Product image of Motilium (Domperidone) supplied by GNH India

Motilium

Active Ingredient:
Domperidone
Origin:
EU

Motilium (Domperidone)

Domperidone, the active ingredient in Motilium, is a dopamine D2 receptor antagonist presented as an oral tablet for oral use. It is used to relieve nausea, vomiting and to improve gastric motility in conditions such as gastroparesis and functional dyspepsia.
GNH India supplies Motilium as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Janssen-Cilag

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Indications & Clinical Uses

Motilium acts on the gastrointestinal tract and the central vomiting centre to reduce symptoms of nausea and improve motility.

  • Nausea: reduces the sensation of nausea and the urge to vomit.
  • Vomiting: helps prevent episodes of vomiting associated with various triggers.
  • Gastroparesis: enhances gastric emptying in patients with delayed stomach emptying.
  • Functional dyspepsia: alleviates upper abdominal discomfort and early satiety.
  • Gastroesophageal reflux: supports reduction of reflux symptoms by improving gastric clearance.

How It Works

  • Domperidone blocks peripheral dopamine D2 receptors located in the chemoreceptor trigger zone and the gastrointestinal tract. This antagonism prevents dopamine‑mediated inhibition of gastrointestinal motility, thereby accelerating gastric emptying and transit. In the central nervous system, peripheral blockade reduces the stimulation of the vomiting centre, providing antiemetic effects without significant central dopamine antagonism.

Side Effects

Domperidone is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Dry mouth: reduced salivary flow causing a dry sensation.
  • Headache: mild to moderate head pain.
  • Abdominal cramps: discomfort or cramping in the stomach area.
  • Diarrhoea: loose stools occurring occasionally.
  • Dizziness: sensation of light‑headedness or unsteadiness.

Serious or Rare Side Effects

  • Cardiac arrhythmia: irregular heart rhythm, potentially serious.
  • Extrapyramidal symptoms: rare movement disorders such as tremor.
  • Hyperprolactinaemia: elevated prolactin levels causing galactorrhoea.
  • Allergic reaction: rash, itching, swelling or difficulty breathing.

Precautions & Warnings

Before prescribing Domperidone, consider patient‑specific factors and safety measures.

  • Cardiac risk assessment: evaluate history of arrhythmia or prolonged QT interval.
  • Liver function: monitor in patients with hepatic impairment.
  • Drug‑induced prolactin elevation: be aware of potential hormonal effects.
  • Pregnancy and lactation: use only if clearly needed after risk‑benefit analysis.
  • Elderly patients: start with the lowest effective dose and monitor closely.
  • Store at ambient temperature: keep below 25 °C, in the original packaging, protected from moisture.

Avoid Interactions

Domperidone may interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): increase domperidone plasma levels, raising cardiac risk.
  • QT‑prolonging agents (e.g., quinidine, haloperidol): additive effect on cardiac repolarisation.

Moderate Interactions (Monitor Closely):\n- Anticholinergic drugs: may enhance dry‑mouth and constipation.

  • Antiparkinsonian agents: possible reduction of therapeutic effect.
  • Other dopamine antagonists: increased risk of extrapyramidal symptoms.

Frequently Asked Questions

Motilium (domperidone) is prescribed to manage nausea and vomiting, to treat gastroparesis by enhancing stomach emptying, and to relieve symptoms of functional dyspepsia and gastro‑oesophageal reflux. It works by increasing gastrointestinal motility and reducing the stimulus to the vomiting centre.

Domperidone blocks peripheral dopamine D2 receptors in the gastrointestinal tract and the chemoreceptor trigger zone. This antagonism lifts dopamine‑mediated inhibition of gut motility, speeding gastric emptying, and reduces signals that trigger the vomiting reflex, providing anti‑emetic and pro‑kinetic effects.

The appropriate dose of Motilium is determined by the prescribing clinician based on the patient’s condition, age, renal and hepatic function, and other individual factors. Dosage instructions are provided on the prescription label and should be followed exactly as directed by a healthcare professional.

Domperidone should be used in pregnancy or while breastfeeding only if the potential benefit justifies any potential risk to the fetus or infant. The safety profile in these populations is not fully established, so clinicians must evaluate each case individually and discuss possible risks with the patient.

To order Motilium, 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 and any necessary import documentation.

Compared with centrally acting anti‑emetics such as metoclopramide, domperidone has limited penetration of the blood‑brain barrier, which reduces the risk of central side effects like sedation or extrapyramidal symptoms. However, both agents share similar pro‑kinetic actions, and choice depends on the clinical scenario and safety considerations.

Motilium should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure they are out of reach of children.

Motilium is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the specific instructions provided by their prescriber regarding timing relative to meals.

The most serious risks include cardiac arrhythmias, especially in patients taking other QT‑prolonging drugs or with existing heart conditions, and rare cases of extrapyramidal symptoms. Patients should be monitored for any signs of irregular heartbeat, dizziness, or movement disorders and seek medical attention promptly if they occur.

Motilium is contraindicated in individuals with known hypersensitivity to domperidone, those with existing QT prolongation or significant cardiac arrhythmias, and patients taking strong CYP3A4 inhibitors. It should also be avoided in patients with severe hepatic impairment unless specifically advised by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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