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

Metoclopramide Noridem

Active Ingredient:
Metoclopramide Hydrochloride Monohydrate
Origin:
EU

Metoclopramide Noridem (Metoclopramide Hydrochloride Monohydrate)

Metoclopramide, the active ingredient in Metoclopramide Noridem, is a dopamine D2 receptor antagonist presented as an injectable solution for intramuscular and intravenous use. It treats nausea and vomiting, including postoperative and chemotherapy‑induced cases, and aids gastric emptying in gastroparesis.

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

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metoclopramide is employed as an antiemetic and gastro‑prokinetic agent across several clinical situations.

  • 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.
  • Gastroparesis: enhances gastric motility and accelerates stomach emptying.
  • Chemotherapy‑induced nausea: alleviates nausea associated with cytotoxic cancer therapy.

How It Works

  • Metoclopramide blocks dopamine D2 receptors in the chemoreceptor trigger zone of the brain, diminishing the vomiting reflex, while simultaneously stimulating acetylcholine release in the gastrointestinal tract, which increases smooth‑muscle contractility and promotes coordinated gastric emptying.

Side Effects

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

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Restlessness: mild agitation or inability to stay still.
  • Dry mouth: reduced salivation leading to a parched sensation.

Serious or Rare Side Effects

  • Extrapyramidal symptoms: muscle rigidity, dystonia, or akathisia.
  • Tardive dyskinesia: persistent involuntary movements, especially with prolonged use.
  • Neuroleptic malignant syndrome: rare but life‑threatening hyperthermia and muscle breakdown.

Precautions & Warnings

Before using Metoclopramide Noridem, consider the following safety measures.

  • Renal impairment: adjust use or monitor closely.
  • Elderly patients: increased risk of extrapyramidal effects; use the lowest effective dose.
  • History of movement disorders: avoid or use with caution.
  • Concomitant CNS depressants: monitor for enhanced sedation.
  • Pregnancy and lactation: use only if benefits outweigh risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Metoclopramide can interact with several drug classes; awareness helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): additive dopamine blockade may increase extrapyramidal symptoms.
  • Monoamine oxidase inhibitors: risk of hypertensive crisis.
  • CYP2D6 inhibitors (e.g., fluoxetine): may raise metoclopramide plasma levels.

Moderate Interactions (Monitor Closely)

  • Opioids: may enhance nausea control but increase sedation.
  • Anticholinergics: may reduce the pro‑kinetic effect.
  • Alcohol: may increase central nervous system depression.

Frequently Asked Questions

Metoclopramide Noridem is an injectable antiemetic and gastro‑prokinetic medication. It is indicated for the treatment of nausea and vomiting, including postoperative and chemotherapy‑induced cases, and for improving gastric emptying in patients with gastroparesis.

The drug blocks dopamine D2 receptors in the brain’s chemoreceptor trigger zone, which suppresses the vomiting reflex. At the same time it enhances acetylcholine release in the gastrointestinal tract, stimulating smooth‑muscle contractions that promote faster gastric emptying.

Dosing is individualized and must be determined by a qualified prescriber based on the patient’s condition, age, renal function and route of administration. The prescribing clinician will decide the appropriate amount and frequency.

Safety data for Metoclopramide during 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 the treating physician.

To place an order, 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 (including cold‑chain if needed) and import documentation.

Metoclopramide differs from many antiemetics by combining dopamine antagonism with pro‑kinetic activity. Unlike pure serotonin antagonists such as ondansetron, it also accelerates gastric emptying, making it useful for gastroparesis. However, it carries a higher risk of extrapyramidal side effects compared with some newer agents.

The injectable solution should be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use and discard any solution that appears discolored or contains particles.

Metoclopramide Noridem is given by intramuscular or intravenous injection. The route, volume and rate of administration are determined by the prescribing clinician, who will also monitor the patient for therapeutic response and any adverse reactions.

Serious adverse events include extrapyramidal symptoms such as dystonia or akathisia, tardive dyskinesia with long‑term use, and rare but life‑threatening conditions like neuroleptic malignant syndrome. Immediate medical attention is required if these signs appear.

Patients with known hypersensitivity to metoclopramide or any component of the formulation should avoid it. Individuals with a history of severe movement disorders, uncontrolled epilepsy, or those taking monoamine oxidase inhibitors should not receive the drug without specialist guidance.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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