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

Metoclopramidi Hydrochloridum Noridem

Active Ingredient:
Metoclopramide Hydrochloride Monohydrate
Origin:
EU

Metoclopramidi Hydrochloridum Noridem (Metoclopramide Hydrochloride Monohydrate)

Metoclopramide, the active ingredient in Metoclopramidi Hydrochloridum Noridem, is a dopamine D2 receptor antagonist presented as an injectable solution for intramuscular or intravenous use. It treats nausea, vomiting and gastric motility disorders in adults and pediatric patients, and is commonly used in peri‑operative and oncology settings as directed by a physician.

GNH India supplies Metoclopramidi Hydrochloridum Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with established distribution networks and regulatory compliance across EU and global markets.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Metoclopramide acts on dopaminergic pathways to control nausea and gastric motility.

  • Nausea and vomiting: reduces episodes by blocking dopamine receptors in the chemoreceptor trigger zone.
  • Postoperative nausea and vomiting: prevents and treats nausea after surgery.
  • Chemotherapy‑induced nausea and vomiting: alleviates nausea associated with cytotoxic agents.
  • Gastroparesis: enhances gastric emptying and relieves symptoms of delayed gastric motility.
  • Endoscopic preparation: facilitates gastric emptying prior to diagnostic procedures.

How It Works

  • Metoclopramide antagonizes dopamine D2 receptors in the chemoreceptor trigger zone of the brain and in gastrointestinal smooth muscle, removing inhibitory dopaminergic tone and promoting coordinated gastric contractions. It also blocks serotonin 5‑HT3 receptors, contributing to its antiemetic effect, and increases the sensitivity of the gastrointestinal tract to acetylcholine, further enhancing motility.

Side Effects

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

Common Side Effects

  • Dizziness
  • Fatigue
  • Headache
  • Somnolence
  • Restlessness
  • Diarrhea

Serious or Rare Side Effects

  • Extrapyramidal reactions (e.g., acute dystonia, akathisia)
  • Tardive dyskinesia with prolonged use
  • Neuroleptic malignant syndrome
  • Severe depression or suicidal thoughts
  • Anaphylactic reactions
  • Cardiac arrhythmias

Precautions & Warnings

When prescribing metoclopramide, clinicians should consider several safety precautions.

  • Assess renal function: adjust use in severe renal impairment
  • Monitor for extrapyramidal symptoms: especially during high‑dose or prolonged therapy
  • Avoid in patients with known hypersensitivity to metoclopramide
  • Use caution in patients with Parkinson’s disease or seizure disorders
  • Pregnancy and lactation: risk unknown, weigh benefits against potential risks
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake

Avoid Interactions

Metoclopramide can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • CYP2D6 inhibitors: may increase metoclopramide plasma concentrations
  • Anticholinergic agents: may diminish its pro‑kinetic effect
  • MAO inhibitors: risk of hypertensive crisis

Moderate Interactions (Monitor Closely)

  • Other dopamine antagonists: additive central nervous system effects
  • Serotonergic agents: potential for serotonin syndrome
  • CNS depressants: enhanced sedation or respiratory depression

Frequently Asked Questions

Metoclopramidi Hydrochloridum Noridem is an injectable formulation of metoclopramide used to prevent and treat nausea and vomiting, including postoperative and chemotherapy‑induced episodes, and to improve gastric emptying in conditions such as gastroparesis or before endoscopic procedures.

Metoclopramide works by blocking dopamine D2 receptors in the brain’s chemoreceptor trigger zone and in the gastrointestinal tract, which lifts inhibitory signals and stimulates coordinated gastric contractions. It also antagonises serotonin 5‑HT3 receptors, adding to its anti‑emetic activity.

The appropriate dose of metoclopramide is determined by the prescribing clinician based on the patient’s age, weight, renal function, the severity of symptoms, and the specific indication being treated. No fixed regimen is provided here.

Safety data for metoclopramide in pregnancy and lactation are limited. It should only be used when the potential benefit justifies any potential 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 where required) and any necessary import documentation.

Metoclopramide differs from many antiemetics by combining dopamine D2 antagonism with serotonin 5‑HT3 blockade and pro‑kinetic activity. Compared with pure serotonin antagonists (e.g., ondansetron), it also enhances gastric motility, but it carries a higher risk of extrapyramidal side effects, especially with prolonged use.

The injectable solution should be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. Use aseptic technique when preparing for intramuscular or intravenous administration.

Metoclopramidi Hydrochloridum Noridem is administered by a healthcare professional via intramuscular or intravenous injection, according to the prescriber’s instructions. The route, rate of infusion and duration are individualized based on the clinical situation.

Serious adverse reactions include extrapyramidal movements such as acute dystonia, tardive dyskinesia with long‑term use, neuroleptic malignant syndrome, severe depression or suicidal thoughts, anaphylaxis, and cardiac arrhythmias. Immediate medical attention is required if any of these occur.

Metoclopramide is contraindicated in patients with known hypersensitivity to the drug, in those with pheochromocytoma, and should be used with extreme caution or avoided in individuals with Parkinson’s disease, seizure disorders, severe renal impairment, or a history of extrapyramidal reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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