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 antagonist presented as an injectable solution for intramuscular and intravenous use. It treats nausea and vomiting, gastroparesis, migraine‑associated nausea and postoperative nausea and vomiting in adult patients.

GNH India supplies Metoclopramide Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for export to EU and other markets. Customers benefit from reliable logistics, temperature‑controlled shipping where required, and responsive technical support throughout the procurement process.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metoclopramide is used to manage conditions related to nausea, vomiting and delayed gastric emptying.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Gastroparesis: improves gastric motility and accelerates stomach emptying.
  • Migraine‑associated nausea: alleviates nausea accompanying migraine attacks.
  • Postoperative nausea and vomiting: prevents or treats nausea after surgery.

How It Works

  • Metoclopramide antagonizes dopamine D2 receptors in the chemoreceptor trigger zone of the brain and in the gastrointestinal tract. This blockade reduces the emetic signal and simultaneously enhances acetylcholine release, promoting coordinated gastric contractions that accelerate gastric emptying and improve upper‑GI motility.

Side Effects

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

Common Side Effects

  • Drowsiness
  • Fatigue
  • Restlessness or agitation
  • Diarrhea
  • Headache
  • Dry mouth

Serious or Rare Side Effects

  • Extrapyramidal reactions (dystonia, akathisia)
  • Tardive dyskinesia with prolonged use
  • Neuroleptic malignant syndrome
  • Severe hypotension or cardiovascular collapse
  • Anaphylactic or severe allergic reaction
  • Depression, suicidal thoughts or other psychiatric changes

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient‑specific factors and monitor for known risks.

  • Assess renal function: adjust use in severe renal impairment.
  • Monitor for extrapyramidal symptoms: observe for muscle rigidity or involuntary movements.
  • Avoid in patients with known hypersensitivity to metoclopramide.
  • Use caution in patients with depression, Parkinson disease, or seizure disorders.
  • Limit duration: avoid prolonged use beyond 12 days to reduce risk of tardive dyskinesia.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metoclopramide can interact with several drug classes, requiring careful assessment.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): increase metoclopramide plasma concentrations.
  • Other dopamine antagonists (e.g., antipsychotics): additive central nervous system effects.

Moderate Interactions (Monitor Closely)

  • Opioids: may enhance antiemetic effect but increase sedation.
  • Anticholinergic agents: may reduce pro‑kinetic efficacy and increase constipation.

Frequently Asked Questions

Metoclopramide Noridem is an injectable dopamine antagonist indicated for the treatment of nausea and vomiting, gastroparesis, migraine‑associated nausea, and postoperative nausea and vomiting. It is used in adult patients when rapid antiemetic or pro‑kinetic action is required.

Metoclopramide blocks dopamine D2 receptors in the chemoreceptor trigger zone of the brain, reducing the emetic signal. In the gastrointestinal tract it enhances acetylcholine release, promoting coordinated gastric contractions that speed stomach emptying and improve motility.

The dose of Metoclopramide Noridem is determined by the prescribing clinician based on the patient’s condition, severity of symptoms, and route of administration. Healthcare professionals set the appropriate dose and duration according to current clinical guidelines.

Safety data for Metoclopramide in 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 a qualified healthcare provider.

To order Metoclopramide Noridem, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies 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.

The most common alternative antiemetic class is serotonin (5‑HT3) antagonists such as ondansetron. While ondansetron primarily blocks serotonin receptors, Metoclopramide adds a pro‑kinetic effect by enhancing gastric motility. Choice depends on the clinical scenario, patient tolerance, and specific contraindications.

Metoclopramide Noridem should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the vial. Keep the product in its original packaging until use to maintain stability and sterility.

Metoclopramide Noridem is supplied as an injectable solution for intramuscular (IM) or intravenous (IV) administration. The route, rate of infusion, and volume are determined by the prescriber and should follow aseptic technique and institutional protocols.

Serious risks include extrapyramidal reactions such as dystonia or akathisia, tardive dyskinesia with prolonged use, neuroleptic malignant syndrome, severe hypotension, and rare allergic reactions. Prompt recognition and discontinuation are essential if any of these events occur.

Metoclopramide is contraindicated in patients with known hypersensitivity to the drug, pheochromocytoma, severe depression, or in those receiving MAO inhibitors. Caution is also advised for individuals with Parkinson disease, seizure disorders, or a history of extrapyramidal reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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