.

Metoclopramide is classified as pregnancy category B1, indicating no evidence of risk in animal studies but limited human data. It may be used during pregnancy only if the potential benefit justifies the risk. Small amounts are excreted in breast milk; breastfeeding decisions should be made with a healthcare professional.

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 and any necessary import documentation.

Metoclopramide differs from many antiemetics by combining dopamine antagonism with serotonergic activity and pro‑kinetic effects. Unlike pure 5‑HT3 antagonists, it also enhances gastric motility, making it useful for gastroparesis. However, it carries a higher risk of extrapyramidal side effects compared with agents such as ondansetron.

Metoclopramide G.L. Pharma should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed when not in use.

Metoclopramide G.L. Pharma is supplied for intravenous injection. It is administered by a qualified healthcare professional, typically as a slow IV push or infusion, according to the prescriber’s instructions and the patient’s clinical condition.

The most serious risks include the development of tardive dyskinesia with prolonged use, neuroleptic malignant syndrome, severe depression or suicidal thoughts, seizures, and allergic reactions such as anaphylaxis. Patients should be monitored closely for any of these events, especially during high‑dose or long‑term therapy.

Metoclopramide is contraindicated in patients with known hypersensitivity to the drug, those with pheochromocytoma, and individuals with a history of severe extrapyramidal reactions. Caution is also advised for patients with gastrointestinal obstruction, perforation, or hemorrhage, as the drug may exacerbate these conditions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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