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

Metoclopramide Hydrochloride Anhydrous Noridem

Active Ingredient:
Metoclopramide Hydrochloride Monohydrate
Origin:
EU

Metoclopramide Hydrochloride Anhydrous Noridem (Metoclopramide Hydrochloride Monohydrate)

Metoclopramide Hydrochloride, the active ingredient in Metoclopramide Hydrochloride Anhydrous Noridem, is a dopamine D2 receptor antagonist presented as an injectable solution for intramuscular and intravenous use. It treats nausea and vomiting, postoperative nausea and vomiting, gastroparesis, and reflux esophagitis in adult patients.

GNH India supplies Metoclopramide Hydrochloride Anhydrous 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 Hydrochloride is used to manage conditions related to nausea, vomiting and delayed gastric emptying.

  • Nausea and vomiting: reduces frequency and severity of acute episodes.
  • Post‑operative nausea and vomiting: prevents and treats nausea after surgical procedures.
  • Gastroparesis: enhances gastric motility to improve symptom control.
  • Reflux esophagitis: aids symptom relief by promoting faster gastric emptying.

How It Works

  • Metoclopramide antagonizes dopamine D2 receptors in the chemoreceptor trigger zone and throughout the gastrointestinal tract, which diminishes nausea signaling and increases gastric muscle contractility. The drug also exhibits weak 5‑HT3 antagonism and anticholinergic activity, further contributing to its antiemetic and pro‑kinetic effects.

Side Effects

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

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Restlessness: inner sense of agitation or inability to stay still.
  • Diarrhea: loose, watery stools occurring after administration.
  • Dry mouth: reduced salivation leading to a parched feeling.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: involuntary muscle movements such as dystonia.
  • Neuroleptic malignant syndrome: rare but life‑threatening reaction with fever and rigidity.
  • Tardive dyskinesia: persistent involuntary facial movements after prolonged use.
  • Severe allergic reactions: including anaphylaxis, rash, or swelling.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Renal or hepatic impairment: assess function and adjust use as needed.
  • Extrapyramidal monitoring: watch for signs of dystonia or akathisia.
  • Lowest effective dose: employ the minimal dose required for therapeutic effect.
  • Hypersensitivity: avoid in patients with known allergy to metoclopramide.
  • Elderly patients: use with caution due to increased sensitivity to CNS effects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metoclopramide can affect, and be affected by, several other medicines.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): may increase risk of extrapyramidal reactions.
  • Central nervous system depressants (opioids, benzodiazepines): can enhance sedation and respiratory depression.
  • MAO inhibitors: may potentiate hypertensive or serotonergic effects.

Moderate Interactions (Monitor Closely)

  • Selective serotonin reuptake inhibitors: potential for serotonin syndrome.
  • Tricyclic antidepressants: may increase anticholinergic burden.
  • Antihistamines: can augment drowsiness and anticholinergic side effects.

Frequently Asked Questions

Metoclopramide Hydrochloride Anhydrous Noridem is indicated for the treatment of nausea and vomiting, postoperative nausea and vomiting, gastroparesis, and reflux esophagitis. It is used in adult patients where enhanced gastric motility and antiemetic action are required.

Metoclopramide works by blocking dopamine D2 receptors in the chemoreceptor trigger zone of the brain, which reduces the sensation of nausea. In the gastrointestinal tract it stimulates motility, helping the stomach empty more quickly, and it also has weak antagonism of 5‑HT3 receptors and anticholinergic activity that further support its anti‑nausea effect.

The specific dose and frequency of metoclopramide are determined by the prescribing clinician based on the patient’s condition, age, renal and hepatic function, and response to therapy. Healthcare professionals should follow local prescribing guidelines and adjust the regimen as needed.

Safety data for metoclopramide in pregnancy are limited, and the drug is classified as pregnancy category unknown. It should only be used if the potential benefit justifies any potential risk to the fetus. Metoclopramide is excreted in breast milk, so caution is advised for nursing mothers, and alternative therapies should be considered when possible.

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 required) and necessary import documentation.

Metoclopramide differs from many antiemetics such as ondansetron, which primarily blocks serotonin receptors. Metoclopramide’s dopamine antagonism and pro‑kinetic activity make it useful for both nausea control and enhancing gastric emptying, whereas drugs like ondansetron lack pro‑kinetic effects. Choice of therapy depends on the clinical scenario, patient tolerance, and drug‑interaction profile.

Metoclopramide Hydrochloride Anhydrous Noridem should be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. The product should remain in its original packaging until ready for use to maintain sterility and potency.

The medication is supplied as an injectable solution for intramuscular or intravenous administration. The route, rate of infusion, and volume are determined by the prescribing clinician, who will follow aseptic technique and appropriate dilution guidelines as per local practice.

Serious risks include extrapyramidal reactions such as acute dystonia, tardive dyskinesia with long‑term use, neuroleptic malignant syndrome, and severe allergic reactions like anaphylaxis. Patients should be monitored closely for any signs of involuntary movements, fever, rigidity, or hypersensitivity, and the drug should be discontinued immediately if these occur.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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