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 (prokinetic) presented as an injectable solution for intramuscular and intravenous use. It is employed to treat nausea, vomiting, and delayed gastric emptying in adult patients.

GNH India supplies Metoclopramide Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution originating from the European Union market. Our quality‑assured product meets EU regulatory standards and is available for global procurement.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metoclopramide is a dopamine antagonist used to improve gastrointestinal motility and control nausea.

  • Nausea and vomiting: reduces frequency and severity of symptoms in various clinical settings.
  • Gastroparesis: enhances gastric emptying and alleviates related discomfort.
  • Post‑operative nausea and vomiting: prevents or treats nausea after surgery.

How It Works

  • Metoclopramide blocks dopamine D2 receptors in the chemoreceptor trigger zone and antagonizes serotonin 5‑HT3 receptors while stimulating 5‑HT4 receptors in the gastrointestinal tract. This combined action accelerates gastric emptying, increases lower esophageal sphincter tone, and provides anti‑emetic effects by modulating central and peripheral pathways involved in nausea and motility.

Side Effects

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

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Restlessness: inner sense of unease or agitation.
  • Diarrhea: loose or frequent stools.
  • Headache: mild to moderate head pain.

Serious or Rare Side Effects

  • Tardive dyskinesia: involuntary, repetitive movements.
  • Neuroleptic malignant syndrome: high fever, muscle rigidity, autonomic instability.
  • Severe allergic reaction: rash, swelling, breathing difficulty.
  • Hyperprolactinemia: elevated prolactin leading to hormonal disturbances.

Precautions & Warnings

Before using Metoclopramide, consider the following safety measures.

  • Gastrointestinal obstruction: contraindicated in patients with known blockage.
  • Seizure disorders: use with caution; monitor for seizure activity.
  • Extrapyramidal symptoms: observe for muscle rigidity or tremor.
  • Hypersensitivity: avoid in individuals with documented allergy to metoclopramide.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • Antipsychotics (e.g., haloperidol): additive dopamine antagonism may increase extrapyramidal effects.

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., benzodiazepines): may enhance sedation.
  • Antihistamines: can increase drowsiness.
  • Opioids: may potentiate nausea control but require dose adjustment.

Frequently Asked Questions

Metoclopramide Noridem is indicated for the treatment of nausea and vomiting, for managing gastroparesis by enhancing gastric emptying, and for preventing or treating post‑operative nausea and vomiting. It is prescribed by a qualified healthcare professional based on the patient’s clinical situation.

Metoclopramide works by blocking dopamine D2 receptors in the brain’s chemoreceptor trigger zone and antagonizing serotonin 5‑HT3 receptors, while stimulating serotonin 5‑HT4 receptors in the gastrointestinal tract. This dual action speeds up gastric motility and provides anti‑emetic effects.

The dosage of Metoclopramide Noridem is determined by the prescribing clinician according to the patient’s age, weight, indication, and response to therapy. Dosing regimens may differ for intramuscular versus intravenous administration and should follow the prescriber’s instructions.

Safety data for Metoclopramide in pregnancy are limited, and the product’s pregnancy category is unknown. It should only be used if the potential benefit justifies any potential risk to the fetus. Breastfeeding mothers should consult their physician, as the drug may be excreted in milk.

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 any cold‑chain requirements) and necessary import documentation.

Metoclopramide differs from many anti‑emetics by combining dopamine antagonism with serotonin modulation, offering both prokinetic and anti‑emetic benefits. Compared with pure 5‑HT3 antagonists, it also promotes gastric emptying, which can be advantageous in gastroparesis, but it carries a higher risk of extrapyramidal side effects.

Metoclopramide Noridem should be stored at room temperature, below 25 °C. Keep the vials in their original packaging, protect them from moisture and direct sunlight, and ensure the container is tightly closed when not in use.

The product is supplied as an injectable solution for intramuscular or intravenous administration. The route, injection site, and infusion rate are determined by the prescribing clinician based on the indication and patient condition.

Serious risks include tardive dyskinesia, neuroleptic malignant syndrome, severe allergic reactions, and hyperprolactinemia. Patients should be monitored for involuntary movements, high fever, muscle rigidity, rash, swelling, or hormonal disturbances, and treatment should be discontinued if these occur.

Metoclopramide is contraindicated in patients with known gastrointestinal obstruction, pheochromocytoma, or a history of hypersensitivity to the drug. Caution is advised for individuals with seizure disorders, Parkinson’s disease, or those taking interacting medications such as MAO inhibitors or antipsychotics.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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