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 D2 receptor antagonist presented as an injectable solution for intramuscular and intravenous use. It is employed to control nausea, vomiting and to enhance gastrointestinal motility in adult patients.

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

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Metoclopramide acts on dopaminergic pathways that trigger nausea and on gastrointestinal motility, making it useful for several clinical conditions.

  • Nausea and vomiting: reduction of acute, chemotherapy‑induced or postoperative nausea and vomiting.
  • Gastroparesis: acceleration of gastric emptying and symptom relief in delayed gastric emptying.
  • Postoperative nausea and vomiting: prevention and treatment of nausea after surgical procedures.
  • Migraine‑associated nausea: alleviation of nausea accompanying migraine attacks.

How It Works

  • Metoclopramide blocks dopamine D2 receptors in the chemoreceptor trigger zone of the brain and in the gastrointestinal tract. This antagonism reduces the emetic signal to the vomiting centre and increases the tone of the upper gastrointestinal smooth muscle, promoting coordinated peristalsis and faster gastric emptying. The drug also shows weak 5‑HT3 antagonism and stimulates acetylcholine release, further supporting its pro‑kinetic activity.

Side Effects

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

Common Side Effects

  • Drowsiness
  • Fatigue
  • Restlessness or akathisia
  • Diarrhea
  • Constipation
  • Headache

Serious or Rare Side Effects

  • Tardive dyskinesia (involuntary movements)
  • Neuroleptic malignant syndrome
  • Severe depression or suicidal thoughts
  • Seizures
  • Anaphylactic or severe allergic reactions
  • Hyperprolactinemia (galactorrhea, menstrual disturbances)

Precautions & Warnings

When prescribing Metoclopramide, several safety considerations should be observed.

  • Renal impairment: dose adjustment or avoidance in severe renal failure.
  • Elderly patients: increased risk of extrapyramidal symptoms; monitor closely.
  • Known hypersensitivity: discontinue immediately if an allergic reaction occurs.
  • History of depression or movement disorders: use with caution and monitor for mood changes.
  • Concomitant CNS depressants: may enhance sedation; adjust therapy as needed.
  • Store at controlled room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Metoclopramide can affect, or be affected by, other medicines. Interactions are classified by clinical significance.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol, chlorpromazine): additive dopamine blockade may precipitate severe extrapyramidal reactions.
  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis and serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines, barbiturates): enhanced sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • Opioid analgesics: may increase nausea or reduce pro‑kinetic effect.
  • SSRIs and tricyclic antidepressants: potential for serotonin syndrome.
  • Antihistamines (e.g., diphenhydramine): may potentiate central nervous system effects.
  • Alcohol: can increase drowsiness and dizziness.

Frequently Asked Questions

Metoclopramide G.L. Pharma is used to treat nausea and vomiting of various origins, to manage postoperative nausea and vomiting, to improve gastric emptying in gastroparesis, and to relieve nausea associated with migraine attacks. It works by blocking dopamine receptors that trigger the vomiting reflex and by stimulating gastrointestinal motility.

Metoclopramide blocks dopamine D2 receptors in the brain’s chemoreceptor trigger zone and in the gastrointestinal tract. This reduces the signal that initiates vomiting and increases the tone of the upper GI smooth muscle, promoting coordinated peristalsis and faster gastric emptying. It also has weak antagonistic activity at serotonin 5‑HT3 receptors and enhances acetylcholine release, supporting its pro‑kinetic effect.

The dose of Metoclopramide is individualized by the prescribing clinician based on the specific indication, patient age, renal function, and route of administration. Healthcare professionals determine the appropriate amount and frequency, and patients should follow the prescriber’s instructions without deviation.

Safety data for Metoclopramide during pregnancy and lactation are limited. It should be used only 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.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain if required) and any necessary import documentation.

The primary alternative to Metoclopramide is the 5‑HT3 receptor antagonist class, such as ondansetron. While ondansetron primarily blocks serotonin receptors and is effective for chemotherapy‑induced nausea, Metoclopramide adds a pro‑kinetic effect by enhancing gastric motility. Choice between them depends on the underlying cause of nausea, patient tolerance, and the risk profile of each agent.

Metoclopramide G.L. Pharma should be stored at controlled room temperature, below 25 °C, in its original packaging. Protect the product from direct light, moisture and extreme temperature fluctuations. Do not freeze the solution. Follow any additional handling instructions provided on the label or by the supplier.

Metoclopramide is supplied as an injectable solution for intramuscular (IM) or intravenous (IV) administration. The route, rate of infusion, and duration are determined by the prescribing clinician based on the clinical situation. It is not formulated for oral use in this presentation.

Serious risks include tardive dyskinesia, a potentially irreversible movement disorder, neuroleptic malignant syndrome, severe depression or suicidal thoughts, seizures, anaphylactic reactions, and hyperprolactinemia leading to hormonal disturbances. Patients should be instructed to report any involuntary movements, mood changes, severe skin reactions, or signs of infection promptly.

Metoclopramide is contraindicated in individuals with known hypersensitivity to the drug or any of its excipients, in patients with pheochromocytoma, and in those with a history of severe extrapyramidal reactions or neuroleptic malignant syndrome. Caution is also advised for patients with renal failure, epilepsy, or uncontrolled depression, and it should be avoided in children under 1 year of age.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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