Product image of Metoclopramide Orifarm (Metoclopramide Hydrochloride) supplied by GNH India

Metoclopramide Orifarm

Active Ingredient:
Metoclopramide Hydrochloride
Origin:
EU

Metoclopramide Orifarm (Metoclopramide Hydrochloride)

Metoclopramide, the active ingredient in Metoclopramide Orifarm, is a dopamine D2 receptor antagonist presented as an oral tablet for oral use. It is employed to alleviate nausea and vomiting, improve gastric emptying in gastroparesis, and manage symptoms of gastro‑oesophageal reflux disease in adult patients.

GNH India supplies Metoclopramide Orifarm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable global distribution.

Manufacturer / TM Owner

Orifarm Generics A/S

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Indications & Clinical Uses

Metoclopramide is indicated for conditions affecting the gastrointestinal tract and the central emetic pathways.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Gastroparesis: enhances gastric motility and accelerates stomach emptying.
  • Gastro‑oesophageal reflux disease: decreases reflux episodes by improving lower esophageal sphincter tone and gastric clearance.
  • Chemotherapy‑induced nausea: helps control nausea associated with cytotoxic therapy.

How It Works

  • Metoclopramide exerts its anti‑emetic effect by antagonizing dopamine D2 receptors in the chemoreceptor trigger zone of the medulla, thereby reducing the stimulus for vomiting. Concurrently, it blocks presynaptic dopamine receptors in the gastrointestinal tract, which increases acetylcholine release and promotes coordinated smooth‑muscle contractions, enhancing gastric emptying and improving lower esophageal sphincter tone.

Side Effects

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

Common Side Effects

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

Serious or Rare Side Effects

  • Extrapyramidal reactions (e.g., dystonia, akathisia)
  • Tardive dyskinesia
  • Neuroleptic malignant syndrome
  • Depression or suicidal thoughts
  • Seizures
  • Anaphylactic or severe allergic reactions

Precautions & Warnings

When prescribing Metoclopramide, clinicians should consider several safety measures.

  • Assess renal function: dose adjustment may be required in renal impairment.
  • Monitor for extrapyramidal symptoms: watch for restlessness, muscle rigidity, or tremor.
  • Avoid in patients with known hypersensitivity to metoclopramide.
  • Use caution in elderly: increased risk of sedation and falls.
  • Limit duration of therapy: restrict use to ≤12 weeks to reduce risk of tardive dyskinesia.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Metoclopramide can interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Antipsychotics (e.g., haloperidol): additive central nervous system depression.
  • CYP2D6 inhibitors (e.g., fluoxetine): increased plasma concentrations of metoclopramide.
  • Anticholinergic agents: reduced pro‑kinetic efficacy.

Moderate Interactions (Monitor Closely)

  • Opioids: enhanced risk of sedation and respiratory depression.
  • Alcohol: increased drowsiness and dizziness.
  • Other dopamine antagonists: additive risk of extrapyramidal effects.

Frequently Asked Questions

Metoclopramide Orifarm is a prescription oral tablet indicated to treat nausea and vomiting, to improve gastric emptying in gastroparesis, and to alleviate symptoms of gastro‑oesophageal reflux disease. It may also be used for nausea associated with chemotherapy or postoperative settings, as determined by a qualified healthcare professional.

The drug works by blocking dopamine D2 receptors in the chemoreceptor trigger zone of the brain, which diminishes the vomiting reflex. In the gastrointestinal tract it also blocks presynaptic dopamine receptors, leading to increased acetylcholine release and enhanced coordinated smooth‑muscle contractions that promote gastric motility.

The appropriate dose of Metoclopramide Orifarm is determined by the prescribing clinician based on the specific indication, patient age, renal function and other clinical factors. Patients should follow the exact dosing instructions provided by their healthcare professional and the product labeling.

The pregnancy safety category for Metoclopramide is listed as unknown, and data are limited. It should only be used during pregnancy or lactation when the potential benefit justifies any potential risk to the fetus or infant, and after a careful risk‑benefit assessment by the prescriber.

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 across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Metoclopramide differs from many anti‑emetics such as 5‑HT3 antagonists (e.g., ondansetron) by primarily targeting dopamine receptors and providing a pro‑kinetic effect that enhances gastric emptying. This dual action makes it useful for conditions where delayed gastric motility contributes to symptoms, whereas other agents may lack this gastrointestinal benefit.

Store the tablets at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure the packaging is tightly closed to maintain product stability throughout its shelf life.

Metoclopramide Orifarm is taken orally, usually with a glass of water. It may be administered with or without food, but consistent timing relative to meals can help maintain steady drug levels. Patients should follow the dosing schedule prescribed by their healthcare provider.

The most serious adverse effects include extrapyramidal reactions such as dystonia or akathisia, tardive dyskinesia with prolonged use, and neuroleptic malignant syndrome. These events, although rare, require immediate medical attention and may necessitate discontinuation of therapy.

Metoclopramide is contraindicated in patients with known hypersensitivity to the drug, in those with a history of pheochromocytoma, and in individuals who have experienced severe extrapyramidal reactions to dopamine antagonists. Caution is also advised for patients with gastrointestinal obstruction, perforation, or hemorrhage.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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